Evidence map›Paper›PMID 23478874›Full record

ArticlePediatrics2013

Variation in the use of diuretic therapy for infants with bronchopulmonary dysplasia.

Jonathan L Slaughter, Michael R Stenger, Patricia B Reagan

Registry-linked trialOpen access · bronzeAbstract readEvaluation Study
In one paragraph

Article in Pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04971694 (A Retrospective Chart Review Evaluating the Impact of Steroid, Diuretic, and Fluid Use Practice Trends in Extreme Premature Infants At Risk for Bronchopulmonary Dysplasia), which is not on this map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
3.3field-weighted citation impact, top 8% 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.

NCT04971694 completednot on this mapstarted 2021, after this paper: background citation

A Retrospective Chart Review Evaluating the Impact of Steroid, Diuretic, and Fluid Use Practice Trends in Extreme Premature Infants At Risk for Bronchopulmonary Dysplasia (BPD) At a Single Center Neonatal Intensive Care Unit

TypeobservationalSponsorPediatrixRan2021 to 2024Enrolled175ConditionsBPD - Bronchopulmonary DysplasiaArmsNo interventions or procedures
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 90 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Neonatal fluid overload-ignorance is no longer bliss.Pediatric nephrology (Berlin, Germany) · 2023
    Review
  14. Article
  15. Article
  16. Observational
  17. Review
  18. Review
  19. Article
  20. In-hospital outcomes of late referrals for established bronchopulmonary dysplasia.Journal of perinatology : official journal of the California Perinatal Association · 2021
    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

3 authors at 1 institution in 1 country.

Jonathan L SlaughterDepartment of Pediatrics, The Ohio State University College of Medicine and Nationwide Children's Hospital, Columbus, Ohio 43205, USA. slaughter.84@osu.edu
Michael R Stenger
Patricia B Reagan
The Ohio State University · US

Funding

The Ohio State University Center for Clinical and Translational Science (KL2)KL2RR025754 · NCRR · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2008 to 2011
$3.5M
The Ohio State University Center for Clinical and Translational Science (KL2)KL2TR000112 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2012 to 2013
$855k
Multiple Chronic Conditions in VLBW Infants: Epidemiology, NICU Care, and OutcomeR21HS019524 · AHRQ · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI GARDNER, WILLIAM · 2010 to 2010
$367k
AHRQ HHS R21 HS019524AHRQ HHS R21 HS19524-01NCATS NIH HHS 8KL2TR000112-05NCATS NIH HHS KL2 TR000112NCRR NIH HHS KL2 RR025754NCRR NIH HHS KL2RR025754
6 · The paper itself

Abstract

objectivesTo determine (1) between-hospital variation in diuretic use for infants with bronchopulmonary dysplasia (BPD), including hospital-specific treatment frequency, treatment duration, and percentage of infants receiving short (≤5 consecutive days) versus longer (>5 days) courses, and to determine (2) demographic and clinical variables associated with diuretic administration.

methodsA retrospective cohort study was conducted with the use of the Pediatric Health Information System to determine between-hospital variation in diuretic utilization patterns (primary outcome) and variables associated with diuretic use among <29-week-gestation infants with evolving BPD at age 28 days who were discharged between January 2007 and June 2011.

resultsDuring the 54-month study period, 1429 infants within 35 hospitals met the inclusion criteria for BPD at age 28 days, with 1222 (86%) receiving diuretic therapy for a median of 9 days (25th-75th percentile: 2-33 days). Short courses were administered to 1203 (83%) infants, and 570 (40%) infants received treatment for >5 consecutive days. Furosemide was the most widely prescribed diuretic (1218 infants; 85%), although chlorothiazide had the longest median duration of use (21 days; 25th-75th percentile: 8-46 days). The range of infants receiving a diuretic course of >5 days duration varied by hospital from 4% to 86%, with wide between-hospital variation even after adjustment for confounding variables.

conclusionsThe frequency of diuretic administration to infants with BPD at US children's hospitals, as well as the specific diuretic regimen used, varies markedly by institution. Safety and effectiveness research of long-term diuretic therapy for BPD patients is needed to develop evidence-based recommendations.

Indexed as

Bronchopulmonary DysplasiaChlorothiazideCohort StudiesDatabases, FactualDiureticsDrug Administration ScheduleDrug UtilizationFemaleFurosemideHospitals, PediatricHumansInfant, NewbornLogistic ModelsMaleMultivariate AnalysisPractice Patterns, Physicians'ChlorothiazideDiureticsFurosemide

Identifiers

PMID23478874
PMCPMC3608485
OpenAlexW2089540389

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.