Furosemide in preterm infants treated with indomethacin for patent ductus arteriosus
Objective: To evaluate the effect of furosemide on renal function and water balance in preterm infants treated with indomethacin (3 × 0.2 mg/kg at 12‐h intervals) for symptomatic patent ductus arteriosus. Patients and Methods: We performed a retrospective multi‐centre double cohort study in preterm...
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Published in | Acta Paediatrica Vol. 98; no. 5; pp. 797 - 803 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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Oxford, UK
Blackwell Publishing Ltd
01.05.2009
Blackwell |
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Abstract | Objective: To evaluate the effect of furosemide on renal function and water balance in preterm infants treated with indomethacin (3 × 0.2 mg/kg at 12‐h intervals) for symptomatic patent ductus arteriosus.
Patients and Methods: We performed a retrospective multi‐centre double cohort study in preterm infants <32 weeks of gestational age. Thirty‐two infants treated with furosemide (1 mg/kg i.v.) before each indomethacin dose (furosemide group) were matched with 32 infants with indomethacin treatment alone (control‐group). Renal effects (urine output, weight gain, serum creatinine, sodium concentration) were registered.
Results: The study groups were comparable for gestational age, birth weight and day of therapy. Pretreatment differences were observed for urine output, weight and serum sodium. However, no differences were noticed in day‐to‐day urine output change or weight gain between the groups. A significant increase in serum creatinine concentration (50% vs. control, 18%; p < 0.05) and a concomitant significant decrease in serum sodium (–9 vs. control, –3 mmoL/L; p < 0.05) in the furosemide group was observed 72–96 h after starting therapy.
Conclusion: Furosemide before each indomethacin dose resulted in a significant increase in serum creatinine and hyponatremia, without increasing urine output. |
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AbstractList | Objective: To evaluate the effect of furosemide on renal function and water balance in preterm infants treated with indomethacin (3 × 0.2 mg/kg at 12‐h intervals) for symptomatic patent ductus arteriosus.
Patients and Methods: We performed a retrospective multi‐centre double cohort study in preterm infants <32 weeks of gestational age. Thirty‐two infants treated with furosemide (1 mg/kg i.v.) before each indomethacin dose (furosemide group) were matched with 32 infants with indomethacin treatment alone (control‐group). Renal effects (urine output, weight gain, serum creatinine, sodium concentration) were registered.
Results: The study groups were comparable for gestational age, birth weight and day of therapy. Pretreatment differences were observed for urine output, weight and serum sodium. However, no differences were noticed in day‐to‐day urine output change or weight gain between the groups. A significant increase in serum creatinine concentration (50% vs. control, 18%; p < 0.05) and a concomitant significant decrease in serum sodium (–9 vs. control, –3 mmoL/L; p < 0.05) in the furosemide group was observed 72–96 h after starting therapy.
Conclusion: Furosemide before each indomethacin dose resulted in a significant increase in serum creatinine and hyponatremia, without increasing urine output. Abstract Objective: To evaluate the effect of furosemide on renal function and water balance in preterm infants treated with indomethacin (3 × 0.2 mg/kg at 12‐h intervals) for symptomatic patent ductus arteriosus. Patients and Methods: We performed a retrospective multi‐centre double cohort study in preterm infants <32 weeks of gestational age. Thirty‐two infants treated with furosemide (1 mg/kg i.v.) before each indomethacin dose (furosemide group) were matched with 32 infants with indomethacin treatment alone (control‐group). Renal effects (urine output, weight gain, serum creatinine, sodium concentration) were registered. Results: The study groups were comparable for gestational age, birth weight and day of therapy. Pretreatment differences were observed for urine output, weight and serum sodium. However, no differences were noticed in day‐to‐day urine output change or weight gain between the groups. A significant increase in serum creatinine concentration (50% vs. control, 18%; p < 0.05) and a concomitant significant decrease in serum sodium (–9 vs. control, –3 mmoL/L; p < 0.05) in the furosemide group was observed 72–96 h after starting therapy. Conclusion: Furosemide before each indomethacin dose resulted in a significant increase in serum creatinine and hyponatremia, without increasing urine output. To evaluate the effect of furosemide on renal function and water balance in preterm infants treated with indomethacin (3 x 0.2 mg/kg at 12-h intervals) for symptomatic patent ductus arteriosus. We performed a retrospective multi-centre double cohort study in preterm infants <32 weeks of gestational age. Thirty-two infants treated with furosemide (1 mg/kg i.v.) before each indomethacin dose (furosemide group) were matched with 32 infants with indomethacin treatment alone (control-group). Renal effects (urine output, weight gain, serum creatinine, sodium concentration) were registered. The study groups were comparable for gestational age, birth weight and day of therapy. Pretreatment differences were observed for urine output, weight and serum sodium. However, no differences were noticed in day-to-day urine output change or weight gain between the groups. A significant increase in serum creatinine concentration (50% vs. control, 18%; p < 0.05) and a concomitant significant decrease in serum sodium (-9 vs. control, -3 mmoL/L; p < 0.05) in the furosemide group was observed 72-96 h after starting therapy. Furosemide before each indomethacin dose resulted in a significant increase in serum creatinine and hyponatremia, without increasing urine output. |
Author | Van Overmeire, Bart Tanke, Ronald B. Oetomo, Sidarto Bambang Andriessen, Peter Niemarkt, Hendrik Struis, Nicole C. |
Author_xml | – sequence: 1 givenname: Peter surname: Andriessen fullname: Andriessen, Peter organization: Department of Neonatology, Máxima Medical Centre, Veldhoven, The Netherlands – sequence: 2 givenname: Nicole C. surname: Struis fullname: Struis, Nicole C. organization: Department of Neonatology, Máxima Medical Centre, Veldhoven, The Netherlands – sequence: 3 givenname: Hendrik surname: Niemarkt fullname: Niemarkt, Hendrik organization: Department of Neonatology, Máxima Medical Centre, Veldhoven, The Netherlands – sequence: 4 givenname: Sidarto Bambang surname: Oetomo fullname: Oetomo, Sidarto Bambang organization: Department of Neonatology, Máxima Medical Centre, Veldhoven, The Netherlands – sequence: 5 givenname: Ronald B. surname: Tanke fullname: Tanke, Ronald B. organization: Department of Paediatric Cardiology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands – sequence: 6 givenname: Bart surname: Van Overmeire fullname: Van Overmeire, Bart organization: Department of Paediatrics, division of Neonatology, Antwerp University Hospital, Edegem, Belgium |
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CitedBy_id | crossref_primary_10_1038_s41372_022_01450_1 crossref_primary_10_14734_kjp_2013_24_2_72 crossref_primary_10_1542_neo_11_9_e495 crossref_primary_10_1053_j_semperi_2011_09_022 crossref_primary_10_1016_j_clp_2011_12_007 crossref_primary_10_1038_jp_2012_31 crossref_primary_10_1590_S1807_59322011001200022 crossref_primary_10_7599_hmr_2009_29_4_323 crossref_primary_10_1017_S104795111700052X crossref_primary_10_1111_j_1365_2044_2009_06228_x crossref_primary_10_2165_11596620_000000000_00000 crossref_primary_10_1007_s40272_013_0031_7 crossref_primary_10_1053_j_jvca_2020_10_014 crossref_primary_10_1111_j_1651_2227_2012_02699_x crossref_primary_10_1016_S8756_5005_09_79142_5 |
Cites_doi | 10.1891/0730-0832.26.3.187 10.1007/BF00441143 10.1080/14767050600922610 10.1016/S0009-9236(97)90066-7 10.1016/S0022-3476(05)83391-8 10.1111/j.1651-2227.2004.tb00712.x 10.1016/j.siny.2004.10.003 10.1161/01.RES.53.5.630 10.1056/NEJM198303313081303 10.1542/peds.68.1.99 10.1007/s00467-005-2022-6 10.1007/BF01063855 10.1007/s00467-006-0224-1 10.1097/00003246-200202000-00013 10.1056/NEJM200009073431001 10.1007/s00467-003-1402-z 10.1159/000088046 10.1053/siny.2000.0036 10.1159/000241622 10.1007/s00431-002-0915-y 10.1016/S0022-3476(78)81182-2 10.1111/j.1651-2227.1996.tb13942.x 10.1007/s00246-006-0093-1 10.1055/s-2008-1040750 10.1016/S0022-3476(82)80079-6 |
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Keywords | Human Premature Prostaglandin-endoperoxide synthase Pediatrics Renal function Patent ductus arteriosus Enzyme Indometacin Enzyme inhibitor Persistence of ductus arteriosus Infant Furosemide Tocolytic Non steroidal antiinflammatory agent Diuretic Newborn diseases Treatment Prematurity Sulfonamides Indoleacetic acid derivatives Anthranilic acid derivatives Antihypertensive agent Oxidoreductases Indomethacin |
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Snippet | Objective: To evaluate the effect of furosemide on renal function and water balance in preterm infants treated with indomethacin (3 × 0.2 mg/kg at 12‐h... To evaluate the effect of furosemide on renal function and water balance in preterm infants treated with indomethacin (3 x 0.2 mg/kg at 12-h intervals) for... Abstract Objective: To evaluate the effect of furosemide on renal function and water balance in preterm infants treated with indomethacin (3 × 0.2 mg/kg at... |
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SubjectTerms | Biological and medical sciences Cohort Studies Creatinine - blood Cyclooxygenase Inhibitors - adverse effects Diuretics - therapeutic use Ductus Arteriosus, Patent - drug therapy Female Furosemide Furosemide - therapeutic use General aspects Humans Indomethacin Indomethacin - adverse effects Infant, Newborn Infant, Premature Kidney Diseases - chemically induced Kidney Diseases - prevention & control Kidney Function Tests Male Medical sciences Multivariate Analysis Patent ductus arteriosus Renal function Retrospective Studies Sodium - blood Treatment Outcome Urine |
Title | Furosemide in preterm infants treated with indomethacin for patent ductus arteriosus |
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