Evidence map›Paper›PMID 27189681›Full record

Trial reportThe Journal of pediatrics2016

Caffeine for the Treatment of Apnea in Bronchiolitis: A Randomized Trial.

Khalid Alansari, Fatihi Hassan Toaimah, Hany Khalafalla, Lamiaa Awny El Tatawy, Bruce L Davidson, Wessam Ahmed

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01435486 (Caffeine Citrate for the Treatment of Apnea Associated With Bronchiolitis in Young Infants), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.1field-weighted citation impact, top 13% 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.

NCT01435486 nacompletednot on this map

Caffeine Citrate for the Treatment of Apnea Associated With Bronchiolitis in Young Infants: A Randomized, Double Blind, Controlled Trial (RCT)

TypeinterventionalSponsorHamad Medical CorporationRan2011 to 2014Enrolled90ConditionsBronchiolitis, Apnea, CaffeineArmsCaffeine citrate, Normal saline
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Khalid AlansariDivision of Pediatric Emergency Medicine, Department of Pediatrics, Hamad Medical Corporation, Doha, Qatar; Division of Pediatric Emergency Medicine, Department of Pediatrics, Sidra Medical and Research Center, Doha, Qatar; Weill Cornell Medical College in Qatar, Doha, Qatar. Electronic address: dkmaa@hotmail.com.
Fatihi Hassan ToaimahDivision of Pediatric Emergency Medicine, Department of Pediatrics, Hamad Medical Corporation, Doha, Qatar.
Hany KhalafallaDivision of Pediatric Emergency Medicine, Department of Pediatrics, Hamad Medical Corporation, Doha, Qatar.
Lamiaa Awny El TatawyDivision of Pediatric Emergency Medicine, Department of Pediatrics, Hamad Medical Corporation, Doha, Qatar.
Bruce L DavidsonPulmonary-Critical Care Medicine Division, University of Washington School of Medicine, Seattle, WA.
Wessam AhmedDivision of Pediatric Emergency Medicine, Department of Pediatrics, Hamad Medical Corporation, Doha, Qatar.
Hamad Medical Corporation · QAUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy and safety of caffeine citrate in the treatment of apnea in bronchiolitis. STUDY

designEligible infants aged ≤4 months presenting to the main pediatric emergency service with apnea associated bronchiolitis were stratified by gestational age (<34 weeks or longer) and randomized to receive a single dose of intravenous 25 mg/kg caffeine citrate or saline placebo. The primary efficacy outcome was a 24-hour apnea-free period beginning after completion of the blinded study drug infusion. Secondary outcomes were frequency of apnea by 24, 48, and 72 hours after study medication, need for noninvasive/invasive ventilation, and length of stay in the hospital's pediatric intensive care/step-down unit.

resultsA total of 90 infants diagnosed with viral bronchiolitis associated with apnea (median age, 38 days) were enrolled. The rate of respiratory virus panel positivity was similar in the 2 groups (78% for the placebo group vs 84% for the caffeine group). The geometric mean duration to a 24-hour apnea-free period was 28.1 hours (95% CI, 25.6-32.3 hours) for the caffeine group and 29.1 hours (95% CI, 25.7-32.9 hours) for the placebo group (P = .88; OR, 0.99; 95% CI, 0.83-1.17). The frequency of apnea at 24 hours, 24-48 hours, and 48-72 hours after enrollment and the need for noninvasive and invasive ventilation were similar in the 2 groups. No safety issues were reported.

conclusionsA single dose of caffeine citrate did not significantly reduce apnea episodes associated with bronchiolitis.

trial registrationClinicaltrials.gov: NCT01435486.

Indexed as

ApneaBronchiolitisCaffeineCitratesDouble-Blind MethodFemaleHumansInfantMaleCaffeinecaffeine citrateCitratesapneabronchiolitiscaffeine citraterespiratory syncytial virus

Identifiers

PMID27189681
PMCPMC7126124
OpenAlexW2367127846

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.