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Platelet Transfusion for PDA Closure in Preterm Infants: A Randomized Controlled Trial

Jogender Kumar, S. Dutta, V. Sundaram, S. Saini, R. Sharma, N. Varma

Pediatrics, 2019

79 citations

Abstract

In this RCT, we evaluated a liberal platelet-transfusion strategy as a novel therapeutic intervention for hs-PDA among thrombocytopenic preterm infants. BACKGROUND AND OBJECTIVES: Thrombocytopenia is associated with late closure of patent ductus arteriosus (PDA). There are few studies evaluating platelet transfusions to treat PDA. We compared liberal platelet-transfusion criteria (to maintain a platelet count >100 000 per µL) versus standard criteria achieve earlier PDA closure among thrombocytopenic preterm neonates (100 000 per µL by liberally transfusing platelets in preterm thrombocytopenic neonates with hs-PDA does not hasten PDA closure.

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Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design.

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