Reducing the incidence of chronic lung disease in very premature infants with aminophylline

Background: The objective of this study is to assess the safety and preventative effects of aminophylline on the incidence of chronic lung disease (CLD) in very premature infants. Methods: This was a long follow-up randomized clinical trial. The prophylactic effect of aminophylline on the incidence...

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Main Authors: Amir-Mohammad Armanian, Zohreh Badiee, Raha Afghari, Nima Salehimehr, Akbar Hassanzade, Soghra Sheikhzadeh, Maryam Shariftehrani, Gohar Rezvan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:International Journal of Preventive Medicine
Subjects:
Online Access:http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2014;volume=5;issue=5;spage=569;epage=576;aulast=Armanian
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author Amir-Mohammad Armanian
Zohreh Badiee
Raha Afghari
Nima Salehimehr
Akbar Hassanzade
Soghra Sheikhzadeh
Maryam Shariftehrani
Gohar Rezvan
author_facet Amir-Mohammad Armanian
Zohreh Badiee
Raha Afghari
Nima Salehimehr
Akbar Hassanzade
Soghra Sheikhzadeh
Maryam Shariftehrani
Gohar Rezvan
author_sort Amir-Mohammad Armanian
collection DOAJ
description Background: The objective of this study is to assess the safety and preventative effects of aminophylline on the incidence of chronic lung disease (CLD) in very premature infants. Methods: This was a long follow-up randomized clinical trial. The prophylactic effect of aminophylline on the incidence of CLD was investigated in very premature infants. The study group received aminophylline for the 1 st 10 days of life and control infants received no aminophylline during the 1 st 10 days of life. Results: Fifty-two infants participated (26 aminophylline, 26 controls). Premature infants on aminophylline had clearly shorter oxygen dependency time than those in the control group. Median time of oxygen dependency was 3 (0-9.5) days and 14 (3-40.5) days in group A and C, respectively (P: 0.001). Incidence of CLD was significantly different between the two groups. Only two infants (8.7%) on aminophylline developed CLD, when compared to 11 infants (44.0%), who did not receive aminophylline (P: 0.006). No side-effects were reported in the neonates (P: 1). Conclusions: This study supports the preventative effects of aminophylline on the incidence of CLD in very premature infants. In other words, the more premature the infants, the greater will be the preventative effect of aminophylline on the incidence of CLD.
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spelling doaj.art-b850b91aae5d42f08a75308ac266a8102022-12-21T23:58:30ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132014-01-0155569576Reducing the incidence of chronic lung disease in very premature infants with aminophyllineAmir-Mohammad ArmanianZohreh BadieeRaha AfghariNima SalehimehrAkbar HassanzadeSoghra SheikhzadehMaryam ShariftehraniGohar RezvanBackground: The objective of this study is to assess the safety and preventative effects of aminophylline on the incidence of chronic lung disease (CLD) in very premature infants. Methods: This was a long follow-up randomized clinical trial. The prophylactic effect of aminophylline on the incidence of CLD was investigated in very premature infants. The study group received aminophylline for the 1 st 10 days of life and control infants received no aminophylline during the 1 st 10 days of life. Results: Fifty-two infants participated (26 aminophylline, 26 controls). Premature infants on aminophylline had clearly shorter oxygen dependency time than those in the control group. Median time of oxygen dependency was 3 (0-9.5) days and 14 (3-40.5) days in group A and C, respectively (P: 0.001). Incidence of CLD was significantly different between the two groups. Only two infants (8.7%) on aminophylline developed CLD, when compared to 11 infants (44.0%), who did not receive aminophylline (P: 0.006). No side-effects were reported in the neonates (P: 1). Conclusions: This study supports the preventative effects of aminophylline on the incidence of CLD in very premature infants. In other words, the more premature the infants, the greater will be the preventative effect of aminophylline on the incidence of CLD.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2014;volume=5;issue=5;spage=569;epage=576;aulast=ArmanianAminophyllinechronic lung diseasepreterm neonatesprevention
spellingShingle Amir-Mohammad Armanian
Zohreh Badiee
Raha Afghari
Nima Salehimehr
Akbar Hassanzade
Soghra Sheikhzadeh
Maryam Shariftehrani
Gohar Rezvan
Reducing the incidence of chronic lung disease in very premature infants with aminophylline
International Journal of Preventive Medicine
Aminophylline
chronic lung disease
preterm neonates
prevention
title Reducing the incidence of chronic lung disease in very premature infants with aminophylline
title_full Reducing the incidence of chronic lung disease in very premature infants with aminophylline
title_fullStr Reducing the incidence of chronic lung disease in very premature infants with aminophylline
title_full_unstemmed Reducing the incidence of chronic lung disease in very premature infants with aminophylline
title_short Reducing the incidence of chronic lung disease in very premature infants with aminophylline
title_sort reducing the incidence of chronic lung disease in very premature infants with aminophylline
topic Aminophylline
chronic lung disease
preterm neonates
prevention
url http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2014;volume=5;issue=5;spage=569;epage=576;aulast=Armanian
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