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ArticleMolecular and cellular pediatrics2025

Comparison of the Effectiveness of Paracetamol and Ibuprofen in the Management of Patent Ductus Arteriosus in Preterm Neonates: A Randomized Controlled Trial.

S Mohsin Ali Shah, Shaista Azeem Khan, Faran Sadiq, Ruba Gul, Faizan Sadiq, Misbah Ullah Khan, Muhammad Khalid Khan, Faryal Uzma, Arooj Khan, Sabir Khan

Registry-linked trialAbstract read
In one paragraph

Article in Molecular and cellular pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06601114 (The Effectiveness of Paracetamol Versus Ibuprofen in Management of Patent Ductus Arteriosus in Preterm Neonates), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06601114 naactive not recruitingnot on this map

The Effectiveness of Paracetamol Versus Ibuprofen in Management of Patent Ductus Arteriosus in Preterm Neonates

TypeinterventionalSponsorArooj KhanRan2024 to 2024Enrolled254ConditionsPatent Ductus Arteriosus in Preterm InfantsArmsParacetamol Group, Ibuprofen group
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

S Mohsin Ali ShahPediatrics Department, Khyber Teaching Hospital, Peshawar, Pakistan.
Shaista Azeem KhanPediatrics Department, Khyber Teaching Hospital, Peshawar, Pakistan.
Faran SadiqAccident and Emergency Department, Lady Reading Hospital, Peshawar, Pakistan.
Ruba GulPediatrics Department, Khyber Teaching Hospital, Peshawar, Pakistan.
Faizan SadiqPediatrics Department, Khyber Teaching Hospital, Peshawar, Pakistan. faizan2308@gmail.com.ORCID http://orcid.org/0000-0002-2755-632X
Misbah Ullah KhanPediatrics Department, Khyber Teaching Hospital, Peshawar, Pakistan.
Muhammad Khalid KhanPediatrics Department, Khyber Teaching Hospital, Peshawar, Pakistan.
Faryal UzmaAnesthesia Department, Lady Reading Hospital, Peshawar, Pakistan.
Arooj KhanPediatrics Department, Khyber Teaching Hospital, Peshawar, Pakistan.
Sabir KhanPediatrics Department, Khyber Teaching Hospital, Peshawar, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatent ductus arteriosus is one of the most common cardiac conditions affecting the neonates. Considering the lack of studies done on this topic in healthcare settings in Khyber Pakhtunkhwa province, this study aims to find out the comparative effectiveness of paracetamol and ibuprofen in management of PDA in our healthcare setting to conclude a better management option for the condition.

objectiveTo find and compare the effectiveness of paracetamol and ibuprofen in the closure of patent ductus arteriosus in preterm neonates. METHODOLOGY: This randomized controlled trial was conducted in the Department of Nursery and Neonatal Intensive Care Unit, Khyber Teaching Hospital, Peshawar, Pakistan, from 10th April 2024 to 10th October 2024. A total of 256 neonates of both genders with patent ductus arteriosus were included. Group A received oral paracetamol, and Group B received oral ibuprofen. The effectiveness of the treatments was evaluated at the end of the treatment period.

resultsThe age range in this study was from 48 to 96 h, with a mean age of 71.79 ± 13.10 h in Group A and 73.40 ± 11.81 h in Group B. Efficacy was observed in 107 (83.6%) patients in Group A compared to 90 (70.3%) patients in Group B, showing a statistically significant difference (P = 0.011).

conclusionOur study has concluded that paracetamol is more effective than ibuprofen in closing patent ductus arteriosus. The trials were retrospectively registered at NIH Trial Registry (NCT06601114) https://clinicaltrials.gov/study/NCT06601114 dated 15/09/2024.

Indexed as

EfficacyIbuprofenParacetamolPatent ductus arteriosus

Identifiers

PMID39862321
PMCPMC11762024

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.