Evidence map›Paper›PMID 28436580›Full record

Trial reportPediatric pulmonology2017

Pulmonary function and outcomes in infants randomized to a rescue course of antenatal steroids.

Cindy McEvoy, Diane Schilling, Patricia Spitale, Jean O'Malley, Susan Bowling, Manuel Durand

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

Trial report in Pediatric pulmonology, 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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% 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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
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

6 authors at 3 institutions in 1 country.

Cindy McEvoyDivision of Neonatology, Department of Pediatrics, Oregon Health & Science University, Portland, Oregon.ORCID 0000-0001-8501-8813
Diane SchillingDivision of Neonatology, Department of Pediatrics, Oregon Health & Science University, Portland, Oregon.
Patricia SpitaleDivision of Neonatology, Department of Pediatrics, Oregon Health & Science University, Portland, Oregon.
Jean O'MalleyPublic Health and Preventive Medicine, Oregon Health & Science University, Portland, Oregon.
Susan BowlingDepartment of Pediatrics, Sacred Heart Hospital, Pensacola, Florida.
Manuel DurandDepartment of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California.
Oregon Health & Science University · USSacred Heart Hospital · USUniversity of Southern California · US

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
NCATS NIH HHS UL1 TR000128NHLBI NIH HHS R01 HL105447
6 · The paper itself

Abstract

BACKGROUND/

objectiveOur objective was to obtain follow-up pulmonary function testing and assessment of clinical respiratory outcomes, at 1-2 years, in preterm infants whose mothers were randomized to a single rescue course of antenatal steroids (AS) versus placebo.

methodsFollow-up of a randomized, double-blinded trial. In the original trial pregnant women ≥14 days after initial course of AS were randomized to rescue AS or placebo. Pulmonary function testing and a standardized respiratory questionnaire were obtained at 1-2 years of corrected age. Respiratory compliance (Crs) was measured with the single-breath occlusion and functional residual capacity (FRC) with the nitrogen washout method. Analysis was by intention-to-treat.

resultsA total of 96 (87%) of available survivors were administered a respiratory questionnaire. Seventy-seven percent of available patients had pulmonary function testing performed. There was no significant difference between groups in incidence of wheezing, asthma, respiratory syncytial virus infection, respiratory readmissions, use of bronchodilators or other medications, or in measurements of pulmonary function. There was also no significant difference in corrected age at study, race, gender, or length at the time of pulmonary function testing. Infants in the rescue group had a comparable mean FRC (249.4 mL vs 246.2 mL; adjusted 95%CI for difference -15.45, 38.20; P = 0.37) versus placebo. There were no differences in tidal volume or Crs.

conclusionA rescue course of AS significantly increases Crs within 72 h of age and decreases oxygen need in newborn infants, without an adverse impact on pulmonary function or clinical respiratory outcomes at 1-2 years of age [NCT00669383].

Indexed as

Infant, PrematureDouble-Blind MethodFemaleGlucocorticoidsHumansInfantInfant, NewbornLungMalePregnancyRespiratory Distress Syndrome, NewbornRespiratory Function TestsGlucocorticoidsbetamethasoneclinical respiratory outcomesfunctional residual capacityinfant pulmonary functionrescue antenatal corticosteroidsrespiratory compliancetidal volume

Identifiers

PMID28436580
PMCPMC5561489
OpenAlexW2609357684

What OpenQuestion holds

Textmetadata
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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.