Evidence map›Paper›PMID 27170928›Full record

ReviewWorld journal of clinical pediatrics2016

Facility-based constraints to exchange transfusions for neonatal hyperbilirubinemia in resource-limited settings.

Cecilia A Mabogunje, Sarah M Olaifa, Bolajoko O Olusanya

Open access · hybridAbstract readReview
In one paragraph

Review in World journal of clinical pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.6field-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

14 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. [Global disease burden of neonatal jaundice from 1990 to 2019].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2023
    Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Kramer Score, an Evidence of Its Use in Accordance with Indonesian Hyperbilirubinemia Published Guideline.International journal of environmental research and public health · 2021
    Article
  10. Article
  11. A neurologic dysfunction scoring protocol for jaundiced neonates requiring exchange transfusion.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2018
    Article
  12. Article
  13. A decision-making tool for exchange transfusions in infants with severe hyperbilirubinemia in resource-limited settings.Journal of perinatology : official journal of the California Perinatal Association · 2016
    Article
  14. Observational
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

3 authors at 2 institutions in 1 country.

Cecilia A MabogunjeCecilia A Mabogunje, Neonatal Unit, Massey Street Children's Hospital, Lagos, Nigeria.
Sarah M OlaifaCecilia A Mabogunje, Neonatal Unit, Massey Street Children's Hospital, Lagos, Nigeria.
Bolajoko O OlusanyaCecilia A Mabogunje, Neonatal Unit, Massey Street Children's Hospital, Lagos, Nigeria.
Centre for Healthy Start Initiative · NGLagos State University Teaching Hospital · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several clinical guidelines for the management of infants with severe neonatal hyperbilirubinemia recommend immediate exchange transfusion (ET) when the risk or presence of acute bilirubin encephalopathy is established in order to prevent chronic bilirubin encephalopathy or kernicterus. However, the literature is sparse concerning the interval between the time the decision for ET is made and the actual initiation of ET, especially in low- and middle-income countries (LMICs) with significant resource constraints but high rates of ET. This paper explores the various stages and potential delays during this interval in complying with the requirement for immediate ET for the affected infants, based on the available evidence from LMICs. The vital role of intensive phototherapy, efficient laboratory and logistical support, and clinical expertise for ET are highlighted. The challenges in securing informed parental consent, especially on religious grounds, and meeting the financial burden of this emergency procedure to facilitate timely ET are examined. Secondary delays arising from post-treatment bilirubin rebound with intensive phototherapy or ET are also discussed. These potential delays can compromise the effectiveness of ET and should provide additional impetus to curtail avoidable ET in LMICs.

Indexed as

Bilirubin encephalopathyDeveloping countriesIntensive phototherapyKernicterusLaboratory servicesNeonatal care

Identifiers

PMID27170928
PMCPMC4857231
OpenAlexW2345750184

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.