Evidence map›Paper›PMID 20237489›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2010

The changing pattern of inhaled nitric oxide use in the neonatal intensive care unit.

R H Clark, R L Ursprung, M W Walker, D L Ellsbury, A R Spitzer

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

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

15 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Sildenafil as Bridge Therapy for Inhaled Nitric Oxide in Preterm Neonates.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Early inhaled nitric oxide in preterm infants <34 weeks with evolving bronchopulmonary dysplasia.Journal of perinatology : official journal of the California Perinatal Association · 2016
    Article
  11. Inhaled nitric oxide use in preterm infants in California neonatal intensive care units.Journal of perinatology : official journal of the California Perinatal Association · 2016
    Article
  12. Management of hypoxemic respiratory failure and pulmonary hypertension in preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2016
    Review
  13. Inhaled nitric oxide usage in preterm infants in the NICHD Neonatal Research Network: inter-site variation and propensity evaluation.Journal of perinatology : official journal of the California Perinatal Association · 2014
    Article
  14. Increased risk for respiratory distress among white, male, late preterm and term infants.Journal of perinatology : official journal of the California Perinatal Association · 2012
    Article
  15. Review
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

5 authors.

R H ClarkPediatrix Medical Group, Division of Neonatology, Department of Pediatrics, Greenville Memorial Hospital, Greenville, SC, USA.
R L Ursprung
M W Walker
D L Ellsbury
A R Spitzer

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this study was to evaluate the demographic characteristics and outcomes of neonates who were admitted to a neonatal intensive care unit and treated with inhaled nitric oxide (iNO) during the years 2000-08. The goal of studying this group of neonates was to evaluate how iNO use has evolved in infants and to estimate the frequency of off-label use of this drug in this population. STUDY

designRetrospective review of the Pediatrix Clinical Data Warehouse de-identified data set. Pediatrix Medical Group provides intensive care services in 244 hospitals in 32 states and Puerto Rico. Nine (3.7%) centers provide extracorporeal membrane oxygenation.

resultThere were 494 255 neonates in the data set; 4316 (0.9%) were treated with iNO. The use of iNO increased from 154 of 32 967 patients in 2000 to 921 of 75 911 patients in 2008; a 2.6-fold increase (0.47 to 1.23%). There were 155 872 infants <34 weeks estimated gestational age discharged between 1 January 2000 and 31 December 2008; 1656 (1.1%) were treated with iNO. Since approval in 2000, the reported use of iNO in neonates <34 weeks increased from 0.3 to 1.8% in 2008; a sixfold increase in the reported use of iNO. The biggest increase occurred in infants between 23 and 26 weeks' gestational age (0.8 to 6.6%). In contrast, the increase in iNO use among neonates born ≥34 weeks has only increased from 0.5 to 1%.

conclusionThe use of iNO has increased and the greatest increase has been the off-label use among preterm neonates.

Indexed as

Intensive Care Units, NeonatalAdministration, InhalationBronchodilator AgentsDrug UtilizationFemaleGestational AgeHumansHypertension, PulmonaryHypoxiaInfant, Extremely Low Birth WeightInfant, NewbornInfant, Premature, DiseasesMaleNitric OxideOff-Label UseRespiratory Distress Syndrome, NewbornBronchodilator AgentsNitric Oxide

Identifiers

PMID20237489

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.