Evidence map›Paper›PMID 23948446›Full record

ArticleResuscitation2013

Marked variation in delivery room management in very preterm infants.

Yoginder Singh, Sam Oddie

Abstract read
In one paragraph

Article in Resuscitation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Randomised trial of cord clamping and initial stabilisation at very preterm birth.Archives of disease in childhood. Fetal and neonatal edition · 2018
    Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Short term outcomes in term and late preterm neonates admitted to the well-baby nursery after resuscitation in the delivery room.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Barriers to deferred cord clamping in preterm infants.Archives of disease in childhood. Fetal and neonatal edition · 2014
    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.

Yoginder SinghDepartment of Neonatology, The Rosie Hospital, Cambridge University Hospitals NHS Foundation Trust, United Kingdom; Bradford Neonatology, Bradford Teaching Hospitals NHS Trust, United Kingdom. Electronic address: Yogen.Singh@nhs.net.
Sam Oddie

Funding

Department of Health RP-PG-0609-10107
6 · The paper itself

Abstract

backgroundThe International Liaison Committee on Resuscitation (ILCOR) and U.K. Resuscitation Council (UKRC) updated guidance on newborn resuscitation in late 2010.

objectivesTo describe delivery room (DR) practice in stabilisation following very preterm birth (<32 weeks gestation) in the U.K.

methodsWe emailed a national survey of current DR stabilisation practice of very preterm infants to all U.K. delivery units and conducted telephone follow-up calls.

resultsWe obtained 197 responses from 199 units (99%) and complete data from 186 units. Tertiary units administered surfactant in the DR (93% vs. 78%, P=0.01), instituted DR CPAP (77% vs. 50%, P=0.0007), provided PEEP in the delivery room (91% vs. 69%, P=0.0008), and started resuscitation in air or blended oxygen (91% vs. 78%, P=0.04) more often than non-tertiary units. Routine out of hours consultant attendance at very preterm birth was more common in tertiary units (82% vs. 55%, P=0.0005).

conclusionsMarked variation in DR stabilisation practice of very preterm infants persisted one year after the publication of revised UKRC guidance. Delivery room care provided in non-tertiary units was less consistent with current international guidance.

Indexed as

Guideline AdherenceInfant, PrematureBody Temperature RegulationContinuous Positive Airway PressureDelivery RoomsHumansInfant, NewbornIntensive Care Units, NeonatalOximetryOxygen Inhalation TherapyPractice Patterns, Physicians'Pulmonary SurfactantsResuscitationSurveys and QuestionnairesUmbilical CordPulmonary Surfactantscontinuous positive airway pressureCPAPdelivery roomDRnational perinatal epidemiology unitNDAUneonatal data analysis unitneonatal intensive care unitNeonatal resuscitationNICUNPEUPEEPpositive end expiratory pressurePractice variationStabilisation practice in preterm infantsSurvey

Identifiers

PMID23948446
PMCPMC3828483

What OpenQuestion holds

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Registered trials

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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.