Evidence map›Paper›PMID 26496854›Full record

Observational studyBMC pediatrics2015

Lung function in very preterm infants with patent ductus arteriosus under conservative management: an observational study.

Hsiu-Lin Chen, Rei-Cheng Yang, Wei-Te Lee, Pei-Lun Lee, Jong-Hau Hsu, Jiunn-Ren Wu, Zen-Kong Dai

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Prophylactic Indomethacin Revisited.The Journal of pediatrics · 2017
    Article
  6. Article
  7. Persistent Ductus Arteriosus in Critically Ill Preterm Infants.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2016
    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

7 authors at 1 institution in 1 country.

Hsiu-Lin ChenDepartment of Respiratory Therapy, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. ch840062@kmu.edu.tw.
Rei-Cheng YangSchool of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. rechya@cc.kmu.edu.tw.
Wei-Te LeeDepartment of Pediatrics, Kaohsiung Medical University Hospital, No.100 , Tzyou 1st Road, San Ming District, Kaohsiung, 807, Taiwan. weite@kmu.edu.tw.
Pei-Lun LeeDepartment of Pediatrics, Kaohsiung Medical University Hospital, No.100 , Tzyou 1st Road, San Ming District, Kaohsiung, 807, Taiwan. palent0728@gmail.com.
Jong-Hau HsuSchool of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. jhh936@yahoo.com.tw.
Jiunn-Ren WuSchool of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. jirewu@kmu.edu.tw.
Zen-Kong DaiSchool of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. zenkong@kmu.edu.tw.
Kaohsiung Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersistent patent ductus arteriosus (PDA) during hospitalization is thought to be associated with adverse pulmonary outcomes in very preterm infants. This observational study aimed to compare the lung function in very preterm infants with and without PDA at discharge.

methodsVery preterm infants, admitted to our neonatal intensive unit, who required respiratory support soon after birth and had undergone a lung function test at discharge, were enrolled. Infants with a need for positive-pressure support (either an invasive ventilator, or nasal continuous positive airway pressure without oxygen) or supplemental oxygen at a postmenstrual age of 36 weeks were defined as having bronchopulmonary dysplasia (BPD). Echocardiography was performed weekly for each of the very preterm infants with PDA to confirm closure of the PDA. The data were collected retrospectively.

resultsFifty-two very preterm infants received lung function tests before discharge during the study period, 28 of whom had PDA and received conservative management, and 20 who did not. The other 4 infants who were given active treatment for PDA were excluded. Gestational age was significantly smaller in the PDA group than in the no-PDA group (27.1 ± 2.0 vs. 28.6 ± 1.6 weeks, p = 0.009). Birth weight did not differ significantly in those with and those without PDA (0.98 ± 0.26 vs. 1.12 ± 0.26 kg, p = 0.074). Significantly more infants with PDA had BPD (p = 0.002) and required respiratory support for a longer period (p = 0.001) than those without PDA. However, functional residual capacity (ml/kg) at discharge was comparable between the two groups after adjusting for gestational age and postmenstrual age at testing (21.6 ± 8.4 vs. 21.5 ± 6.7 ml/kg, p = 0.894). Other lung function test parameters were also comparable.

conclusionUnder a definition of BPD (including infants needing CPAP but without oxygen) other than the conventional definition, the very preterm infants in our study who received conservative management for PDA had a higher percentage of BPD than the infants without PDA. The parameters of the lung function test and lung clearance index were comparable between these two groups at discharge.

Indexed as

Infant, PrematureContinuous Positive Airway PressureCyclooxygenase InhibitorsDuctus Arteriosus, PatentFemaleHumansIndomethacinInfant, NewbornLungMaleRespiratory Function TestsRetrospective StudiesTidal VolumeCyclooxygenase InhibitorsIndomethacin

Identifiers

PMID26496854
PMCPMC4620001
OpenAlexW1885370378

What OpenQuestion holds

Textmetadata
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.