Evidence map›Paper›PMID 27131401›Full record

ArticleThe Journal of pediatrics2016

Neonatal Histamine-2 Receptor Antagonist and Proton Pump Inhibitor Treatment at United States Children's Hospitals.

Jonathan L Slaughter, Michael R Stenger, Patricia B Reagan, Sudarshan R Jadcherla

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
17.0field-weighted citation impact, top 1% 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

38 citing papers in PubMed, 84 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Medical treatment of gastroesophageal reflux in the neonatal intensive care unit: current practice.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  8. Article
  9. Observational
  10. Article
  11. The spectrum of pneumonia among intubated neonates in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Review
  12. Article
  13. Review
  14. Article
  15. Neonatal gastroesophageal reflux.Early human development · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. 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

4 authors at 2 institutions in 1 country.

Jonathan L SlaughterDepartment of Pediatrics, The Ohio State University College of Medicine and Nationwide Children's Hospital, Columbus, OH; Center for Perinatal Research, Research Institute at Nationwide Children's Hospital, Columbus, OH. Electronic address: slaughter.84@osu.edu.
Michael R StengerDepartment of Pediatrics, The Ohio State University College of Medicine and Nationwide Children's Hospital, Columbus, OH.
Patricia B ReaganDepartment of Economics, The Ohio State University, Columbus, OH; Center for Human Resource Research, The Ohio State University, Columbus, OH.
Sudarshan R JadcherlaDepartment of Pediatrics, The Ohio State University College of Medicine and Nationwide Children's Hospital, Columbus, OH; Center for Perinatal Research, Research Institute at Nationwide Children's Hospital, Columbus, OH.
Nationwide Children's Hospital · USThe Ohio State University · US

Funding

Pathophysiology of Aerodigestive Reflexes in InfantsR01DK068158 · NIDDK · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI JADCHERLA, SUDARSHAN R · 2006 to 2016
$3.7M
Comparative Effectiveness of N-said Treatment Versus No Treatment for PDA in PretK08HL121182 · NHLBI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI SLAUGHTER, JONATHAN LEE · 2014 to 2017
$551k
NHLBI NIH HHS K08 HL121182NIDDK NIH HHS R01 DK068158
6 · The paper itself

Abstract

objectiveTo determine treatment frequency and duration of histamine-2 receptor antagonist (H2RA)/proton pump inhibitor (PPI) use among infants hospitalized within US children's hospital neonatal intensive care units and evaluate diagnoses/demographic factors associated with use. STUDY

designWe retrospectively analyzed a cohort of neonatal intensive care unit infants admitted to 43 US children's hospitals within the Pediatric Health Information System database between January 2006 and March 2013 to determine H2RA/PPI treatment frequency, timing/duration of treatment, factors associated with use, percent of infants remaining on treatment at discharge, and interhospital prescribing variation. We used a modified Poisson regression to calculate the adjusted probability of infants ever receiving H2RAs/PPIs in relation to diagnosis, gestation, and sex.

resultsOf the 122 002 infants evaluated, 23.8% (n = 28 989) ever received an H2RA or PPI; 19.0% received H2RAs (n = 23 187), and 10.5% (n = 12 823) received PPIs. Extremely preterm infants and term infants were the most likely to receive H2RA and PPI treatment. Infants with gastroesophageal reflux disease (relative risk [RR] = 3.13) and congenital heart disease (RR = 2.41) had the highest H2RA/PPI treatment probabilities followed by those with an ear, nose, and throat diagnosis (RR = 2.34; P < .05). The majority of treated infants remained treated at discharge.

conclusionsDespite limited evidence and increasing safety concerns, H2RAs/PPIs are frequently prescribed to extremely preterm neonates and those with congenital anomalies and continued through discharge. Our findings support the need for innovative studies to examine the comparative effectiveness and safety of H2RA/PPIs vs no treatment in these high-risk neonatal populations.

Indexed as

Hospitals, PediatricIntensive Care, NeonatalAge FactorsDrug UtilizationFemaleHistamine H2 AntagonistsHospitalizationHumansInfant, NewbornInfant, PrematureInfant, Premature, DiseasesMaleProton Pump InhibitorsRetrospective StudiesSex FactorsUnited StatesHistamine H2 AntagonistsProton Pump Inhibitorscomparative effectivenessdrug utilizationgastroesophageal reflux diseaseH2-receptor antagonistneonatalpatient-centered outcomespharmacoepidemiologypractice variationproton pump inhibitorstress ulcer prophylaxis

Identifiers

PMID27131401
PMCPMC4925209
OpenAlexW2343922280

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.