Evidence map›Paper›PMID 30072805›Full record

ReviewPediatric research2018

Application of Neonatologist Performed Echocardiography in the assessment and management of persistent pulmonary hypertension of the newborn.

Willem P de Boode, Yogen Singh, Zoltan Molnar, Ulf Schubert, Marilena Savoia, Arvind Sehgal, Philip T Levy, Patrick J McNamara, Afif El-Khuffash, European Special Interest Group ‘Neonatologist Performed Echocardiography’ (NPE)

Open access · hybridAbstract readReview
In one paragraph

Review in Pediatric research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 pooled it
7.3field-weighted citation impact, top 2% 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

61 citing papers in PubMed, 2 syntheses or guidelines pooled it, 126 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Characteristics and outcomes of preterm infants with early pulmonary hypertension.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Observational
  18. Review
  19. Article
  20. Article

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 7 countries.

Willem P de BoodeDepartment of Neonatology, Radboud University Medical Center, Radboud Institute for Health Sciences, Amalia Children's Hospital, Nijmegen, The Netherlands. willem.deboode@radboudumc.nl.
Yogen SinghAddenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Zoltan MolnarJohn Radcliffe Hospital, Oxford, United Kingdom.
Ulf SchubertDepartment of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
Marilena SavoiaAzienda Ospedaliero-Universitaria S. Maria della Misericordia, Udine, Italy.
Arvind SehgalDepartment of Pediatrics, Monash University, Melbourne, Australia.
Philip T LevyDepartment of Pediatrics, Washington University School of Medicine, Saint Louis, MO, USA.
Patrick J McNamaraDepartments of Pediatrics and Physiology, University of Toronto, Toronto, ON, Canada.
Afif El-KhuffashDepartment of Neonatology, The Rotunda Hospital, Dublin, Ireland.
European Special Interest Group ‘Neonatologist Performed Echocardiography’ (NPE)
Radboud University Nijmegen · NLUniversity of Toronto · CACambridge University Hospitals NHS Foundation Trust · GBGoryeb Children's Hospital · USJohn Radcliffe Hospital · GBKarolinska Institutet · SEMonash University · AURoyal College of Surgeons in Ireland · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary hypertension contributes to morbidity and mortality in both the term newborn infant, referred to as persistent pulmonary hypertension of the newborn (PPHN), and the premature infant, in the setting of abnormal pulmonary vasculature development and arrested growth. In the term infant, PPHN is characterized by the failure of the physiological postnatal decrease in pulmonary vascular resistance that results in impaired oxygenation, right ventricular failure, and pulmonary-to-systemic shunting. The pulmonary vasculature is either maladapted, maldeveloped, or underdeveloped. In the premature infant, the mechanisms are similar in that the early onset pulmonary hypertension (PH) is due to pulmonary vascular immaturity and its underdevelopment, while late onset PH is due to the maladaptation of the pulmonary circulation that is seen with severe bronchopulmonary dysplasia. This may lead to cor-pulmonale if left undiagnosed and untreated. Neonatologist performed echocardiography (NPE) should be considered in any preterm or term neonate that presents with risk factors suggesting PPHN. In this review, we discuss the risk factors for PPHN in term and preterm infants, the etiologies, and the pathophysiological mechanisms as they relate to growth and development of the pulmonary vasculature. We explore the applications of NPE techniques that aid in the correct diagnostic and pathophysiological assessment of the most common neonatal etiologies of PPHN and provide guidelines for using these techniques to optimize the management of the neonate with PPHN.

Indexed as

Bronchopulmonary DysplasiaEchocardiographyHeart Defects, CongenitalHeart VentriclesHemodynamicsHumansHypertension, PulmonaryInfant, NewbornInfant, PrematureMyocardiumNeonatologistsNeonatologyPersistent Fetal Circulation SyndromePulmonary CirculationRisk FactorsTricuspid Valve

Identifiers

PMID30072805
PMCPMC6257221
OpenAlexW2885281024

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.