The perfusion index histograms predict patent ductus arteriosus requiring treatment in preterm infants

Osman, Asmaa; Albalawi, Muflih; Dakshinamurti, Shyamala; Hinton, Martha; Elhawary, Fatema; Mawlana, Wegdan; Elsayed, Yasser

doi:10.1007/s00431-021-03937-z

Cited by 7 publications

(2 citation statements)

References 32 publications

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“…Osman AA. et al 17 reported that a perfusion index below 0.4 was correlated to most echocardiographic parameters of haemodynamically significant patent ductus arteriosus. Furthermore, the authors derived a 24-hour perfusion index histogram data.…”

Section: Discussionmentioning

confidence: 98%

Perfusion index in newborns with CHD without clinical signs of hypoperfusion and heart failure: comparison with healthy newborns

et al. 2023

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Introduction: Peripheral perfusion index has been proposed as a possible method for detecting circulatory impairment. We aimed to determine the normal range of peripheral perfusion index in healthy newborns and compare it with that of newborns with CHD. Methods: Right-hand saturation and right-hand peripheral perfusion index levels were recorded, and physical examination and echocardiography were performed in newborns who were 0–28 days old and whom were evaluated in our paediatric cardiology outpatient clinic. The saturation and peripheral perfusion index levels of newborns with normal heart anatomy and function were compared with those of newborns with CHD. Results: Out of 358 newborns (238 mature and 75 premature) enrolled in the study, 39 had CHD (20 mild CHD, 13 moderate CHD, and 6 severe CHD), of which 29 had CHD with left-to-right shunting, 5 had obstructive CHD, and 5 had cyanotic CHD. No newborn had clinical signs of hypoperfusion or heart failure, such as prolonged capillary refill, weakened pulses, or coldness of extremities. Peripheral perfusion index level was median (interquartile range) 1.7 (0.6) in healthy newborns, 1.8 (0.7) in newborns with mild CHD, and 1.8 (0.4) in newborns with moderate and severe CHD, and there was no significant difference between the groups regarding peripheral perfusion index level. Conclusion: Peripheral perfusion index remains unchanged in newborns with CHD without the clinical signs of hypoperfusion or heart failure. Larger studies with repeated peripheral perfusion index measurements can determine how valuable this method will be in the follow-up of newborns with CHD.

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Section: Discussionmentioning

confidence: 98%

Perfusion index in newborns with CHD without clinical signs of hypoperfusion and heart failure: comparison with healthy newborns

et al. 2023

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“…PI may be a useful adjunct to help identify preterm infants who are prone to circulatory complications of hsPDA. 59 , 60 …”

Section: Methods Other Than Echocardiographymentioning

confidence: 99%

An Update on Patent Ductus Arteriosus and What is Coming Next

Erdeve

Okulu

Singh

et al. 2022

Turk Arch Pediatrics

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Patent ductus arteriosus is the most common cardiovascular condition in preterm infants. There is a significant uncertainty about when and how to close ductus arteriosus in preterm infants due to a high spontaneous closure rate even in very immature preterm infants. Diagnosis and management of patent ductus arteriosus remain a challenge for both neonatologists and pediatric cardiologists. Researchers have tried to define a balance between an expectant approach and active treatment in selected infants. This review aimed to focus on the pathophysiology and management of patent ductus arteriosus and to make suggestions about approaches that might eliminate the association of morbidities with patent ductus arteriosus.

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Patent ductus arteriosus (PDA): Recent recommendations for to close or not to close

Köstekci,

Erdeve

2024

Global Pediatrics

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The perfusion index histograms predict patent ductus arteriosus requiring treatment in preterm infants

Cited by 7 publications

References 32 publications

Perfusion index in newborns with CHD without clinical signs of hypoperfusion and heart failure: comparison with healthy newborns

Perfusion index in newborns with CHD without clinical signs of hypoperfusion and heart failure: comparison with healthy newborns

An Update on Patent Ductus Arteriosus and What is Coming Next

Patent ductus arteriosus (PDA): Recent recommendations for to close or not to close

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