Evidence map›Paper›PMID 17989698›Full record

Trial reportJournal of perinatology : official journal of the California Perinatal Association2008

A comparison of albumin-bolus therapy versus normal saline-bolus therapy for hypotension in neonates.

S K Lynch, M D Mullett, J E Graeber, M J Polak

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of perinatology : official journal of the California Perinatal Association, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 17% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Higher versus lower sodium intake for preterm infants.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Pooled it
  3. Albumin versus normal saline for dehydrated term infants with metabolic acidosis due to acute diarrhea.Journal of perinatology : official journal of the California Perinatal Association · 2009
    Trial
  4. Review
  5. Review
  6. Article
  7. Cross-Sectional Guidelines for Therapy with Blood Components and Plasma Derivatives: Chapter 5 Human Albumin - Revised.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2016
    Article
  8. Hypoproteinemia on the first day of life and adverse outcome in very preterm infants admitted to the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2012
    Article
  9. Albumin versus saline: an open question.Journal of perinatology : official journal of the California Perinatal Association · 2008
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

S K LynchDepartment of Pediatrics, Section of Neonatology, West Virginia University School of Medicine, Morgantown, WV 26506, USA. slynch@hsc.wvu.edu
M D Mullett
J E Graeber
M J Polak
West Virginia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe compared responses to bolus infusion of 5% albumin (ALB) or normal saline (NS) for hypotension in neonates. STUDY

designHypotensive infants were given 10 ml kg(-1) of NS or ALB. A second bolus was given for persistent hypotension. Dopamine therapy was started for hypotension after the second bolus. The primary response was increase in arterial blood pressure toward normal range 1 h postinfusion. Secondary measures included duration of normotension, meeting criteria for second bolus, meeting criteria for vasopressor support and cost comparison.

resultThose receiving ALB (N=49 ALB and 52 NS) were more likely to achieve a normotensive state (ALB=57.1%, NS=32.1% P=0.01) 1 h following the initial bolus therapy. Subsequently, the NS group was also more likely to qualify for vasopressor infusion (ALB=24.5%, NS=44.2% P=0.02). Overall cost for either therapy was equivalent.

conclusionIn hypotensive neonates, ALB results in a greater likelihood of achieving normotension and decreased subsequent use of vasopressors when compared to NS.

Indexed as

AlbuminsBlood PressureFemaleGestational AgeHumansHypotensionInfant, NewbornInfusions, IntravenousIntensive Care Units, NeonatalMaleSodium ChlorideTreatment OutcomeAlbuminsSodium Chloride

Identifiers

PMID17989698
OpenAlexW2117486838

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.