Evidence map›Paper›PMID 29389921›Full record

Observational studyPediatric research2018

Patterns of reintubation in extremely preterm infants: a longitudinal cohort study.

Wissam Shalish, Lara Kanbar, Martin Keszler, Sanjay Chawla, Lajos Kovacs, Smita Rao, Bogdan A Panaitescu, Alyse Laliberte, Doina Precup, Karen Brown and 2 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Pediatric research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04825197 (Effects of Late Surfactant Treatment Delivered After a Recruitment Maneuver on Respiratory Outcomes in Extremely Low Gestational Age Newborns), which is not on this map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT04825197 phase2unknown statusnot on this mapstarted 2021, after this paper: background citation

Effects of Late Surfactant Treatment Delivered After a Recruitment Maneuver on Respiratory Outcomes in Extremely Low Gestational Age Newborns: a Randomized Controlled Trial - LATE-REC-SURF Trial

TypeinterventionalSponsorVENTO GIOVANNIRan2021 to 2025Enrolled20ConditionsBronchopulmonary Dysplasia, Chronic Pulmonary Insufficiency of PrematurityArmsPoractant Alfa Intratracheal Suspension [Curosurf]
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  10. Accuracy of lung ultrasound in predicting successful extubation in preterm infants born ≤ 25 weeks.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  11. Interprofessional perspectives on non-invasive respiratory support practices in extremely preterm infants: a Canadian survey.Journal of perinatology : official journal of the California Perinatal Association · 2025
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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

12 authors.

Wissam ShalishDivision of Neonatology, Montreal Children's Hospital, McGill University Health Center, Montreal, Quebec, Canada.
Lara KanbarDivision of Biomedical Engineering, McGill University, Montreal, Quebec, Canada.
Martin KeszlerDepartment of Pediatrics, Women and Infants Hospital of Rhode Island, Brown University, Providence, Rhode Island.
Sanjay ChawlaDivision of Neonatal-Perinatal Medicine, Hutzel Women's Hospital, Wayne State University, Detroit, Michigan.
Lajos KovacsDepartment of Neonatology, Jewish General Hospital, Montreal, Quebec, Canada.
Smita RaoDivision of Neonatology, Montreal Children's Hospital, McGill University Health Center, Montreal, Quebec, Canada.
Bogdan A PanaitescuDivision of Neonatal-Perinatal Medicine, Hutzel Women's Hospital, Wayne State University, Detroit, Michigan.
Alyse LaliberteDepartment of Pediatrics, Women and Infants Hospital of Rhode Island, Brown University, Providence, Rhode Island.
Doina PrecupDepartment of Computer Science, McGill University, Montreal, Quebec, Canada.
Karen BrownDepartment of Anesthesia, Montreal Children's Hospital, McGill University Health Center, Montreal, Quebec, Canada.
Robert E KearneyDivision of Biomedical Engineering, McGill University, Montreal, Quebec, Canada.
Guilherme M Sant'AnnaDivision of Neonatology, Montreal Children's Hospital, McGill University Health Center, Montreal, Quebec, Canada.

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

BackgroundThe optimal approach for reporting reintubation rates in extremely preterm infants is unknown. This study aims to longitudinally describe patterns of reintubation in this population over a broad range of observation windows following extubation.MethodsTiming and reasons for reintubation following a first planned extubation were collected from infants with birth weight ≤1,250 g. An algorithm was generated to discriminate between reintubations attributable to respiratory and non-respiratory causes. Frequency and cumulative distribution curves were constructed for each category using 24 h intervals. The ability of observation windows to capture respiratory-related reintubations while limiting non-respiratory reasons was assessed using a receiver operating characteristic curve.ResultsOut of 194 infants, 91 (47%) were reintubated during hospitalization; 68% for respiratory and 32% for non-respiratory reasons. Respiratory-related reintubation rates steadily increased from 0 to 14 days post-extubation before reaching a plateau. In contrast, non-respiratory reintubations were negligible in the first post-extubation week, but became predominant after 14 days. An observation window of 7 days captured 77% of respiratory-related reintubations while only including 14% of non-respiratory cases.ConclusionReintubation patterns are highly variable and affected by the reasons for reintubation and observation window used. Ideally, reintubation rates should be reported using a cumulative distribution curve over time.

Indexed as

Pattern Recognition, AutomatedAirway ExtubationAlgorithmsFemaleGestational AgeHospitalizationHumansInfantInfant, Extremely PrematureInfant, NewbornIntubation, IntratrachealLongitudinal StudiesMaleModels, StatisticalProspective StudiesRespiration, Artificial

Identifiers

PMID29389921

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.