Evidence map›Paper›PMID 21446208›Full record

ArticleObstetrics and gynecology2011

Antenatal steroid administration for premature neonates in California.

Henry C Lee, Audrey Lyndon, Yair J Blumenfeld, R Adams Dudley, Jeffrey B Gould

Open access · greenAbstract read
In one paragraph

Article in Obstetrics and gynecology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

36 citing papers in PubMed, 74 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Disparities in the use of antenatal corticosteroids among women with hypertension in North Carolina.Journal of perinatology : official journal of the California Perinatal Association · 2020
    Article
  14. Review
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Disparities in NICU quality of care: a qualitative study of family and clinician accounts.Journal of perinatology : official journal of the California Perinatal Association · 2018
    Article
  20. Article
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 at 1 institution in 1 country.

Henry C LeeFrom the Department of Pediatrics, Department of Family Health Care Nursing, and Departments of Medicine and Health Policy, University of California, San Francisco, San Francisco, California; California Perinatal Quality Care Collaborative, Palo Alto, California; and the Departments of Obstetrics and Gynecology and Pediatrics, Stanford University, Stanford, California.
Audrey Lyndon
Yair J Blumenfeld
R Adams Dudley
Jeffrey B Gould
Stanford Health Care · US

Funding

CTSA: K12 COMPONENTKL2RR024130 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$19.3M
NCRR NIH HHS KL2 RR024130
6 · The paper itself

Abstract

objectivesTo estimate risk factors for premature neonates not receiving antenatal steroids in a population-based cohort and to determine whether the gains of a quality-improvement collaborative project on antenatal steroid administration were sustained long-term.

methodsClinical data for premature neonates born in 2005–2007 were obtained from the California Perinatal Quality Care Collaborative, which collects data on more than 90% of neonatal admissions in California. Eligible neonates had a birth weight of less than 1,500 g or gestational age less than 34 weeks and were born at a Collaborative hospital. These data were linked to administrative data from California Vital Statistics. Sociodemographic and medical risk factors for not receiving antenatal steroids were determined. We also examined the effect of birth hospital participation in a previous quality-improvement collaborative project. A random effects logistic regression model was used to determine independent risk factors.

resultsOf 15,343 eligible neonates, 23.1% did not receive antenatal steroids in 2005–2007. Hispanic mothers (25.6%), mothers younger than age 20 (27.6%), and those without prenatal care (52.2%) were less likely to receive antenatal steroids. Mothers giving birth vaginally (26.8%) and mothers with a diagnosis of fetal distress (26.5%) were also less likely to receive antenatal steroids. Rupture of membranes before delivery and multiple gestations were associated with higher likelihood of antenatal steroid administration. Hospitals that participated in a quality-improvement collaborative in 1999– 2000 had higher rates of antenatal steroid administration (85% compared with 69%, P<.001).

conclusionA number of eligible mothers do not receive antenatal steroids. Quality-improvement initiatives to improve antenatal steroid administration could target specific high-risk groups.

Indexed as

Infant, PrematureAdrenal Cortex HormonesAdultCaliforniaFemaleHumansInfant, NewbornLogistic ModelsPregnancyPrenatal CareQuality ImprovementRisk FactorsYoung AdultAdrenal Cortex Hormones

Identifiers

PMID21446208
PMCPMC3072287
OpenAlexW2067852629

What OpenQuestion holds

Textmetadata
LicenceTDM
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.