Surgical ligation of patent ductus arteriosus in premature infants: trends and practice variation
Surgical ligation of patent ductus arteriosus in premature infants: trends and practice variation
复制标题
早产儿动脉导管未闭手术结扎：趋势和实践变化
作者：
Jacqueline G Weinberg;Frank J. Evans;Kristin M. Burns;G. Pearson;J. Kaltman
Abstract Objective We sought to analyse the variation in the incidence of patent ductus arteriosus over three recent time points and characterise ductal ligation practices in preterm infants in the United States, adjusting for demographic and morbidity factors. Methods Using the Kids’ Inpatient Database from 2003, 2006, and 2009, we identified infants born at ⩽32 weeks of gestation with International Classification of Diseases, Ninth Revision diagnosis of patent ductus arteriosus and ligation code. We examined patient and hospital characteristics and identified patient and hospital variables associated with ligation. Results Of 182,610 preterm births, 30,714 discharges included a patent ductus arteriosus diagnosis. The rate of patent ductus arteriosus diagnosis increased from 14% in 2003 to 21% in 2009 (p<0.001). A total of 4181 ligations were performed, with an overall ligation rate of 14%. Ligation rate in infants born at ⩽28 weeks of gestation was 20% overall, increasing from 18% in 2003 to 21% in 2009 (p<0.001). The ligation rate varied by state (4–28%), and ligation was associated with earlier gestational age, associated diagnoses, hospital type, teaching hospital status, and region (p<0.001). Conclusion The rates of patent ductus arteriosus diagnosis and ligation have increased in the recent years. Variation exists in the practice of patent ductus arteriosus ligation and is influenced by patient and non-patient factors.
影响因子：
3.4
作者：
Clyman RI;Couto J;Murphy GM
通讯作者：
Murphy GM
特殊二尖瓣问题。
影响因子：
1.8
作者：
Kunzelman,KarynS
通讯作者：
Kunzelman,KarynS