Evidence map›Paper›PMID 31201254›Full record

ArticleArchives of disease in childhood. Fetal and neonatal edition2020

Genetic background of high blood pressure is associated with reduced mortality in premature neonates.

Wolfgang Göpel, Mirja Müller, Heike Rabe, Johannes Borgmann, Tanja K Rausch, Kirstin Faust, Angela Kribs, Jörg Dötsch, David Ellinghaus, Christoph Härtel and 7 more

Open access · hybridAbstract read
In one paragraph

Article in Archives of disease in childhood. Fetal and neonatal edition, 2020. 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
2.6field-weighted citation impact, top 11% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
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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

17 authors at 9 institutions in 3 countries.

Wolfgang GöpelPaediatrics, University of Lübeck, Lübeck, Germany.
Mirja MüllerPaediatrics, University of Lübeck, Lübeck, Germany.
Heike RabeNeonatology, Brighton Sussex University Hospitals NHS Trust, Brighton, UK.ORCID http://orcid.org/0000-0002-2047-8875
Johannes BorgmannPaediatrics, University of Lübeck, Lübeck, Germany.
Tanja K RauschInstitute for Medical Biometry and Statistics Lübeck, Lübeck, Germany.
Kirstin FaustPaediatrics, University of Lübeck, Lübeck, Germany.
Angela KribsNeonatology and Pediatric Intensive Care, University Hospital of Cologne, Cologne, Germany.
Jörg DötschDepartment of Paediatrics, University of Cologne, Cologne, Germany.
David EllinghausInstitute of Clinical Molecular Biology, Christian-Albrechts-Universitat zu Kiel, Kiel, Germany.
Christoph HärtelPaediatrics, University of Lübeck, Lübeck, Germany.
Claudia RollNeonatology, Universitat Witten/Herdecke, Witten, Germany.
Miklos SzaboNeonatology, Semmelweis University, Budapest, Hungary.
Peter NürnbergCologne Center for Genomics, University Hospital of Cologne, Cologne, Germany.
Andre FrankeInstitute of Clinical Molecular Biology, Christian-Albrechts-Universitat zu Kiel, Kiel, Germany.
Inke R KönigInstitute for Medical Biometry and Statistics Lübeck, Lübeck, Germany.
Mark A TurnerDivision of Perinatal Reproductive Medicine, University of Liverpool, Liverpool, UK.ORCID http://orcid.org/0000-0002-5299-8656
Egbert HertingPaediatrics, University of Lübeck, Lübeck, Germany.
University of Lübeck · DEChristian-Albrechts-Universität zu Kiel · DEUniversity Hospital Cologne · DEZimmer Biomet (Germany) · DESemmelweis University · HUUniversity Hospitals Sussex NHS Foundation Trust · GBUniversity of Cologne · DEUniversity of Liverpool · GBWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of our study was to determine if a genetic background of high blood pressure is a survival factor in preterm infants.

designProspective cohort study.

settingPatients were enrolled in 53 neonatal intensive care units. PATIENTS: Preterm infants with a birth weight below 1500 g. EXPOSURES: Genetic score blood pressure estimates were calculated based on adult data. We compared infants with high genetic blood pressure estimates (>75th percentile of the genetic score) to infants with low genetic blood pressure estimates (<25th percentile of the genetic score).

main outcome measuresLowest blood pressure on the first day of life and mortality.

results5580 preterm infants with a mean gestational age of 28.1±2.2 weeks and a mean birth weight of 1022±299 g were genotyped and analysed. Infants with low genetic blood pressure estimates had significantly lower blood pressure if compared with infants with high genetic blood pressure estimates (27.3±6.2vs 27.9±6.4, p=0.009, t-test). Other risk factors for low blood pressure included low gestational age (-1.26 mm Hg/week) and mechanical ventilation (-2.24 mm Hg, p<0.001 for both variables, linear regression analysis). Mortality was significantly reduced in infants with high genetic blood pressure estimates (28-day mortality: 21/1395, 1.5% vs 44/1395, 3.2%, p=0.005, Fisher's exact test). This survival advantage was independent of treatment with catecholamines.

conclusionsOur study provides first evidence that a genetic background of high blood pressure may be beneficial with regard to survival of preterm infants.

Indexed as

Genetic Predisposition to DiseaseBlood PressureFemaleGenotypeGestational AgeHumansHypertensionInfantInfant, NewbornInfant, PrematureInfant, Very Low Birth WeightIntensive Care Units, NeonatalMalePerinatal MortalityProspective StudiesRisk Factorsgeneticshypotensionmortalityneonatology

Identifiers

PMID31201254
PMCPMC7063394
OpenAlexW2949722047

What OpenQuestion holds

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LicenceCC BY-NC
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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.