Evidence map›Paper›PMID 30288600›Full record

Observational studyPediatric cardiology2019

Respiratory Testing and Hospital Outcomes in Asymptomatic Infants Undergoing Heart Surgery.

Claudia Delgado-Corcoran, Anne J Blaschke, Zhining Ou, Angela P Presson, Phillip T Burch, Charles G Pribble, Shaji C Menon

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Pediatric cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

7 authors at 2 institutions in 1 country.

Claudia Delgado-CorcoranDivision of Pediatric Critical Care Medicine, Department of Pediatrics, School of Medicine, University of Utah, 295 Chipeta Way, PO BOX 581289, Salt Lake City, UT, 84108, USA. Claudia.delgado@hsc.utah.edu.ORCID http://orcid.org/0000-0001-6449-225X
Anne J BlaschkeDivision of Pediatric Infectious Diseases, Department of Pediatrics, School of Medicine, University of Utah, 295 Chipeta Way, PO BOX 581289, Salt Lake City, UT, 84108, USA.
Zhining OuDivision of Epidemiology, Department of Internal Medicine, School of Medicine, University of Utah, 295 Chipeta Way, PO BOX 581289, Salt Lake City, UT, 84108, USA.
Angela P PressonDivision of Epidemiology, Department of Internal Medicine, School of Medicine, University of Utah, 295 Chipeta Way, PO BOX 581289, Salt Lake City, UT, 84108, USA.
Phillip T BurchDepartment of Cardiothoracic Surgery, Cook Children's Medical Center, 1500 Cooper Street, 3rd Floor, Fort Worth, TX, 76104, USA.
Charles G PribbleDivision of Pediatric Critical Care Medicine, Department of Pediatrics, School of Medicine, University of Utah, 295 Chipeta Way, PO BOX 581289, Salt Lake City, UT, 84108, USA.
Shaji C MenonDivision of Pediatric Cardiology, Department of Pediatrics, School of Medicine, University of Utah, 100 N. Mario Cappechi Dr., Salt Lake City, UT, 84113, USA.
University of Utah · USCook Children's Medical Center · US

Funding

University of Utah Center for Clinical and Translational ScienceUL1TR001067 · NCATS · UNIVERSITY OF UTAH · PI DERE, WILLARD H., HESS, RACHEL · 2013 to 2017
$19.8M
Foundation for the National Institutes of Health UL1TR001067Foundation for the National Institutes of Health UL1TR001067.NCATS NIH HHS UL1 TR001067
6 · The paper itself

Abstract

Respiratory viral infections in infants undergoing congenital heart surgery lead to prolonged intubation time, hospital (HLOS) and cardiac intensive care unit length of stay (CICU LOS). The objective of this study was to evaluate the prevalence of respiratory viruses using molecular testing in otherwise healthy infants presenting for low complexity heart surgery, and to evaluate the impact of a positive viral screen and study questionnaire on post-surgical HLOS, CICU LOS, intubation time, respiratory complications, and oxygen therapy at home discharge. Sixty-nine infants (1 month to 1 year) undergoing cardiac surgery from November to May of the years 2012 to 2014 were prospectively enrolled, surveyed and tested. We compared the outcomes of positive molecular testing and positive study questionnaire to test negative subjects. We also evaluated the predictive value of study questionnaire in identification of viruses by molecular testing. Of the 69 enrolled infants, 58 had complete information available for analysis. 17 (30%) infants tested positive by molecular testing for respiratory pathogens. 38 (65%) had a "positive" questionnaire. Among the 20 viruses detected, Human Rhinovirus was the most common 12 (60%). Seven (12%) of the 58 patients developed respiratory symptoms following surgery prompting molecular testing. Four of these tested positive for a respiratory virus post-surgically. Neither positive molecular testing nor a positive questionnaire prior to surgery was associated with greater post-operative HLOS, CICU LOS, intubation time, respiratory complications, or use of oxygen at discharge compared to negative testing. The questionnaire poorly predicted positive molecular testing. Routine screening for respiratory viruses in asymptomatic infants may not be an effective strategy to predict infants at risk of post-operative complications.

Indexed as

Cardiac Surgical ProceduresFemaleHeart Defects, CongenitalHumansInfantInfant, NewbornIntensive Care UnitsIntubation, IntratrachealLength of StayMaleMass ScreeningOxygen Inhalation TherapyPostoperative ComplicationsPrevalenceProspective StudiesRespiratory Tract InfectionsCardiac surgery in infantsCongenital heart diseaseMolecular testingPre-operative questionnairePre-operative testingRespiratory Infection

Identifiers

PMID30288600
PMCPMC7079936
OpenAlexW2895423696

What OpenQuestion holds

Textmetadata
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.