Evidence map›Paper›PMID 26598451›Full record

Trial reportPediatrics2015

Stochastic Resonance Effects on Apnea, Bradycardia, and Oxygenation: A Randomized Controlled Trial.

Vincent C Smith, Damian Kelty-Stephen, Mona Qureshi Ahmad, Wenyang Mao, Kelly Cakert, John Osborne, David Paydarfar

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Body positioning for spontaneously breathing preterm infants with apnoea.The Cochrane database of systematic reviews · 2017
    Pooled it
  2. Article
  3. Review
  4. Review
  5. Vibroacoustic Study in the Neonatal Ward.Healthcare (Basel, Switzerland) · 2022
    Article
  6. The effect of sensory stimulation on apnea of prematurity.Journal of Taibah University Medical Sciences · 2022
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Intermittent Hypoxemia in Preterm Infants.Clinics in perinatology · 2019
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Improving Neonatal Care with Technology.Frontiers in pediatrics · 2017
    Article
  20. 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 4 institutions in 1 country.

Vincent C SmithDepartment of Neonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts; vsmith1@bidmc.harvard.edu.
Damian Kelty-StephenWyss Institute for Biologically Inspired Engineering, Harvard University, Boston, Massachusetts; Grinnell College, Grinnell, Iowa; and.
Mona Qureshi AhmadDepartment of Neonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts; Wyss Institute for Biologically Inspired Engineering, Harvard University, Boston, Massachusetts;
Wenyang MaoDepartment of Neonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts;
Kelly CakertDepartment of Neonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts; Wyss Institute for Biologically Inspired Engineering, Harvard University, Boston, Massachusetts;
John OsborneWyss Institute for Biologically Inspired Engineering, Harvard University, Boston, Massachusetts;
David PaydarfarWyss Institute for Biologically Inspired Engineering, Harvard University, Boston, Massachusetts; Department of Neurology, University of Massachusetts Medical School, Worcester, Massachusetts.
Harvard University · USBeth Israel Deaconess Medical Center · USGrinnell College · USUniversity of Massachusetts Chan Medical School · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Research Resource for Complex Physiologic SignalsR01GM104987 · NIGMS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI GOLDBERGER, ARY LOUIS, MARK, ROGER GREENWOOD · 2012 to 2019
$5.8M
SCH: Flexible Electronics For Assessment fo Planning By Children Born PrematurelyR01HD090985 · NICHD · HARVARD UNIVERSITY · PI GOLDFIELD, EUGENE C · 2016 to 2019
$2.0M
NCRR NIH HHS UL1 RR 025758NCRR NIH HHS UL1 RR025758NICHD NIH HHS R01 HD090985NIGMS NIH HHS R01 GM104987
6 · The paper itself

Abstract

objectiveTo evaluate the effect of stochastic resonance (SR) stimulation on preterm infant oxygen desaturation, bradycardia, and apnea events. We hypothesized that SR stimulation will reduce these events.

methodsThis was a randomized crossover study conducted from April 2012 to July 2014. Eligible preterm infants were not receiving ventilation support and had at least 1 clinically documented apnea, bradycardia, and/or oxygen desaturation event. The 3 outcome variables were as follows: oxygen desaturation, bradycardia, and apnea events. Infants received up to two 3- or 4-hour intervention periods of 30-minute alternating intervals of SR stimulation and no SR stimulation. The first intervention period was randomly assigned to begin with SR stimulation either on or off, whereas the next intervention period automatically began with the opposite on/off state. We compared the SR stimulation "on" periods with the SR stimulation "off" periods with each infant serving as his or her own control.

resultsThe sample consisted of 36 infants with a mean (±SD) gestational age of 30.5 ± 3 weeks and a birth weight of 1409 ± 450 g. SR stimulation decreased the number of apneic events by 50%. SR stimulation ameliorated every aspect of clinically significant oxygen desaturation events, with a 20% to 35% decrease in the number, duration, and intensity of oxygen desaturation events when SR stimulation was on. Also, SR stimulation produced a nearly 20% reduction in the intensity of bradycardia events.

conclusionsSR stimulation may be a noninvasive and nonpharmacologic treatment option for apnea, oxygen desaturation, and some aspects of bradycardia in premature infants.

Indexed as

ApneaBedsBradycardiaCross-Over StudiesFemaleHumansHypoxiaInfant, NewbornInfant, PrematureInfant, Premature, DiseasesMalePhysical StimulationPoisson DistributionRegression AnalysisStochastic ProcessesTreatment Outcome

Identifiers

PMID26598451
PMCPMC4657600
OpenAlexW2172859755

What OpenQuestion holds

Textmetadata
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.