Evidence map›Paper›PMID 22818543›Full record

ReviewSeminars in perinatology2012

Nonpharmacological, blood conservation techniques for preventing neonatal anemia--effective and promising strategies for reducing transfusion.

Patrick D Carroll, John A Widness

Open access · greenAbstract readReview
In one paragraph

Review in Seminars in perinatology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Target-mediated disposition population pharmacokinetics model of erythropoietin in premature neonates following multiple intravenous and subcutaneous dosing regimens.European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences · 2019
    Trial
  3. Trial
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Implementation Strategies for Baby NINJA (Nephrotoxic Injury Negated by Just-in-Time Action) to Prevent Neonatal Medication-Induced Kidney Injury.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2023
    Article
  9. Article
  10. Placental transfusion: may the "force" be with the baby.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Review
  11. Article
  12. Article
  13. Article
  14. Patterns of phlebotomy blood loss and transfusions in extremely low birth weight infants.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  15. To transfuse or not transfuse a premature infant: the new complex question.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  16. Article
  17. Review
  18. Delayed cord clamping: are we ready to listen to the doctor from 1796?Journal of perinatology : official journal of the California Perinatal Association · 2016
    Article
  19. Chronic inflammation and iron metabolism.The Journal of pediatrics · 2015
    Article
  20. Why do four NICUs using identical RBC transfusion guidelines have different gestational age-adjusted RBC transfusion rates?Journal of perinatology : official journal of the California Perinatal Association · 2015
    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

2 authors at 2 institutions in 1 country.

Patrick D CarrollWomen and Newborns Program, Intermountain Healthcare, Division of Neonatology, Dixie Regional Medical Center, St George, UT 84770, USA. patrick.carroll@imail.org
John A Widness
Intermountain St. George Regional Hospital · USUniversity of Iowa · US

Funding

THE RoLE OF NEONATAL ANEMIA IN LEARNING AND MEMORYP01HL046925 · NHLBI · UNIVERSITY OF IOWA · PI JOSEPHSON, CASSANDRA D · 1992 to 2022
$34.3M
UNIVERSITY OF IOWA CTSA FOR PEDIATRIC RESEARCHUL1RR024979 · NCRR · UNIVERSITY OF IOWA · PI ROSENTHAL, GARY E · 2007 to 2011
$31.8M
NCRR NIH HHS UL1 RR024979NCRR NIH HHS UL1RR024979NHLBI NIH HHS P01 HL046925NHLBI NIH HHS P01 HL46925
6 · The paper itself

Abstract

The development of anemia after birth in very premature, critically ill newborn infants is a universal well-described phenomenon. Although preventing anemia in this population, along with efforts to establish optimal red blood cell (RBC) transfusion and pharmacologic therapy continue to be actively investigated, the present review focuses exclusively on nonpharmacological approaches to the prevention and treatment of neonatal anemia. We begin with an overview of topics relevant to nonpharmacological techniques. These topics include neonatal and fetoplacental hemoglobin levels and blood volumes, clinical and laboratory practices applied in critically ill neonates, and current RBC transfusion practice guidelines. This is followed by a discussion of the most effective and promising nonpharmacological blood conservation strategies and techniques. Fortunately, many of these techniques are feasible in most neonatal intensive care units. When applied together, these techniques are more effective than existing pharmacotherapies in significantly decreasing neonatal RBC transfusions. They include increasing hemoglobin endowment and circulating blood volume at birth; removing less blood for laboratory testing; and optimizing nutrition.

Indexed as

Blood VolumeAnemia, NeonatalBloodless Medical and Surgical ProceduresCritical IllnessErythrocyte IndicesErythrocyte TransfusionFetal BloodHemoglobinsHumansInfant, Extremely PrematureInfant, NewbornInfant, PrematureNutritional SupportPhlebotomyHemoglobins

Identifiers

PMID22818543
PMCPMC3703659
OpenAlexW1980396091

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.