Evidence map›Paper›PMID 28660312›Full record

ArticleEuropean journal of pediatrics2017

Neonatal outcome of small for gestational age preterm infants.

Stefano Nobile, Paolo Marchionni, Virgilio P Carnielli

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in European 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 NCT06919757 (Early Lung Function Trajectories), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.9field-weighted citation impact, top 4% 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.

NCT06919757 recruitingnot on this mapstarted 2025, after this paper: background citation

Early Lung Function Trajectories: Comparison Between Infants With Intrauterine Growth Restriction and Appropriately Grown Ones.

Typeobservational_patient_registrySponsorFondazione Policlinico Universitario Agostino Gemelli IRCCSRan2025 to 2027Enrolled54ConditionsIntrauterine Growth Retardation (IUGR), Lung Function Tests, Preterm Infant, Respiratory MonitoringArmsfetal ultrasound to assess lungs, heart and diaphragm
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 58 citations in OpenAlex.

  1. Article
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  7. Long-term implications of fetal growth restriction.World journal of clinical cases · 2023
    Review
  8. Severity of small-for-gestational-age and morbidity and mortality among very preterm neonates.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Article
  9. Article
  10. Article
  11. Review
  12. Growth patterns of preterm infants in Korea.Clinical and experimental pediatrics · 2022
    Article
  13. Article
  14. Neurodevelopmental outcomes of singleton large for gestational age infants <29 weeks' gestation: a retrospective cohort study.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Bronchopulmonary dysplasia in very preterm infants: Outcome up to preschool age, in a single center of Austria.Pediatrics international : official journal of the Japan Pediatric Society · 2019
    Observational
  19. Article
  20. 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 at 2 institutions in 1 country.

Stefano NobileDepartment of Maternal and Child Health, Salesi Children's Hospital, Ancona, Italy. stefano.nobile@ospedaliriuniti.marche.it.ORCID http://orcid.org/0000-0002-5304-1485
Paolo MarchionniDepartment of Maternal and Child Health, Salesi Children's Hospital, Ancona, Italy.
Virgilio P CarnielliDepartment of Maternal and Child Health, Salesi Children's Hospital, Ancona, Italy.
Marche Polytechnic University · ITOspedali Riuniti Umberto I · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Small for gestational age (SGA) preterm neonates (birth weight < -2 SDS) are considered to have increased risk of bronchopulmonary dysplasia (BPD) compared to appropriate for GA (AGA) neonates. It is unclear if SGA infants have increased risk for respiratory distress syndrome (RDS) and mortality. We analyzed data from 515 neonates born <30 weeks GA, 98(19%) were SGA. SGA were compared to AGA by univariate analysis and logistic regression analysis (LRA). Significant variables at univariate analysis were IUGR (67 vs 7%, p = 0.000), chorioamnionitis (1 vs 13%, p = 0.017), pre-eclampsia (62 vs 18%, p = 0.000), surfactant retreatment (47 vs 25%, p = 0.000), BPD (32 vs 20%, p = 0.015), death (30 vs 12%, p = 0.000), SatO2/FiO2 on day 3 (376 vs 433, p = 0.013), and SatO2/FiO2 ratio on day 28 (400 vs 448, p = 0.000). LRA found the following associations: regarding mortality, a decreased Sat/FiO2 ratio on day 3 (OR 1.99, 95% CI 1.26-3.16, p = 0.003); regarding BPD, surfactant retreatment (3.70, 2.11-6.49, p = 0.000), being SGA (2.69, 1.36-5.36, p = 0.005), decreasing GA (1.05, 1.03-1.08, p = 0.000), decreasing SatO2/FiO2 ratio on day 3 (1.25, 1.11-1.40, p = 0.000); and regarding severe RDS, pre-eclampsia (2.68, 1.58-4.55, p = 0.000) and decreasing GA (1.06, 1.04-1.08, p = 0.000).

conclusionsIn our cohort of preterm infants, being SGA was significantly associated with BPD, but not with increased risk of mortality or RDS due to multiple pathophysiologic mechanisms. What is Known: • Small for gestational age preterm neonates are considered to have increased risk of bronchopulmonary dysplasia (BPD) compared to appropriate for GA neonates. • It is still unclear if SGA infants have increased risk for respiratory distress syndrome (RDS) and mortality. What is New: • In our cohort of 515 preterm infants (19% SGA), being SGA was significantly associated with BPD, but not with increased risk of mortality or RDS. • These results may be explained by the heterogeneity of mechanisms leading to SGA condition and by multiple mechanisms involving lung growth impairment and other factors.

Indexed as

Infant, Small for Gestational AgeBronchopulmonary DysplasiaFemaleHumansInfantInfant MortalityInfant, NewbornInfant, PrematureLogistic ModelsMalePrognosisRespiratory Distress Syndrome, NewbornRetrospective StudiesRisk FactorsBronchopulmonary dysplasiaMortalityPreterm infantRespiratory distress syndromeSmall for gestational age

Identifiers

PMID28660312
OpenAlexW2725318794

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.