Evidence map›Paper›PMID 16929344›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2006

Hyperglycemia and morbidity and mortality in extremely low birth weight infants.

L S Kao, B H Morris, K P Lally, C D Stewart, V Huseby, K A Kennedy

Registry-linked trialAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06647537 (Frequency of Neonatal Hyperglycemia at Assuit University Children Hospital), which is not on this map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 4% of its field
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.

NCT06647537 not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Frequency of Neonatal Hyperglycemia at Assuit University Children Hospital

TypeobservationalSponsorAssiut UniversityRan2024 to 2025Enrolled20ConditionsNeonatal Hyperglycemia
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 2 syntheses or guidelines pooled it, 194 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
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  6. Trial
  7. Randomized trial of sterile water by gavage drip in the fluid management of extremely low birth weight infants.Journal of perinatology : official journal of the California Perinatal Association · 2009
    Trial
  8. Trial
  9. Article
  10. Article
  11. Review
  12. Management of Neonatal Hyperglycaemia in Sweden-A Survey Study.Acta paediatrica (Oslo, Norway : 1992) · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review: Nutritional regulation of muscle growth in neonatal swine.Animal : an international journal of animal bioscience · 2023
    Review
  18. Article
  19. Review
  20. Cerebral Effects of Neonatal Dysglycemia.Clinics in perinatology · 2022
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

L S KaoDepartment of Surgery, Lyndon Baines Johnson General Hospital, University of Texas, Houston Medical School, Houston, TX 77026, USA. Lillian.S.Kao@uth.tmc.edu
B H Morris
K P Lally
C D Stewart
V Huseby
K A Kennedy
The University of Texas Health Science Center at Houston · USLyndon Baines Johnson Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this study was to determine the association between hyperglycemia and mortality and late-onset infections (>72 h) in extremely low birth weight (ELBW) infants. STUDY

designRetrospective analysis of a prospective cohort study of 201 ELBW infants who survived greater than 3 days after birth. Mean morning glucose levels were categorized as normoglycemia (<120 mg/dl), mild-moderate hyperglycemia (120 to 179 mg/dl) and severe hyperglycemia (> or =180 mg/dl). Hyperglycemia was further divided into early (first 3 days of age) and persistent (first week of age). Logistic regression was performed to assess whether hyperglycemia was associated with either mortality or late-onset culture-proven infection, measured after 3 and 7 days of age.

resultsAdjusting for age, the odds ratio (OR) for either dying or developing a late infection was 5.07 (95% confidence interval (CI): 1.06 to 24.3) for infants with early severe hyperglycemia and 6.26 (95% CI: 0.73 to 54.0) for infants with persistent severe hyperglycemia. Adjusting for age, both severe early and persistent hyperglycemia were associated with increased mortality. Among survivors, there was no significant association between hyperglycemia and length of mechanical ventilation or length of hospital stay. Persistent severe hyperglycemia was associated with the development of Stage II/III necrotizing enterocolitis, after adjusting for age and male gender (OR: 9.49, 95% CI: 1.52 to 59.3).

conclusionSevere hyperglycemia in the first few days after birth is associated with increased odds of death and sepsis in ELBW infants.

Indexed as

Infant, Extremely Low Birth WeightFasciitis, NecrotizingFemaleGestational AgeHumansHyperglycemiaInfant, NewbornInfant, Newborn, DiseasesInfant, PrematureInfectionsLength of StayLogistic ModelsMaleMultivariate AnalysisOdds RatioPrognosis

Identifiers

PMID16929344
OpenAlexW2110223477

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.