Evidence map›Paper›PMID 30301739›Full record

Observational studyHospital pediatrics2018

Radiation Exposure of Premature Infants Beyond the Perinatal Period.

Alexander H Hogan, Eran Bellin, Lindsey Douglas, Terry L Levin, Nora Esteban-Cruciani

Abstract readObservational Study
In one paragraph

Observational study in Hospital pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Observational
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.

Alexander H HoganConnecticut Children's Medical Center, Hartford, Connecticut; ahogan@connecticutchildrens.org.
Eran BellinDepartment of Epidemiology and Population Health.
Lindsey DouglasThe Mount Sinai Hospital, Manhattan, New York; and.
Terry L LevinAlbert Einstein College of Medicine Bronx, New York.
Nora Esteban-CrucianiEinstein Medical Center Philadelphia, Philadelphia, Pennsylvania.

Funding

Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
NCATS NIH HHS UL1 TR001073
6 · The paper itself

Abstract

objectivesTo determine the odds of premature compared with term infants exceeding the recommended radiation exposure threshold in the first year after discharge from birth hospitalization.

methodsIn this observational retrospective cohort study, we compared the radiation exposure of premature and term infants between 2008 and 2015 in an urban hospital system. The primary outcome was crossing the radiation exposure threshold of 1 millisievert. We assessed prematurity's effect on this outcome with multivariable logistic regression.

resultsIn our study, 20 049 term and 2047 preterm infants met inclusion criteria. The population was approximately one-half female, predominantly multiracial or people of color (40% African American and 44% multiracial), and of low socioeconomic status. Premature infants had 2.25 times greater odds of crossing the threshold compared with term infants after adjustment for demographics (95% confidence interval [CI]: 1.66-3.05). Adjustment for complex chronic conditions, which are validated metrics of pediatric chronic illness, attenuated this association; however, premature infants still had 1.58 times greater odds of crossing the threshold (95% CI: 1.16-2.15). When the final model was analyzed by degree of prematurity, very preterm and extremely preterm infants were significantly more likely to cross the threshold (1.85 [95% CI: 1.03-3.32] and 2.53 [95% CI: 1.53-4.21], respectively), whereas late preterm infants were not (1.14 [95% CI: 0.73-1.78]).

conclusionsPremature infants crossed the recommended radiation threshold more often than term infants in the year after discharge from birth hospitalization.

Indexed as

Infant, PrematurePremature BirthTerm BirthChild, PreschoolDose-Response Relationship, RadiationEthnicityFemaleHumansInfantInfant, NewbornLogistic ModelsMaleRadiation ExposureRetrospective StudiesUnited States

Identifiers

PMID30301739
PMCPMC6207094

What OpenQuestion holds

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Registered trials

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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.