Evidence map›Paper›PMID 26193370›Full record

ArticlePloS one2015

Short- and Long-Term Outcomes in Very Low Birth Weight Infants with Admission Hypothermia.

Hung-Yang Chang, Yi-Hsiang Sung, Shwu-Meei Wang, Hou-Ling Lung, Jui-Hsing Chang, Chyong-Hsin Hsu, Wai-Tim Jim, Ching-Hsiao Lee, Hsiao-Fang Hung

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 6% 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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 84 citations in OpenAlex.

  1. The Effect of High and Low Ambient Temperature on Infant Health: A Systematic Review.International journal of environmental research and public health · 2022
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  16. Preterm Birth: Screening and Prediction.International journal of women's health · 2023
    Review
  17. Admission temperature and neonatal outcomes - single-centre experience in Saudi Arabia.International journal of pediatrics & adolescent medicine · 2022
    Article
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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

9 authors at 2 institutions in 1 country.

Hung-Yang ChangDepartment of Pediatrics, MacKay Memorial Hospital, Hsinchu Branch, Hsinchu, Taiwan; Department of Medical Technology, Jen-Teh Junior College of Medicine, Nursing and Management, Miaoli, Taiwan.
Yi-Hsiang SungDepartment of Pediatrics, MacKay Memorial Hospital, Hsinchu Branch, Hsinchu, Taiwan.
Shwu-Meei WangDepartment of Pediatrics, MacKay Children's Hospital, Taipei, Taiwan.
Hou-Ling LungDepartment of Pediatrics, MacKay Memorial Hospital, Hsinchu Branch, Hsinchu, Taiwan.
Jui-Hsing ChangDepartment of Pediatrics, MacKay Children's Hospital, Taipei, Taiwan.
Chyong-Hsin HsuDepartment of Pediatrics, MacKay Children's Hospital, Taipei, Taiwan.
Wai-Tim JimDepartment of Pediatrics, MacKay Children's Hospital, Taipei, Taiwan.
Ching-Hsiao LeeDepartment of Medical Technology, Jen-Teh Junior College of Medicine, Nursing and Management, Miaoli, Taiwan.
Hsiao-Fang HungDepartment of Medical Technology, Jen-Teh Junior College of Medicine, Nursing and Management, Miaoli, Taiwan.
Mackay Memorial Hospital · TWKang-Ning Junior College of Medical Care and Management · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeonatal hypothermia remains a common problem and is related to elevated morbidities and mortality. However, the long-term neurodevelopmental effects of admission hypothermia are still unknown. This study attempted to determine the short-term and long-term consequences of admission hypothermia in VLBW preterm infants. STUDY

designThis retrospective study measured the incidence and compared the outcomes of admission hypothermia in very low birth weight (VLBW) preterm infants in a tertiary-level neonatal intensive care unit. Infants were divided into the following groups: normothermia (36.5-37.5°C), mild hypothermia (36.0-36.4°C), moderate hypothermia (32.0-35.9°C), and severe hypothermia (< 32°C). We compared the distribution, demographic variables, short-term outcomes, and neurodevelopmental outcomes at 24 months of corrected age among groups.

resultsWe studied 341 infants: 79 with normothermia, 100 with mild hypothermia, 162 with moderate hypothermia, and 0 with severe hypothermia. Patients in the moderate hypothermia group had significantly lower gestational ages (28.1 wk vs. 29.7 wk, P < .02) and smaller birth weight (1004 g vs. 1187 g, P < .001) compared to patients in the normothermia group. Compared to normothermic infants, moderately hypothermic infants had significantly higher incidences of 1-min Apgar score < 7 (63.6% vs. 31.6%, P < .001), respiratory distress syndrome (RDS) (58.0% vs. 39.2%, P = .006), and mortality (18.5% vs. 5.1%, P = .005). Moderate hypothermia did not affect neurodevelopmental outcomes at 2 years' corrected age. Mild hypothermia had no effect on short-term or long-term outcomes.

conclusionsAdmission hypothermia was common in VLBW infants and correlated inversely with birth weight and gestational age. Although moderate hypothermia was associated with higher RDS and mortality rates, it may play a limited role among multifactorial causes of neurodevelopmental impairment.

Indexed as

Infant, Very Low Birth WeightPatient AdmissionChild, PreschoolFemaleHumansHypothermiaInfantInfant, NewbornIntensive Care Units, NeonatalMalePrognosisRetrospective StudiesTime Factors

Identifiers

PMID26193370
PMCPMC4507863
OpenAlexW994412958

What OpenQuestion holds

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LicenceCC BY
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.