Evidence map›Paper›PMID 30425337›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2019

Lowest PaCO2 on the first day of life predicts mortality and morbidity among infants with congenital diaphragmatic hernia.

Minal J Patel, Cynthia S Bell, Kevin P Lally, Pamela A Lally, Lakshmi I Katakam, Congenital Diaphragmatic Hernia Study Group

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Article
  3. Observational
  4. Predicting neonatal mortality prior to discharge from hospital in prenatally diagnosed left congenital diaphragmatic hernia.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2024
    Article
  5. Association between initial ventilation mode and hospital outcomes for severe congenital diaphragmatic hernia.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  6. Congenital diaphragmatic hernia.Nature reviews. Disease primers · 2022
    Review
  7. 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

6 authors at 2 institutions in 1 country.

Minal J PatelDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, University of Texas McGovern Medical School, Houston, TX, USA. minal.patel2@bcm.edu.
Cynthia S BellDivision of Nephrology and Hypertension, Department of Pediatrics, University of Texas McGovern Medical School, Houston, TX, USA.ORCID http://orcid.org/0000-0002-2366-1843
Kevin P LallyDepartment of Pediatric Surgery, University of Texas McGovern Medical School and Children's Memorial Hermann Hospital, Houston, TX, USA.
Pamela A LallyDepartment of Pediatric Surgery, University of Texas McGovern Medical School and Children's Memorial Hermann Hospital, Houston, TX, USA.
Lakshmi I KatakamDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, University of Texas McGovern Medical School, Houston, TX, USA.
Congenital Diaphragmatic Hernia Study Group
Memorial Hermann · USThe University of Texas Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the association between hypercarbia in the first 24 h of life and clinical outcomes in infants with congenital diaphragmatic hernia (CDH). STUDY

designRetrospective review of patients entered into the CDHSG registry between 2007-2014. Half of the identified patients were analyzed to identify the PaCO2 value most predictive of mortality. Prediction models for outcomes of death, ECMO, and respiratory support at 30 days of life (DOL) were developed using PaCO2. Remaining half of data was used for validation of study findings.

results1878 and 1875 patients were analyzed in the testing and validation groups. Lowest PaCO2≥60 mmHg in the first DOL is highly predictive of death prior to discharge. Prediction models including this variable demonstrate good discrimination for outcomes of death, ECMO, and respiratory support (AUC 0.8808, 0.8279, 0.8065).

conclusionLowest PaCO2 in the first DOL is an independent risk factor of mortality and morbidity in CDH.

Indexed as

Carbon DioxideExtracorporeal Membrane OxygenationFemaleHernias, Diaphragmatic, CongenitalHumansInfant, NewbornLogistic ModelsMaleMorbidityMultivariate AnalysisPredictive Value of TestsRegistriesRetrospective StudiesRisk FactorsSeverity of Illness IndexTexasCarbon Dioxide

Identifiers

PMID30425337
OpenAlexW2901234905

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.