Evidence map›Paper›PMID 28820870›Full record

ReviewPediatric research2017

Controversies in the identification and management of acute pulmonary hypertension in preterm neonates.

Regan E Giesinger, Kiran More, Jodie Odame, Amish Jain, Robert P Jankov, Patrick J McNamara

Registry-linked trialOpen access · bronzeAbstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03576885 (Treatment of Delayed Pulmonary Transition in Extremely Preterm Infants & Bronchopulmonary Dysplasia), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.9field-weighted citation impact, top 6% 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.

NCT03576885 phase1 / phase2terminatednot on this mapstarted 2019, after this paper: background citation

Treatment of Delayed Pulmonary Transition in Extremely Preterm Infants & Bronchopulmonary Dysplasia

TypeinterventionalSponsorAdventHealthRan2019 to 2023Enrolled32ConditionsPulmonary Hypertension, Bronchopulmonary DysplasiaArmsinhaled nitric oxide, Placebo
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
  2. Article
  3. Hemodynamic precision to guide surgical timing for neonates with congenital diaphragmatic hernia: a narrative review.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Phenotypes of Bronchopulmonary Dysplasia.International journal of molecular sciences · 2020
    Review
  17. Bronchopulmonary dysplasia.Nature reviews. Disease primers · 2019
    Review
  18. Article
  19. Review
  20. Factors influencing decision making in neonatology: inhaled nitric oxide in preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2019
    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

6 authors at 2 institutions in 2 countries.

Regan E GiesingerDepartment of Paediatrics, University of Toronto, Toronto, Canada.
Kiran MoreNeonatal Department, Christchurch Women's Hospital, Christchurch, New Zealand.
Jodie OdameDepartment of Physiology, University of Toronto, Toronto, Canada.
Amish JainDepartment of Paediatrics, University of Toronto, Toronto, Canada.
Robert P JankovDepartment of Paediatrics, University of Toronto, Toronto, Canada.
Patrick J McNamaraDepartment of Paediatrics, University of Toronto, Toronto, Canada.
University of Toronto · CAChristchurch Hospital · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is increasingly recognized that the abnormal physiologic consequences of pulmonary hypertension (PH) may contribute to poor cardiopulmonary health in premature babies. Conflicting literature has led to clinical uncertainty, pathological misinterpretation, and variability in treatment approaches among practitioners. There are several disorders with overlapping and interrelated presentations, and other disorders with a similar clinical phenotype but diverse pathophysiological contributors. In this review, we provide a diagnostic approach for acute hypoxemic respiratory failure in the preterm neonate, outline the pathophysiological conditions that may present as acute PH, and discuss the implications of high pulmonary vascular resistance (PVR) on the cardiovascular system. Although PVR and respiratory management are highly interrelated, there may be a population of preterm neonates in whom inhaled nitric oxide may improve illness severity and may relate to outcomes. A management approach based on physiology that considers common clinical conundrums is provided. A more comprehensive understanding of the physiology may help in informed decision-making in clinical situations where conclusive scientific evidence is lacking. Regardless, high-quality research is required, and appropriate definition of the target population is paramount. A thoughtful approach to cardiovascular therapy may also provide an avenue to improve neurodevelopmental outcomes while awaiting more clear answers.

Indexed as

Infant, PrematureAcute DiseaseDiagnosis, DifferentialHeartHumansHypertension, PulmonaryHypoxiaInfant, NewbornInfant, Premature, DiseasesVasodilator AgentsVasodilator Agents

Identifiers

PMID28820870
OpenAlexW2746526269

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.