Abstract
A new scoring system which can help in early diagnosis of patent ductus arteriosus in premature infants with or without associated respiratory distress syndrome has been developed. This system is based on non-invasive clinical parameters, which include the presence or absence of cardiac murmurs, state of peripheral pulsation, presence or absence of true apnea and duration of ventilatory support required, in addition to echocardiographic and x-ray findings. Each of the parameters is given a score of 0 to 2, depending on the severity. A total score of between 4 and 6 is considered suggestive of PDA. In our experience we have found this scoring system to be very useful and reliable in the diagnosis of PDA in the sick newborn. This system has also helped in reducing significantly, the use of invasive retrograde aortic angiography.
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Singh, R., Rathi, M. 1429 A NEW SCORING SYSTEM FOR THE DIAGNOSIS OF PATENT DUCTUS ARTERIOSUS IN PREMATURE INFANTS. Pediatr Res 15 (Suppl 4), 681 (1981). https://doi.org/10.1203/00006450-198104001-01458
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DOI: https://doi.org/10.1203/00006450-198104001-01458