Evidence map›Paper›PMID 27742123›Full record

ArticleThe Journal of pediatrics2017

The Relationship of Nosocomial Infection Reduction to Changes in Neonatal Intensive Care Unit Rates of Bronchopulmonary Dysplasia.

Wannasiri Lapcharoensap, Peiyi Kan, Richard J Powers, Gary M Shaw, David K Stevenson, Jeffrey B Gould, David D Wirtschafter, Henry C Lee

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in The Journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 7% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. [Risk factors for bronchopulmonary dysplasia in preterm infants and establishment of a prediction model].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
    Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Early Origins of Chronic Obstructive Pulmonary Disease: Prenatal and Early Life Risk Factors.International journal of environmental research and public health · 2023
    Review
  12. Review
  13. New BPD-prevalence and risk factors for bronchopulmonary dysplasia/mortality in extremely low gestational age infants ≤28 weeks.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  14. An Update on the Prevention and Management of Bronchopulmonary Dysplasia.Pediatric health, medicine and therapeutics · 2021
    Review
  15. Article
  16. Hospitalization costs associated with bronchopulmonary dysplasia in the first year of life.Journal of perinatology : official journal of the California Perinatal Association · 2020
    Article
  17. Article
  18. [Preventive effect of caffeine on bronchopulmonary dysplasia in preterm infants].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2018
    Review
  19. Observational
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Wannasiri LapcharoensapDepartment of Pediatrics, Oregon Health & Science University, Portland, OR; California Perinatal Quality Care Collaborative, Stanford, CA. Electronic address: lapcharo@ohsu.edu.
Peiyi KanDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA; March of Dimes Prematurity Research Center, Stanford, CA.
Richard J PowersPediatrix Medical Group, San Jose, CA.
Gary M ShawDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA; March of Dimes Prematurity Research Center, Stanford, CA.
David K StevensonDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA; March of Dimes Prematurity Research Center, Stanford, CA.
Jeffrey B GouldCalifornia Perinatal Quality Care Collaborative, Stanford, CA; Department of Pediatrics, Stanford University School of Medicine, Stanford, CA; March of Dimes Prematurity Research Center, Stanford, CA.
David D WirtschafterDavid D. Wirtschafter, Inc, Boca Raton, FL.
Henry C LeeCalifornia Perinatal Quality Care Collaborative, Stanford, CA; Department of Pediatrics, Stanford University School of Medicine, Stanford, CA; March of Dimes Prematurity Research Center, Stanford, CA.
March of Dimes · USOregon Health & Science University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine whether recent reductions in rates of nosocomial infection have contributed to changes in rates of bronchopulmonary dysplasia (BPD) in a population-based cohort. STUDY

designThis was a retrospective, population-based cohort study that used the California Perinatal Quality Care Collaborative database from 2006 to 2013. Eligible infants included those less than 30 weeks' gestational age and less than 1500 g who survived to 3 days of life. Primary variables of interest were rates of nosocomial infections and BPD. Adjusted rates of nosocomial infections and BPD from a baseline period (2006-2010) were compared with a later period (2011-2013). The correlation of changes in rates across periods for both variables was assessed by hospital of care.

resultsA total of 22 967 infants from 129 hospitals were included in the study. From the first to second time period, the incidence of nosocomial infections declined from 24.7% to 15% and BPD declined from 35% to 30%. Adjusted hospital rates of BPD and nosocomial infections were correlated positively with a calculated 8% reduction of BPD rates attributable to reductions in nosocomial infections.

conclusionsSuccessful interventions to reduce rates of nosocomial infections may have a positive impact on other comorbidities such as BPD. The prevention of nosocomial infections should be viewed as a significant component in avoiding long-term neonatal morbidities.

Indexed as

Bronchopulmonary DysplasiaCohort StudiesCross InfectionFemaleHumansInfant, NewbornIntensive Care Units, NeonatalMaleRetrospective StudiesTime Factorsneonatalquality improvement

Identifiers

PMID27742123
OpenAlexW2531134069

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.