Evidence map›Paper›PMID 30089091›Full record

ReviewRambam Maimonides medical journal2018

Less is More: Modern Neonatology.

Amir Kugelman, Liron Borenstein-Levin, Huda Jubran, Gil Dinur, Shlomit Ben-David, Elena Segal, Julie Haddad, Fanny Timstut, Iris Stein, Imad R Makhoul and 1 more

Abstract readReview
In one paragraph

Review in Rambam Maimonides medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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.

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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Enhancing the estimation of PaCOBiomedical engineering online · 2024
    Article
  5. Article
  6. Perceived Stress as a Predictor of Partnership Relation Quality in Polish Mothers of Preterm-Born Children.International journal of environmental research and public health · 2019
    Article
  7. Neonatal Respiratory Distress Syndrome: Tackling A Worldwide Problem.P & T : a peer-reviewed journal for formulary management · 2019
    Article
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

11 authors.

Amir KugelmanDepartment of Neonatology, Rambam Health Care Campus, Haifa, Israel.
Liron Borenstein-LevinDepartment of Neonatology, Rambam Health Care Campus, Haifa, Israel.
Huda JubranDepartment of Neonatology, Rambam Health Care Campus, Haifa, Israel.
Gil DinurDepartment of Neonatology, Rambam Health Care Campus, Haifa, Israel.
Shlomit Ben-DavidDepartment of Neonatology, Rambam Health Care Campus, Haifa, Israel.
Elena SegalDepartment of Neonatology, Rambam Health Care Campus, Haifa, Israel.
Julie HaddadDepartment of Neonatology, Rambam Health Care Campus, Haifa, Israel.
Fanny TimstutDepartment of Neonatology, Rambam Health Care Campus, Haifa, Israel.
Iris SteinDepartment of Neonatology, Rambam Health Care Campus, Haifa, Israel.
Imad R MakhoulDepartment of Neonatology, Rambam Health Care Campus, Haifa, Israel.
Ori HochwaldDepartment of Neonatology, Rambam Health Care Campus, Haifa, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Iatrogenesis is more common in neonatal intensive care units (NICUs) because the infants are vulnerable and exposed to prolonged intensive care. Sixty percent of extremely low-birth-weight infants are exposed to iatrogenesis. The risk factors for iatrogenesis in NICUs include prematurity, mechanical or non-invasive ventilation, central lines, and prolonged length of stay. This led to the notion that "less is more." In the delivery room delayed cord clamping is recommended for term and preterm infants, and suction for the airways in newborns with meconium-stained fluid is not performed anymore. As a symbol for a less aggressive attitude we use the term neonatal stabilization rather than resuscitation. Lower levels of oxygen saturations are accepted as normal during the first 10 minutes of life, and if respiratory assistance is needed, we no longer use 100% oxygen but 0.21-0.3 FiO

Identifiers

PMID30089091
PMCPMC6115478

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.