Evidence map›Paper›PMID 29157044›Full record

Observational studyThe journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians2019

Prenatal complications are associated with the postnatal airway host response and microbiota in intubated preterm infants.

Brandie D Wagner, Marci K Sontag, J Kirk Harris, Joshua I Miller, Lindsey Morrow, Charles E Robertson, Mark J Stephens, Brenda B Poindexter, Steven H Abman, Peter M Mourani

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Review
  3. The spectrum of pneumonia among intubated neonates in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Review
  4. Article
  5. Review
  6. 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

10 authors at 5 institutions in 2 countries.

Brandie D Wagnera Department of Biostatistics, Colorado School of Public Health , University of Colorado , Aurora , CO , USA.ORCID http://orcid.org/0000-0002-2745-0103
Marci K Sontagb Department of Epidemiology, Colorado School of Public Health , University of Colorado , Aurora , CO , USA.
J Kirk Harrisc Department of Pediatrics, Section of Pulmonary Medicine , University of Colorado , Aurora , CO , USA.
Joshua I Millerb Department of Epidemiology, Colorado School of Public Health , University of Colorado , Aurora , CO , USA.
Lindsey Morrowa Department of Biostatistics, Colorado School of Public Health , University of Colorado , Aurora , CO , USA.
Charles E Robertsond Department of Medicine, Section of Infectious Disease , University of Colorado , Aurora , CO , USA.
Mark J Stephensc Department of Pediatrics, Section of Pulmonary Medicine , University of Colorado , Aurora , CO , USA.
Brenda B Poindextere Perinatal Institute, Cincinnati Children's Hospital Medical Center , Cincinnati , OH , USA.
Steven H Abmanc Department of Pediatrics, Section of Pulmonary Medicine , University of Colorado , Aurora , CO , USA.
Peter M Mouranif Pediatric Heart-Lung Center, Department of Pediatrics , University of Colorado , Aurora , CO , USA.
Colorado School of Public Health · USLung Institute · USPulmonary Associates · USCincinnati Children's Hospital Medical Center · USInfectious Disease Consultants · US

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Colorado Clinical and Translational Science Institute (UL1)UL1TR000154 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2012 to 2013
$20.4M
Genetic Basis for Impaired Angiogenic Signaling in BPDR01HL085703 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI ABMAN, STEVEN HERBERT · 2008 to 2012
$3.3M
Pathogenetic Mechanisms of Bronchopulmonary DysplasiaK23RR021921 · NCRR · UNIVERSITY OF COLORADO DENVER · PI MOURANI, PETER M · 2005 to 2009
$688k
NCATS NIH HHS UL1 TR000154NCATS NIH HHS UL1 TR002535NCRR NIH HHS K23 RR021921NHLBI NIH HHS R01 HL085703
6 · The paper itself

Abstract

purposeTo prospectively examine the relationship between prenatal events, postnatal airway host response and microbiota, and clinical outcomes. MATERIALS AND

methodsTracheal aspirates collected at seven days of age from 71 mechanically ventilated infants (median gestational age (GA), 25 weeks [range 23-28]) were simultaneously processed for a 12-plex protein assay and bacterial identification by 16S rRNA sequencing. Phenotypes were determined by unsupervised clustering of the protein analytes. Subject characteristics, microbial communities and clinical factors and outcomes were compared across the phenotype groups.

resultsThree clusters were identified: 1 (high protein levels), 2 (high proinflammatory proteins and low anti-inflammatory proteins), and 3 (low protein levels), respectively. Antenatal hemorrhage was most common in cluster 1, while chorioamnionitis characterized cluster 2 and preeclampsia was most prevalent in cluster 3, which was characterized by a predominance of Staphylococcus and relative absence of Ureaplasma. There were higher rates of adverse clinical outcomes in cluster 1.

conclusionsAirway protein profiles in seven days old mechanically ventilated preterm infants are associated with important antenatal events and unique airway microbial communities. These relationships may reveal new mechanisms by which antenatal events impact the course and outcomes of preterm infants.

Indexed as

MicrobiotaChorioamnionitisFemaleGestational AgeHumansInfant, Extremely PrematureInfant, NewbornInfant, Very Low Birth WeightIntubation, IntratrachealLongitudinal StudiesLungMalePre-EclampsiaPregnancyPremature BirthPremature Rupture of Fetal MembranesRNA, Ribosomal, 16Sairway microbiomeantenatal hemorrhagechorioamnionitisPreterm infantstracheal aspirate

Identifiers

PMID29157044
PMCPMC6212338
OpenAlexW2769984184

What OpenQuestion holds

Textmetadata
LicenceTDM
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.