Evidence map›Paper›PMID 27832835›Full record

Trial reportThe Journal of pediatrics2017

Pulmonary Function at Hospital Discharge in Preterm Infants Randomized to a Single Rescue Course of Antenatal Steroids.

Brian K Jordan, Diane Schilling, Cindy T McEvoy

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00669383 (Rescue Antenatal Steroids and Lung Volumes in Preterm Infants), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT00669383 nacompletednot on this map

Rescue Antenatal Steroids and Lung Volumes in Preterm Infants

TypeinterventionalSponsorOregon Health and Science UniversityRan2001 to 2009Enrolled85ConditionsRespiratory Compliance, Functional Residual Capacity, Pulmonary Function TestingArmsbetamethasone, placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. 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

3 authors.

Brian K JordanDepartment of Pediatrics, Division of Neonatology, Oregon Health & Science University, Portland, OR. Electronic address: jordabr@ohsu.edu.
Diane SchillingDepartment of Pediatrics, Division of Neonatology, Oregon Health & Science University, Portland, OR.
Cindy T McEvoyDepartment of Pediatrics, Division of Neonatology, Oregon Health & Science University, Portland, OR.

Funding

Oregon Clinical and Translational Research InstituteUL1TR000128 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI ELLISON, DAVID H · 2012 to 2015
$28.7M
VitC to Decrease Effects of Smoking in Pregnancy on Infant Lung Function-CCC-LeadR01HL105447 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI MCEVOY, CYNTHIA T · 2012 to 2021
$9.8M
In-Utero Smoke, Vitamin C and Newborn Lung FunctionK23HL080231 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI MCEVOY, CYNTHIA T · 2006 to 2010
$675k
NCATS NIH HHS UL1 TR000128NHLBI NIH HHS K23 HL080231NHLBI NIH HHS R01 HL105447
6 · The paper itself

Abstract

objectiveTo compare the pulmonary function, measured at birth and at hospital discharge, of infants whose mothers had been randomized to a single rescue course of antenatal steroids versus those whose mothers had been randomized to placebo. STUDY

designThis study involved follow-up at hospital discharge of subjects of a randomized, double-blinded trial. In the original trial, pregnant women at ≥14 days after their initial course of antenatal steroids and <34 weeks' gestation were randomized to rescue antenatal steroids (44 mothers, 56 infants) or placebo (41 mothers, 57 infants). Passive respiratory compliance (Crs), passive respiratory resistance, and functional residual capacity were measured in all infants at birth and again at discharge to evaluate changes in pulmonary mechanics over time. Statistical analyses were based on intention to treat.

resultsWe previously reported that compared with infants in the placebo group, infants in the rescue antenatal steroids group had a higher mean Crs value measured within 72 hours of birth (1.21 vs 1.01 mL/cm H

conclusionsRescue antenatal steroids significantly increased Crs measured within 72 hours of birth, and this increase was sustained until hospital discharge. Preterm infants in the placebo group demonstrated a decreased initial Crs compared with the rescue antenatal steroids group, but achieved a comparable Crs by the time of discharge.

trial registrationClinicalTrials.gov: NCT00669383.

Indexed as

Infant, PrematureAdultBetamethasoneFemaleFollow-Up StudiesFunctional Residual CapacityGestational AgeGlucocorticoidsHumansInfant, NewbornIntensive Care Units, NeonatalLung ComplianceMalePatient DischargePregnancyPrenatal CareBetamethasoneGlucocorticoidsbetamethasonefunctional residual capacitylung trajectorypassive respiratory compliancepassive respiratory resistancepremature infantspulmonary function testsrescue antenatal steroids

Identifiers

PMID27832835
PMCPMC5274607

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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.