Evidence map›Paper›PMID 27002984›Full record

ArticlePediatric research2016

Clinical associations with immature breathing in preterm infants: part 2-periodic breathing.

Manisha Patel, Mary Mohr, Douglas Lake, John Delos, J Randall Moorman, Robert A Sinkin, John Kattwinkel, Karen Fairchild

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

28 citing papers in PubMed, 62 citations in OpenAlex.

  1. Trial
  2. Observational
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  10. Observational
  11. Apnea of prematurity and sudden infant death syndrome.Handbook of clinical neurology · 2022
    Review
  12. Review
  13. Review
  14. Immature control of breathing and apnea of prematurity: the known and unknown.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Postmenstrual age at discharge in premature infants with and without ventilatory pattern instability.Journal of perinatology : official journal of the California Perinatal Association · 2020
    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

8 authors at 2 institutions in 1 country.

Manisha PatelDepartment of Pediatrics, The University of Virginia School of Medicine, Charlottesville, Virginia, USA.
Mary MohrDepartment of Physics, The College of William and Mary, Williamsburg, Virginia, USA.
Douglas LakeDepartment of Medicine, The University of Virginia School of Medicine, Charlottesville, Virginia, USA.
John DelosDepartment of Physics, The College of William and Mary, Williamsburg, Virginia, USA.
J Randall MoormanDepartment of Medicine, The University of Virginia School of Medicine, Charlottesville, Virginia, USA.
Robert A SinkinDepartment of Pediatrics, The University of Virginia School of Medicine, Charlottesville, Virginia, USA.ORCID 0000-0002-3580-0329
John KattwinkelDepartment of Pediatrics, The University of Virginia School of Medicine, Charlottesville, Virginia, USA.
Karen FairchildDepartment of Pediatrics, The University of Virginia School of Medicine, Charlottesville, Virginia, USA.
University of Virginia · USWilliam & Mary · US

Funding

Predictive Informatics Monitoring in the Neonatal Intensive Care UnitR01HD072071 · NICHD · UNIVERSITY OF VIRGINIA · PI KAREN D FAIRCHILD, Brynne Archer Sullivan · 2014 to 2026
$7.6M
Neonatal apnea: Online risk score from new analyses of bedside monitor waveformsRC2HD064488 · NICHD · UNIVERSITY OF VIRGINIA · PI KATTWINKEL, JOHN, MOORMAN, JOSEPH RANDALL · 2009 to 2010
$2.0M
NICHD NIH HHS R01 HD072071NICHD NIH HHS RC2 HD064488
6 · The paper itself

Abstract

backgroundPeriodic breathing (PB) is a normal immature breathing pattern in neonates that, if extreme, may be associated with pathologic conditions.

methodsWe used our automated PB detection system to analyze all bedside monitor chest impedance data on all infants <35 wk' gestation in the University of Virginia Neonatal Intensive Care Unit from 2009-2014 (n = 1,211). Percent time spent in PB was calculated hourly (>50 infant-years' data). Extreme PB was identified as a 12-h period with PB >6 SDs above the mean for gestational age (GA) and postmenstrual age and >10% time in PB.

resultsPB increased with GA, with the highest amount in infants 30-33 wk' GA at about 2 wk' chronologic age. Extreme PB was identified in 76 infants and in 45% was temporally associated with clinical events including infection or necrotizing enterocolitis (NEC), immunizations, or caffeine discontinuation. In 8 out of 28 cases of septicemia and 10 out of 21 cases of NEC, there was a >2-fold increase in %PB over baseline on the day prior to diagnosis.

conclusionInfants <35 wk GA spend, on average, <6% of the time in PB. An acute increase in PB may reflect illness or physiological stressors or may occur without any apparent clinical event.

Indexed as

CaffeineCohort StudiesElectric ImpedanceEnterocolitis, NecrotizingFemaleGestational AgeHumansInfantInfant, NewbornInfant, PrematureIntensive Care, NeonatalIntensive Care Units, NeonatalMaleMonitoring, PhysiologicRespirationRespiration DisordersCaffeine

Identifiers

PMID27002984
PMCPMC4929034
OpenAlexW2307003266

What OpenQuestion holds

Textmetadata
LicenceTDM
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.