Evidence map›Paper›PMID 28560046›Full record

ArticleMaternal health, neonatology and perinatology2017

A review of delivery room resuscitation in very low birth weight infants in a middle income country.

Daynia E Ballot, Faustine Agaba, Peter A Cooper, Victor A Davies, Tanusha Ramdin, Lea Chirwa, David Rakotsoane, Lethile Madzudzo

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Maternal health, neonatology and perinatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 8 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

8 authors at 1 institution in 1 country.

Daynia E BallotDepartment of Paediatrics and Child Health, University of the Witwatersrand, Private Bag X 39, Johannesburg, 2000 South Africa.
Faustine AgabaDepartment of Paediatrics and Child Health, University of the Witwatersrand, Private Bag X 39, Johannesburg, 2000 South Africa.
Peter A CooperDepartment of Paediatrics and Child Health, University of the Witwatersrand, Private Bag X 39, Johannesburg, 2000 South Africa.
Victor A DaviesDepartment of Paediatrics and Child Health, University of the Witwatersrand, Private Bag X 39, Johannesburg, 2000 South Africa.
Tanusha RamdinDepartment of Paediatrics and Child Health, University of the Witwatersrand, Private Bag X 39, Johannesburg, 2000 South Africa.
Lea ChirwaDepartment of Paediatrics and Child Health, University of the Witwatersrand, Private Bag X 39, Johannesburg, 2000 South Africa.
David RakotsoaneDepartment of Paediatrics and Child Health, University of the Witwatersrand, Private Bag X 39, Johannesburg, 2000 South Africa.
Lethile MadzudzoDepartment of Paediatrics and Child Health, University of the Witwatersrand, Private Bag X 39, Johannesburg, 2000 South Africa.
University of the Witwatersrand · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvanced levels of delivery room resuscitation in very low birth weight infants are reported to be associated with death and complications of prematurity. In resource limited settings, the need for delivery room resuscitation is often used as a reason to limit care in these infants.

methodsThis was a review of delivery room resuscitation in very low birth weight infants born in a tertiary hospital in South Africa between 01 January 2013 and 30 June 2016. Outcomes included death and serious complications of prematurity. Advanced delivery room resuscitation was defined as the need for intubation, chest compressions or the administration of adrenaline.

resultsA total of 1511 very low birth weight infants were included in the study. The majority (1332/1511 (88.2%) required oxygen in the delivery room. Face mask ventilation was needed in 45.2% (683/1511). Advanced delivery room resuscitation was only required in 10.6% (160/1511). More than half the infants who required advanced delivery room resuscitation died (89/160; 55.6%). Advanced delivery room resuscitation was required in significantly more infants <1000 grams at birth than those infants >1000 grams (83/539 (15.4%) vs 77/972 (7.9%)

conclusionThere was a high mortality rate associated with advanced delivery room resuscitation; however complications of prematurity were not increased in survivors..The need for advanced delivery room resuscitation alone should not be used as a predictor of poor outcome in very low birth weight infants. Survivors of advanced delivery room resuscitation should be afforded ventilatory support if required. Special care must be taken to avoid hypothermia in very low birth weight infants requiring resuscitation at birth.

Indexed as

Delivery roomMortalityNeonateResuscitation

Identifiers

PMID28560046
PMCPMC5448148
OpenAlexW2617176322

What OpenQuestion holds

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LicenceCC BY
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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.