Evidence map›Paper›PMID 27716331›Full record

ArticleJournal of cardiothoracic surgery2016

Bedside PDA ligation in premature infants less than 28 weeks and 1000 grams.

Mustafa Kemal Avsar, Tolga Demir, Cem Celiksular, Cenap Zeybek

Open access · goldAbstract read
In one paragraph

Article in Journal of cardiothoracic surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 34 citations in OpenAlex.

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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 1 institution in 1 country.

Mustafa Kemal AvsarMedicana International Istanbul Hospital Department of Cardiovascular Surgery, Istanbul, Turkey. mustafakemalavsar@hotmail.com.
Tolga DemirKolan International Hospital Department of Cardiovascular Surgery, Istanbul, Turkey.
Cem CeliksularMedicana International Istanbul Hospital Depratment of Anesthesiology, Istanbul, Turkey.
Cenap ZeybekMedicana International Istanbul Hospital Department of Pediatric Cardiology, Istanbul, Turkey.
Istanbul Memorial Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPDA(Patent ductus arteriosus) is a common and clinically important condition which is presented with a number of hemodynamic and respiratory problems such as intraventricular hemorrhage, pulmonary hemorrhage and necrotizing enterocolitis due to increased pulmonary blood flow and stealing from systemic circulation. The incidence of PDA among the infants that were born before the 28th gestational week is as high as 70 %; and spontaneous closure rates in very-low-birth-weight premature neonates(VLBWPN) is around 34 %. The onset, duration, and repeat number of consecutive courses of the prostaglandin synthesis inhibitor medication for PDA closure are still issues of debate. Bed-side PDA closure is a safe surgical procedure in both mature and premature babies. Here we aim to retrospectively present our 26 cases which were less than 28 weeks and 1000 grams that underwent bed-side PDA ligation.

methodsThis retrospective study included 26 VLBWPN with PDA that underwent bed-side ligation between 2012 and 2015. Babies were born before the 28th gestational week (23-27 weeks) and less than 1000 grams (489-970 gr). Of the 26, 15 were female and 11 were male. Indomethacin was administered to all of the cases as the medical closing agent. The medication was stopped due to unwanted effects in 6 cases. All of the patients took medical treatment before surgery.

resultsNo surgical mortality occurred during our study. One case of pneumothorax was recorded as late surgical complication. Five of the 26 patients were lost, and the most common cause of mortality was sepsis (in 3 cases). The remaining 21 cases were discharged on days 86-238. The follow-up periods of the patients were 2 moths - 3 years. The most frequent problems encountered after discharge was chronic lung problems.

conclusionsBed side PDA ligation surgery in the ICU is a safe method for VLBWPN with clinically significant PDA.

Indexed as

Cardiovascular AgentsDuctus Arteriosus, PatentFemaleGestational AgeHumansIndomethacinInfant, NewbornInfant, PrematureInfant, Very Low Birth WeightLigationMaleRetrospective StudiesTreatment OutcomeVascular Surgical ProceduresCardiovascular AgentsIndomethacinBedside surgeryPatent ductus arteriosusPremature infant

Identifiers

PMID27716331
PMCPMC5050727
OpenAlexW2529209873

What OpenQuestion holds

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LicenceCC BY
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.