Evidence map›Paper›PMID 30193125›Full record

ArticleEarly human development2018

Prolonged furosemide exposure and risk of abnormal newborn hearing screen in premature infants.

Laura A Wang, P Brian Smith, Matthew Laughon, Ronald N Goldberg, Lawrence C Ku, Kanecia O Zimmerman, Stephen Balevic, Reese H Clark, Daniel K Benjamin, Rachel G Greenberg and 1 more

Open access · greenAbstract read
In one paragraph

Article in Early human development, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

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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

11 authors at 3 institutions in 1 country.

Laura A WangDuke University, Durham, NC, USA.
P Brian SmithDuke University, Durham, NC, USA; Duke Clinical Research Institute, Durham, NC, USA.
Matthew LaughonUniversity of North Carolina, Chapel Hill, NC, USA.
Ronald N GoldbergDuke University, Durham, NC, USA.
Lawrence C KuDuke University, Durham, NC, USA.
Kanecia O ZimmermanDuke University, Durham, NC, USA; Duke Clinical Research Institute, Durham, NC, USA.
Stephen BalevicDuke University, Durham, NC, USA.
Reese H ClarkPediatrix-Obstetrix Center for Research and Education, Sunrise, FL, USA.
Daniel K BenjaminClemson University, Clemson, SC, USA.
Rachel G GreenbergDuke University, Durham, NC, USA; Duke Clinical Research Institute, Durham, NC, USA. Electronic address: rachel.greenberg@duke.edu.
Best Pharmaceuticals for Children Act – Pediatric Trials Network Steering Committee
Duke University · USClemson University · USUniversity of North Carolina at Chapel Hill · US

Funding

COVID-19 Supplement - Center for Innovative TRIals in ChilDrEN and AdulTs (TRIDENT)U24TR001608 · NCATS · DUKE UNIVERSITY · PI BENJAMIN, DANIEL K., BERNARD, GORDON RAPHAEL · 2016 to 2022
$177.0M
UNC-Duke Collaborative Clinical Pharmacology Postdoctoral Training Program-Evaluation SupplementT32GM086330 · NIGMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KIM L.R. BROUWER, Daniel Gonzalez · 2011 to 2026
$8.5M
Center for Molecular &Cellular Studies of Ped DiseaseK12HD043494 · NICHD · DUKE UNIVERSITY · PI REED, ANN M. · 2003 to 2017
$5.2M
Duke Research Training Program for PediatriciansT32HD043029 · NICHD · DUKE UNIVERSITY · PI BENJAMIN, DANIEL K. · 2002 to 2017
$3.7M
Investigating polypharmacy-related adverse events in critically ill children using electronic health records and simulated drug levelsK23HD091398 · NICHD · DUKE UNIVERSITY · PI ZIMMERMAN, KANECIA OBIE · 2017 to 2020
$629k
NCATS NIH HHS U24 TR001608NICHD NIH HHS HHSN275201000003INICHD NIH HHS K12 HD043494NICHD NIH HHS K23 HD091398NICHD NIH HHS T32 HD043029NIGMS NIH HHS T32 GM086330
6 · The paper itself

Abstract

backgroundAt very high doses, furosemide is linked to ototoxicity in adults, but little is known about the risk of hearing loss in premature infants exposed to furosemide.

aimsEvaluate the association between prolonged furosemide exposure and abnormal hearing screening in premature infants. STUDY

designUsing propensity scoring, infants with prolonged (≥28 days) exposure to furosemide were matched to infants never exposed. The matched sample was used to estimate the impact of prolonged furosemide exposure on the probability of an abnormal hearing screen prior to hospital discharge. SUBJECTS: A cohort of infants 501-1250 g birth weight and 23-29 weeks gestational age discharged home from 210 neonatal intensive care units in the United States (2004-2013). OUTCOME MEASURES: We defined abnormal hearing screen as a result of either "fail" or "refer" for either ear.

resultsAltogether, 1020 infants exposed to furosemide for ≥28 days were matched to 790 unique infants never exposed, yielding a total of 1042 matches due to sampling with replacement and propensity score ties. Matching resulted in a population similar in baseline characteristics. After adjusting for covariates, the proportion of infants with an abnormal hearing screen in the furosemide-exposed group was not significantly higher than the never-exposed group (absolute difference 3.0% [95% CI -0.2-6.2%], P = 0.07).

conclusionsProlonged furosemide exposure was associated with a positive, but not statistically significant, difference in abnormal hearing screening in premature infants. Additional studies with post-hospital discharge audiology follow-up are needed to further evaluate the safety of furosemide in this population.

Indexed as

Bronchopulmonary DysplasiaDiureticsEvoked Potentials, Auditory, Brain StemFemaleFurosemideGestational AgeHearing LossHearing TestsHumansInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalMalePregnancyDiureticsFurosemideDiureticHearing lossOtotoxicityPretermSafety

Identifiers

PMID30193125
PMCPMC6186186
OpenAlexW2892233303

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.