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Expectant Management vs Medication for Patent Ductus Arteriosus in Preterm Infants: The PDA Randomized Clinical Trial.


ABSTRACT:

Importance

The management of patent ductus arteriosus (PDA) in preterm infants is controversial.

Objective

To determine whether expectant management compared with active treatment of a protocol-defined PDA in preterm infants decreases the incidence of death or bronchopulmonary dysplasia (BPD).

Design, setting, and participants

A randomized clinical trial including infants born at 22 to 28 weeks' gestation and diagnosed with a protocol-defined PDA between the age of 48 hours and 21 days at screening. The trial was conducted from December 2018 to December 2024 at 33 hospitals within the National Institute of Child Health and Human Development Neonatal Research Network. The final date of follow-up was June 2025.

Interventions

Infants with PDA were randomized to ex

SUBMITTER: Laughon MM 

PROVIDER: S-EPMC12690482 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature

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