Evidence map›Paper›PMID 29795318›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2018

Association of admission temperature and death or adverse neurodevelopmental outcomes in extremely low-gestational age neonates.

Joseph Y Ting, Anne R Synnes, Shoo K Lee, Prakesh S Shah, Canadian Neonatal Network and Canadian Neonatal Follow-Up Network

Abstract read
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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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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.

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.

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  16. Perinatal quality improvement bundle to decrease hypothermia in extremely low birthweight infants with birth weight less than 1000 g: single-center experience over 6 years.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2020
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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

5 authors.

Joseph Y TingDepartment of Pediatrics, University of British Columbia, Vancouver, BC, Canada.
Anne R SynnesDepartment of Pediatrics, University of British Columbia, Vancouver, BC, Canada.ORCID http://orcid.org/0000-0002-6917-0978
Shoo K LeeMaternal-Infant Care Research Centre, Mount Sinai Hospital, Toronto, ON, Canada.
Prakesh S ShahMaternal-Infant Care Research Centre, Mount Sinai Hospital, Toronto, ON, Canada. Prakeshkumar.Shah@sinaihealthsystem.ca.
Canadian Neonatal Network and Canadian Neonatal Follow-Up Network

Funding

CIHR APR-126340CIHR FRN87518CIHR PBN150642
6 · The paper itself

Abstract

objectivePreterm infants are at higher risk of developing hypothermia and complications from cold stress, resulting in high mortality and short-term morbidity. Our objective is to evaluate the association between admission temperatures of extremely low-gestational age neonates (ELGAN) (<29 weeks') and adverse short-term neurodevelopmental outcomes. STUDY

designIn this retrospective study, we included ELGAN admitted to NICUs across Canada between April 2009 and September 2011, who underwent neurodevelopmental assessment at 18-21 months' corrected age.

resultsOf 2739 infants with a complete data set identified during the study period, 968 (35.3%) had admission temperatures ≤36.4 °C (hypothermia group), 1489 (54.5%) had temperature of 36.5-37.2 °C (normothermia group), and 282 (10.3%) had hyperthermia (≥37.3 °C). Their mean birth weight was 823 ± 230 g, 944 ± 227 g and 927 ± 223 g, respectively (p < 0.01). More than 50% of infants born at 23-24 weeks were in the hypothermic group compared to 28.5-36.1% at higher gestational ages. We found 39.5% of infants in the hypothermic group had primary composite outcome of death or severe neurodevelopmental impairment (sNDI). Multivariate logistic regression revealed an increased adjusted odd of primary composite outcome (OR = 1.32; 95% CI = [1.05, 1.66]) in the hypothermic group, compared to infants with normothermia on admission.

conclusionsIn our cohort of ELGAN, hypothermia on admission was associated with increased risk of death or sNDI.

Indexed as

Body TemperatureInfant, Extremely PrematureCanadaCohort StudiesFemaleGestational AgeHospital MortalityHumansHypothermiaInfantInfant MortalityInfant, NewbornIntensive Care Units, NeonatalLogistic ModelsMaleMultivariate Analysis

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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.