Evidence map›Paper›PMID 20671713›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2011

Hypernatremia and grade III/IV intraventricular hemorrhage among extremely low birth weight infants.

W-H Lim, R Lien, M-C Chiang, R-H Fu, J-J Lin, S-M Chu, J-F Hsu, P-H Yang

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Higher versus lower sodium intake for preterm infants.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Article
  3. Outcomes of extremely preterm infants with neonatal hyperglycemia and hypernatremia: a retrospective cohort study.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. New frontiers in neonatal red blood cell transfusion research.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Review
  9. Article
  10. Article
  11. Association of early dysnatremia with mortality in the neonatal intensive care unit: results from the AWAKEN study.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  12. Article
  13. Article
  14. Individualized fluid management in extremely preterm neonates to ensure adequate diuresis without increasing complications.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  15. Article
  16. Observational
  17. Article
  18. Does hyperglycemia in hypernatremic preterm infants increase the risk of intraventricular hemorrhage?Journal of perinatology : official journal of the California Perinatal Association · 2016
    Article
  19. Article
  20. 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

8 authors at 3 institutions in 1 country.

W-H LimDivision of Neonatology, Chang Gung Children's Hospital, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
R Lien
M-C Chiang
R-H Fu
J-J Lin
S-M Chu
J-F Hsu
P-H Yang
Chang Gung Memorial Hospital · TWChang Gung Children's Hospital · TWChang Gung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify the risk factors contributing to intraventricular hemorrhage (IVH) in extremely low birth weight infants during early postnatal life, after appropriate matching for gestational age (GA) and birth body weight (BBW). STUDY

designA case-control retrospective study was designed to evaluate preterm infants with a GA ≤ 26 weeks and a BBW ≤ 1000 g admitted to our hospital during a 7.5-year period. From a cohort of 347 preterm infants, 36 infants (10.7%) had severe IVH (grades III and/or IV). We selected a control group of 36 preterm infants without IVH who were closely matched for GA (± 1 week) and body weight (± 100 g). Univariate and multivariate logistic regression analyses were performed to identify risk factors for severe IVH.

resultThe GA and BBW of the IVH and control groups were 24.6 ± 1 weeks and 764.4 ± 118.5 g, and 24.8 ± 0.9 weeks and 771.5 ± 125.9 g, respectively. Vaginal delivery, male sex, resuscitation in the delivery room, high sodium serum levels (meq l(-1)) (162.6 vs 148.8), fluctuation of serum sodium (meq l(-1)) (17.3 vs 6.2), pH, PaCO(2), hemoglobin and platelet counts were associated with an increased risk of severe IVH. Multivariate logistic regression indicated that sodium fluctuations >13 meq l(-1), vaginal delivery, male sex and hemoglobin fluctuations are strongly associated with the development of severe IVH.

conclusionHypernatremia and fluctuations of sodium seem to be related to early severe IVH among preterm infants; however, further studies are required to clarify the causal relationship.

Indexed as

Cerebral VentriclesInfant, Extremely Low Birth WeightCase-Control StudiesCerebral HemorrhageFemaleHumansHypernatremiaInfant, NewbornMalePremature BirthRetrospective StudiesRisk FactorsSeverity of Illness Index

Identifiers

PMID20671713
OpenAlexW2060613121

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.