Evidence map›Paper›PMID 30337189›Full record

Trial reportThe Journal of pediatrics2019

Weaning of Moderately Preterm Infants from the Incubator to the Crib: A Randomized Clinical Trial.

Seetha Shankaran, Edward F Bell, Abbot R Laptook, Shampa Saha, Nancy S Newman, S Nadya J Kazzi, John Barks, Barbara J Stoll, Rebecca Bara, Jenna Gabrio and 19 more

Erratum issued 3 registry-linked trialsAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 3 registered trials, which are not on this map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 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.

NCT02160002 nacompletednot on this map

Incubator Weaning of Moderately Preterm Infants: A Randomized Controlled Trial

TypeinterventionalSponsorNICHD Neonatal Research NetworkRan2015 to 2017Enrolled366ConditionsInfant, Newborn, Infant, Moderate PretermArmsWeaning from an incubator at a lower weight (1600 grams), Weaning from an incubator at a higher weight (1800 grams)
NCT04351425 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Feasibility and Safety of Earlier Weaning of Preterm Newborn From Incubator to Cot at 1400 Grams

TypeinterventionalSponsorKing Fahad Medical CityRan2020 to 2020Enrolled61ConditionsPre-Term, Body Temperature Changes, Transition, Patient DischargeArmsWeaning to crib, Weaning from incubator
NCT06230172 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Early Weaning of Infants Less Than 1800 Grams From Incubator To Crib

TypeinterventionalSponsorAugusta UniversityRan2023 to 2024Enrolled50ConditionsHypothermia, Newborn, Body Temperature Changes, Newborn Thermal InjuryArmsWeaning incubator (heat) at an lower postnatal weight
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. EFFECTS OF HAMMOCK POSITIONING ON CLINICAL PARAMETERS IN PRETERM INFANTS ADMITTED TO A NEONATAL INTENSIVE CARE UNIT: A SYSTEMATIC REVIEW.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2020
    Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Transferring preterm infants into an open cot using a heated mattress at ≤ 1400 g.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors.

Seetha ShankaranDepartment of Pediatrics, Wayne State University, Detroit, MI. Electronic address: sshankar@med.wayne.edu.
Edward F BellDepartment of Pediatrics, University of Iowa, Iowa City, IA.
Abbot R LaptookDepartment of Pediatrics, Women & Infants Hospital, Brown University, Providence, RI.
Shampa SahaSocial, Statistical and Environmental Sciences Unit, RTI International, Research Triangle Park, NC.
Nancy S NewmanDepartment of Pediatrics, Rainbow Babies & Children's Hospital, Case Western Reserve University, Cleveland, OH.
S Nadya J KazziDepartment of Pediatrics, Wayne State University, Detroit, MI.
John BarksDepartment of Pediatrics, University of Michigan, Ann Arbor, MI.
Barbara J StollDepartment of Pediatrics, University of Texas Medical School at Houston, Houston, TX.
Rebecca BaraDepartment of Pediatrics, Wayne State University, Detroit, MI.
Jenna GabrioSocial, Statistical and Environmental Sciences Unit, RTI International, Research Triangle Park, NC.
Kirsten ChildsDepartment of Pediatrics, Wayne State University, Detroit, MI.
Abhik DasSocial, Statistical and Environmental Sciences Unit, RTI International, Rockville, MD.
Rosemary D HigginsEunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD.
Waldemar A CarloDivision of Neonatology, University of Alabama at Birmingham, Birmingham, AL.
Pablo J SánchezDepartment of Pediatrics, Nationwide Children's Hospital, Ohio State University College of Medicine, Columbus, OH.
David P CarltonDepartment of Pediatrics, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA.
Lara PavageauDepartment of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX.
William F MalcolmDepartment of Pediatrics, Duke University, Durham, NC.
Carl T D'AngioDepartment of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Robin K OhlsDepartment of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM.
Brenda B PoindexterDepartment of Pediatrics, Perinatal Institute, Cincinnati Children's Hospital, Cincinnati, OH.
Gregory M SokolDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN.
Krisa P Van MeursDepartment of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA.
Tarah T ColaizyDepartment of Pediatrics, University of Iowa, Iowa City, IA.
Ayman KhmourDepartment of Pediatrics, Children's Mercy Hospital, Kansas City, MO.
Karen M PuopoloDepartment of Pediatrics, The Children's Hospital of Philadelphia and The University of Pennsylvania, Philadelphia, PA.
Meena GargDepartment of Pediatrics, University of California, Los Angeles, CA.
Michele C WalshDepartment of Pediatrics, Rainbow Babies & Children's Hospital, Case Western Reserve University, Cleveland, OH.
Eunice Kennedy Shriver National Institute of Child Health, and Human Development Neonatal Research Network

Funding

NICHD Cooperative Multicenter Neonatal Research NetworkU10HD021385 · NICHD · WAYNE STATE UNIVERSITY · PI SHANKARAN, SEETHA · 1991 to 2015
$8.7M
NICHD Neonatal Research Network -- Cincinnati Clinical CenterUG1HD027853 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI STEPHANIE L MERHAR · 2016 to 2026
$3.7M
NICHD COPPERATIVE MULTICENTER NEONATAL RESEARCH NETWORKUG1HD040689 · NICHD · UT SOUTHWESTERN MEDICAL CENTER · PI Myra Helen Wyckoff · 2016 to 2026
$3.5M
NICHD Neonatal Research Network Clinical Center - Case Western Reserve UniversityUG1HD021364 · NICHD · CASE WESTERN RESERVE UNIVERSITY · PI Anna Maria Hibbs · 2016 to 2026
$3.5M
NICHD Neonatal Research Network - Stanford UniversityUG1HD027880 · NICHD · STANFORD UNIVERSITY · PI Valerie Chock · 2016 to 2026
$3.3M
NICHD Neonatal Research NetworkUG1HD027904 · NICHD · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI MARON, JILL LAMANNA · 2016 to 2024
$2.1M
Rochester-Buffalo Neonatal Research GroupUG1HD068263 · NICHD · UNIVERSITY OF ROCHESTER · PI BLISS, JOSEPH MARK · 2016 to 2024
$1.6M
NICHD NIH HHS U10 HD021385NICHD NIH HHS UG1 HD021364NICHD NIH HHS UG1 HD027853NICHD NIH HHS UG1 HD027880NICHD NIH HHS UG1 HD027904NICHD NIH HHS UG1 HD040689NICHD NIH HHS UG1 HD068263
6 · The paper itself

Abstract

objectiveTo assess whether length of hospital stay is decreased among moderately preterm infants weaned from incubator to crib at a lower vs higher weight. STUDY

designThis trial was conducted in the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Infants with gestational ages 29-33 weeks, birthweight <1600 g, and in an incubator were randomly assigned to a weaning weight of 1600 or 1800 g. Within 60 to 100 g of weaning weight, the incubator temperature was decreased by 1.0°C to 1.5°C every 24 hours until 28.0°C. The infants were weaned to the crib following stable temperature at 36.5°C to 37.4°C for 8 to 12 hours. Clothing and bedcoverings were standardized. The primary outcome was length of hospital stay from birth to discharge; secondary outcomes included length of stay and growth velocity from weaning to discharge. Adverse events were monitored.

resultsOf 1565 infants screened, 885 were eligible, and 366 enrolled-187 to the 1600-g and 179 to the 1800-g group. Maternal and neonatal characteristics did not differ among weight groups. Length of hospital stay was a median of 43 days in the lower and 41 days in the higher weight group (P = .12). Growth velocity from completion of weaning to discharge was higher in the lower weight group, 13.7 g/kg/day vs 12.8 g/kg/day (P = .005). Groups did not differ in adverse events.

conclusionsAmong moderately preterm neonates, weaning from incubator to crib at a lower weight did not decrease length of stay, but was safe and was accompanied by higher weight gain after weaning.

trial registrationClinicalTrials.gov: NCT02160002.

Indexed as

Body WeightFemaleHumansIncubators, InfantInfant EquipmentInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalLength of StayMalePatient Dischargeincubatormoderately preterm infantsrandomized controlled trialtemperatureweaning

Identifiers

PMID30337189
PMCPMC6326364

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Registered trials

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.