Evidence map›Paper›PMID 30932030›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2019

Dysnatremia in extremely low birth weight infants is associated with multiple adverse outcomes.

Christopher S Monnikendam, Thornton S Mu, James K Aden, William Lefkowitz, Nicholas R Carr, Christine N Aune, Kaashif A Ahmad

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 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

20 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
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  3. Observational
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Sodium and Growth in Preterm Infants: A Review.Newborn (Clarksville, Md.) · 2023
    Article
  15. Article
  16. Association of early dysnatremia with mortality in the neonatal intensive care unit: results from the AWAKEN study.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  17. Article
  18. Review
  19. Review
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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

7 authors at 3 institutions in 1 country.

Christopher S MonnikendamDepartment of Pediatrics, Naval Medical Center Portsmouth, Portsmouth, VA, USA.
Thornton S MuDepartment of Pediatrics, Brooke Army Medical Center, San Antonio, TX, USA. thornton.s.mu.mil@mail.mil.
James K AdenDepartment of Graduate Medical Education, Brooke Army Medical Center, San Antonio, TX, USA.
William LefkowitzDepartment of Pediatrics, Tripler Army Medical Center, Honolulu, HI, USA.
Nicholas R CarrDepartment of Pediatrics, Brooke Army Medical Center, San Antonio, TX, USA.ORCID http://orcid.org/0000-0002-2488-2568
Christine N AunePediatrix Medical Group, San Antonio, TX, USA.
Kaashif A AhmadPediatrix Medical Group, San Antonio, TX, USA.
Brooke Army Medical Center · USNaval Medical Center Portsmouth · USTripler Army Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study is to discern patterns of serum sodium in a broad cohort of extremely low birth weight (ELBW) infants and associate those patterns with hospital outcomes. STUDY

designRetrospective cohort study of ELBW infants from 323 neonatal intensive care units (NICUs) discharged from 2004 to 2014. We included patients who survived at least 7 days and had daily sodium levels available, and categorized infants by their minimum and maximum sodium levels.

resultsWe identified 26,871 infants of whom 12,428 met inclusion criteria. Only 1964 (15.8%) maintained eunatremia for the first week. We found most dysnatremias to be associated with increased overall mortality compared with eunatremic patients including moderate hyponatremia (12.9% vs. 8.6%, p < 0.05) and severe hypernatremia (34.8% vs. 8.6%, p < 0.001). Most of these associations were maintained after regression modeling for mortality.

conclusionSodium fluctuations occurring within the first week of life are associated with increased mortality.

Indexed as

Case-Control StudiesDatabases, FactualFemaleHumansHypernatremiaHyponatremiaInfant, Extremely Low Birth WeightInfant, Extremely PrematureInfant, NewbornIntensive Care Units, NeonatalMaleRetrospective StudiesSodiumSodium

Identifiers

PMID30932030
OpenAlexW2928053458

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.