Evidence map›Paper›PMID 29740185›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2018

Anemia of prematurity and cerebral near-infrared spectroscopy: should transfusion thresholds in preterm infants be revised?

Halana V Whitehead, Zachary A Vesoulis, Akhil Maheshwari, Rakesh Rao, Amit M Mathur

Open access · greenAbstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
5.8field-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.

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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. [Clinical practice guidelines for the diagnosis and treatment of anemia of prematurity (2025)].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Guideline
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Stored RBC transfusions leads to the systemic inflammatory response syndrome in anemic murine neonates.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2024
    Article
  8. Article
  9. Observational
  10. Effects of Different Hemoglobin Levels on Near-Infrared Spectroscopy-Derived Cerebral Oxygen Saturation in Elderly Patients Undergoing Noncardiac Surgery.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2023
    Article
  11. Abdominal Near Infrared Spectroscopy can be reliably used to measure splanchnic oxygenation changes in preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Article
  12. Article
  13. Article
  14. Anemia of prematurity: how low is too low?Journal of perinatology : official journal of the California Perinatal Association · 2021
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Observational
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

5 authors at 2 institutions in 1 country.

Halana V WhiteheadDepartment of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Zachary A VesoulisDepartment of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Akhil MaheshwariDepartment of Pediatrics, Division of Neonatology, University of South Florida Morsani College of Medicine, Tampa, FL, USA.ORCID 0000-0003-1502-7663
Rakesh RaoDepartment of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Amit M MathurDepartment of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine, St. Louis, MO, USA. mathur_a@wustl.edu.
Washington University in St. Louis · USUniversity of South Florida · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Washington University Institute of Clinical and Translational Sciences (KL2) KL2TR002346 · NCATS · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 2017 to 2026
$14.0M
Washington University Institute of Clinical and Translational SciencesKL2TR000450 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$8.8M
Red Cell Transfusion-associated Necrotizing Enterocolitis in Premature InfantsR01HL124078 · NHLBI · UNIVERSITY OF SOUTH FLORIDA · PI KRISHNAN, MOHAN KUMAR · 2015 to 2018
$1.5M
NCATS NIH HHS KL2 TR000450NCATS NIH HHS KL2 TR002346NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345NHLBI NIH HHS R01 HL124078
6 · The paper itself

Abstract

objectiveTo determine the impact of progressive anemia of prematurity on cerebral regional saturation (C-rSO STUDY

designIn a cohort of infants born ≤30 weeks EGA, weekly C-rSO

resultsIn total 253 recordings from 68 infants (mean EGA 26.9 ± 2.1 weeks, BW 1025 ± 287 g, 49% male) were included. Approximately 29 out of 68 infants (43%) were transfused during hospitalization. Mixed-model statistical analysis adjusting for EGA, BW, and PMA revealed a significant association between decreasing hemoglobin and C-rSO

conclusionsIn transfusion-naive preterm infants, worsening anemia was associated with a progressive decrease in cerebral saturations. Analysis identified a threshold hemoglobin of 9.5 g/dL below which C-rSO

Indexed as

Erythrocyte TransfusionInfant, PrematureOxygen ConsumptionAnemia, NeonatalCerebral CortexFemaleHemoglobinsHumansInfant, NewbornLinear ModelsMaleProspective StudiesROC CurveSpectroscopy, Near-InfraredTime FactorsHemoglobins

Identifiers

PMID29740185
PMCPMC6136959
OpenAlexW2801711061

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.