Evidence map›Paper›PMID 29752171›Full record

ArticleThe Journal of pediatrics2018

Association between Furosemide Exposure and Patent Ductus Arteriosus in Hospitalized Infants of Very Low Birth Weight.

Elizabeth J Thompson, Rachel G Greenberg, Karan Kumar, Matthew Laughon, P Brian Smith, Reese H Clark, Andromeda Crowell, Layla Shaw, Louis Harrison, Gabrielle Scales and 2 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 13% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Furosemide for patent ductus arteriosus during cyclooxygenase inhibitor therapy: A systematic review.Pediatrics international : official journal of the Japan Pediatric Society
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Evaluation of the Closure of Patent Ductus Arteriosus With Ibuprofen Compared to Indomethacin.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2023
    Article
  8. The role of furosemide and fluid management for a hemodynamically significant patent ductus arteriosus in premature infants.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Review
  9. Article
  10. Review
  11. Article
  12. Use of diuretics in the neonatal period.Pediatric nephrology (Berlin, Germany) · 2021
    Review
  13. Article
  14. Review
  15. Observational
  16. 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

12 authors at 3 institutions in 1 country.

Elizabeth J ThompsonDepartment of Pediatrics, Duke University School of Medicine, Durham, NC.
Rachel G GreenbergDuke Clinical Research Institute & Department of Pediatrics, Duke University School of Medicine, Durham, NC.
Karan KumarDuke Clinical Research Institute & Department of Pediatrics, Duke University School of Medicine, Durham, NC.
Matthew LaughonDepartment of Pediatrics & Division of Neonatology, University of North Carolina, Chapel Hill, NC.
P Brian SmithDuke Clinical Research Institute & Department of Pediatrics, Duke University School of Medicine, Durham, NC.
Reese H ClarkThe Pediatrix-Obstetrix Center for Research, Education, and Quality, Sunrise, FL.
Andromeda CrowellDuke Star Program, Duke Clinical Research Institute, Durham, NC.
Layla ShawDuke Star Program, Duke Clinical Research Institute, Durham, NC.
Louis HarrisonDuke Star Program, Duke Clinical Research Institute, Durham, NC.
Gabrielle ScalesDuke Star Program, Duke Clinical Research Institute, Durham, NC.
Nicole BellDuke Star Program, Duke Clinical Research Institute, Durham, NC.
Christoph P HornikDuke Clinical Research Institute & Department of Pediatrics, Duke University School of Medicine, Durham, NC. Electronic address: christoph.hornik@duke.edu.
Clinical Research Institute · USDuke University · USUniversity of North Carolina at Chapel Hill · US

Funding

Duke Research Training Program for PediatriciansT32HD043029 · NICHD · DUKE UNIVERSITY · PI BENJAMIN, DANIEL K. · 2002 to 2017
$3.7M
Mentorship of early-career pediatricians in quantitiative methods and therapeuticK24HD058735 · NICHD · DUKE UNIVERSITY · PI BENJAMIN, DANIEL K. · 2009 to 2018
$1.5M
Multidisciplinary Neonatal Training GrantT32HD043728 · NICHD · DUKE UNIVERSITY · PI GOLDBERG, RONALD · 2005 to 2014
$1.3M
NIH Summer Research Experience Programs (R25)R25HD076475 · NICHD · DUKE UNIVERSITY · PI BENJAMIN, DANIEL K. · 2013 to 2023
$1.1M
Echocardiogram to Diagnose Pulmonary Hypertension in Premature InfantsR34HL124038 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LAUGHON, MATTHEW · 2015 to 2016
$719k
Pharmacokinetics, Pharmacodynamics, and Safety of Methylprednisolone in Neonates on Cardiopulmonary BypassK23HD090239 · NICHD · DUKE UNIVERSITY · PI HORNIK, CHRISTOPH · 2017 to 2020
$646k
Antimicrobial pharmacokinetics and outcomes in vulnerable infantsK23HD068497 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LAUGHON, MATTHEW · 2011 to 2015
$586k
PATIENT SAFETY RESEARCH DURING NEONATAL CARE (R21)R21HD080606 · NICHD · DUKE UNIVERSITY · PI SMITH, PHILLIP BRIAN · 2015 to 2016
$457k
NHLBI NIH HHS R34 HL124038NICHD NIH HHS K23 HD068497NICHD NIH HHS K23 HD090239NICHD NIH HHS K24 HD058735NICHD NIH HHS R21 HD080606NICHD NIH HHS R25 HD076475NICHD NIH HHS T32 HD043029NICHD NIH HHS T32 HD043728
6 · The paper itself

Abstract

objectiveTo evaluate the association between furosemide exposure and patent ductus arteriosus (PDA) in a large, contemporary cohort of hospitalized infants with very low birth weight (VLBW). STUDY

designUsing the Pediatrix Medical Group Clinical Data Warehouse, we identified all inborn infants of VLBW <37 weeks of gestation discharged from the neonatal intensive care unit after the first postnatal week from 2011 to 2015. We defined PDA as any medical (ibuprofen or indomethacin) or surgical PDA therapy. We collected data up to the day of PDA treatment or postnatal day 18 for infants not diagnosed with PDA. We performed multivariable logistic regression to evaluate the association between PDA and exposure to furosemide.

resultsWe included 43 576 infants from 337 neonatal intensive care units, of whom 6675 (15%) underwent PDA treatment. Infants with PDA were more premature and more often exposed to mechanical ventilation and inotropes. Furosemide was prescribed to 4055 (9%) infants. On multivariable regression, exposure to furosemide was associated with decreased odds of PDA treatment (OR 0.72; 95% CI 0.65-0.79). Increasing percentage of days with furosemide exposure was not associated with PDA treatment (OR 1.01; 95% CI 0.97-1.06).

conclusionsFurosemide exposure was not associated with increased odds of PDA treatment in hospitalized infants of VLBW. Further studies are needed to characterize the efficacy and safety of furosemide in premature infants.

Indexed as

Infant, Very Low Birth WeightDuctus Arteriosus, PatentFemaleFurosemideHospitalizationHumansInfant, NewbornInfant, PrematureInfant, Premature, DiseasesLogistic ModelsMaleRetrospective StudiesRisk FactorsSodium Potassium Chloride Symporter InhibitorsFurosemideSodium Potassium Chloride Symporter Inhibitorsfurosemide exposurepatent ductus arteriosusvery low birth weight infants

Identifiers

PMID29752171
PMCPMC6063759
OpenAlexW2801682062

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.