Study Finds Comparable Outcomes for Acetaminophen and COX Inhibitors in PDA Treatment
Published On: 05 Dec, 2025 2:11 PM | Updated On: 05 Dec, 2025 2:42 PM

Study Finds Comparable Outcomes for Acetaminophen and COX Inhibitors in PDA Treatment

A new retrospective analysis has assessed whether acetaminophen, increasingly used for patent ductus arteriosus (PDA) closure, poses added risks to extremely preterm infants. With concerns rising about its potential impact on lung health, researchers compared outcomes between infants treated with acetaminophen and those receiving only cyclooxygenase (COX) inhibitors.

Among 1,921 infants studied, 32.6% received acetaminophen and 67.3% received COX inhibitors alone. Multidrug therapy (42.9% vs 4.7%) and surgical or catheter-based PDA closure (26.5% vs 19.9%) were more common in the acetaminophen group. Rates of death or moderate-to-severe bronchopulmonary dysplasia at 36 weeks’ postmenstrual age were similar between both groups (57.1% vs 58.3%).

Although acetaminophen was linked to slightly higher predischarge mortality (13.3% vs 10.0%) after adjusting for early clinical factors, this association was not significant after accounting for later postnatal variables.

Researchers conclude that acetaminophen does not increase the combined risk of death or BPD in extremely preterm infants, though the mortality signal highlights the need for further investigation.

Source: Jensen EA, DeMauro SB, Rysavy MA, et al. Acetaminophen for Patent Ductus Arteriosus and Risk of Mortality and Pulmonary Morbidity. 2024;154(2). 


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