Evidence map›Paper›PMID 28471441›Full record

ReviewJournal of perinatology : official journal of the California Perinatal Association2017

How to assess hemodynamic status in very preterm newborns in the first week of life?

G Escourrou, L Renesme, E Zana, A Rideau, M O Marcoux, E Lopez, G Gascoin, P Kuhn, P Tourneux, I Guellec and 1 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of perinatology : official journal of the California Perinatal Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. Article
  3. Renal tissue oxygenation and development of AKI in preterm neonates born < 32 weeks' gestational age in the first week of age.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  4. Article
  5. Monitoring and evaluation of hypotension in the extremely preterm.Frontiers in cardiovascular medicine · 2024
    Review
  6. Article
  7. Article
  8. Observational
  9. Review
  10. Article
  11. Review
  12. Observational
  13. Article
  14. Review
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  16. 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

11 authors at 10 institutions in 1 country.

G EscourrouDepartment of Neonatal Medicine, CH Montreuil, Montreuil, France.
L RenesmeDepartment of Neonatal Medicine, CHU Bordeaux, France.
E ZanaDepartment of Neonatal Medicine, Port Royal Maternity, Paris, France.
A RideauDepartment of Neonatal Medicine, CHU Paris, France.
M O MarcouxPaediatric Intensive Care Unit, CHU Toulouse, France.
E LopezDepartment of Neonatal Medicine, CHU Tours, France.
G GascoinDepartment of Neonatal Medicine, CHU Angers, France.
P KuhnDepartment of Neonatal Medicine, CHU Strasbourg, France.
P TourneuxDepartment of Neonatal Medicine, CHU Amiens, France.
I GuellecDepartment of Neonatal Medicine, CHU Paris, France.
C FlamantDepartment of Neonatal Medicine, CHU Nantes, Service de Réanimation néonatale, Nantes, France.
Centre Ophtalmologique d'Imagerie et de Laser · FRCentre Hospitalier Universitaire d'Angers · FRCentre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Universitaire de Nantes · FRCentre Hospitalier Universitaire de Toulouse · FRCentre Hospitalier Universitaire de Tours · FRHôpital Civil, Strasbourg · FRMaternité Port Royal · FRRéseau pour la Transition Énergétique · FRUniversité de Picardie Jules Verne · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssessing hemodynamic status in preterm newborns is an essential task, as many studies have shown increased morbidity when hemodynamic parameters are abnormal. Although oscillometric monitoring of arterial blood pressure (BP) is widely used due to its simplicity and lack of side effects, these values are not always correlated with microcirculation and oxygen delivery.

objectivesThis review focuses on different tools for the assessment of hemodynamic status in preterm newborns. These include the measurement of clinical (BP, capillary refill time and urinary output (UO)) or biological parameters (lactate analysis), functional echocardiography, and near-infrared spectroscopy (NIRS). We describe the concepts and techniques involved in these tools in detail, and examine the interest and limitations of each type of assessment.

conclusionsThis review highlights the complementarities between the different parameters used to assess hemodynamic status in preterm newborns during the first week of life. The analysis of arterial BP measured by oscillometric monitoring must take into account other clinical data, in particular capillary refill time and UO, and biological data such as lactate levels. Echocardiography improves noninvasive hemodynamic management in newborns but requires specific training. In contrast, NIRS may be useful in monitoring the clinical course of infants at risk of, or presenting with, hypotension. It holds the potential for early and noninvasive identification of silent hypoperfusion in critically ill preterm infants. However, more data are needed to confirm the usefulness of this promising tool in significantly changing the outcome of these infants.

Indexed as

HemodynamicsAtrial PressureCardiac OutputCerebrovascular CirculationCritical IllnessEchocardiographyHeart RateHumansInfant, NewbornInfant, PrematureLactic AcidMonitoring, PhysiologicSpectroscopy, Near-InfraredLactic Acid

Identifiers

PMID28471441
OpenAlexW2611889996

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.