Evidence map›Paper›PMID 31519441›Full record

Trial reportThe Journal of pediatrics2020

The Effect of Extended Continuous Positive Airway Pressure on Changes in Lung Volumes in Stable Premature Infants: A Randomized Controlled Trial.

Ryan Lam, Diane Schilling, Brian Scottoline, Astrid Platteau, Meike Niederhausen, Kelli C Lund, Robert L Schelonka, Kelvin D MacDonald, Cindy T McEvoy

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 37 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 4 pooled it
5.6field-weighted citation impact, top 3% 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.

NCT02249143 nacompletednot on this map

Duration of Continuous Positive Airway Pressure and Pulmonary Function Testing in Preterm Infants

TypeinterventionalSponsorOregon Health and Science UniversityRan2014 to 2017Enrolled50ConditionsRespiratory Distress Syndrome, Bronchopulmonary DysplasiaArmsCPAP and room air
NCT04295564 nacompletednot on this map

Extending CPAP Therapy in Stable Preterm Infants to Increase Lung Growth and Function: A Randomized Controlled Trial

TypeinterventionalSponsorCynthia McEvoyRan2020 to 2024Enrolled100ConditionsNeonatal, Premature Birth, Respiratory Distress SyndromeArmsAdditional 2 weeks of CPAP
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 4 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
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  5. Trial
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  8. Article
  9. Bronchopulmonary dysplasia: its relationship to invasive modes of ventilation and the magnitude of respiratory support.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  10. Article
  11. Minimally invasive surfactant therapy outcomes in infants born at 28-37 weeks' gestation.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  12. Article
  13. Pulmonary function tests in the neonatal intensive care unit and beyond: a clinical review.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  14. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Ryan LamDivision of Neonatology, Department of Pediatrics, Oregon Health & Science University, Portland, OR.
Diane SchillingDivision of Neonatology, Department of Pediatrics, Oregon Health & Science University, Portland, OR.
Brian ScottolineDivision of Neonatology, Department of Pediatrics, Oregon Health & Science University, Portland, OR.
Astrid PlatteauDivision of Neonatology, Department of Pediatrics, Oregon Health & Science University, Portland, OR.
Meike NiederhausenBiostatistics and Design Program, Oregon Health & Science University-Portland State University School of Public Health, Portland, OR.
Kelli C LundDivision of Neonatology, Department of Pediatrics, Oregon Health & Science University, Portland, OR.
Robert L SchelonkaDivision of Neonatology, Department of Pediatrics, Oregon Health & Science University, Portland, OR.
Kelvin D MacDonaldDivision of Pediatric Pulmonology, Oregon Health & Science University, Portland, OR.
Cindy T McEvoyDivision of Neonatology, Department of Pediatrics, Oregon Health & Science University, Portland, OR. Electronic address: mcevoyc@ohsu.edu.
Oregon Health & Science University · US

Funding

Oregon Clinical and Translational Research InstituteUL1TR000128 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI ELLISON, DAVID H · 2012 to 2015
$28.7M
Maternal vitamin C supplementation to decrease effects of smoking during pregnancy on infant lung function and health:Follow-up of 2 randomized trials and association with changes in DNA methylationUH3OD023288 · OD · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia T McEvoy, ELIOT R SPINDEL · 2018 to 2026
$12.1M
VitC to Decrease Effects of Smoking in Pregnancy on Infant Lung Function-CCC-LeadR01HL105447 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI MCEVOY, CYNTHIA T · 2012 to 2021
$9.8M
Multidisciplinary Training Program in Pediatric PulmonaryT32HL072748 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Joseph Michael Collaco · 2003 to 2026
$6.1M
Multidisciplinary Research Training in Pulmonary MedicineT32HL083808 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI LEWINSOHN, DAVID M., SLATORE, CHRISTOPHER G. · 2008 to 2025
$5.3M
CPAP Drives Lung Growth and Pulmonary Function in Moderately Preterm PrimatesR01HL129060 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI MCEVOY, CYNTHIA T, SPINDEL, ELIOT R · 2015 to 2019
$3.9M
NCATS NIH HHS UL1 TR000128NHLBI NIH HHS R01 HL105447NHLBI NIH HHS R01 HL129060NHLBI NIH HHS T32 HL072748NHLBI NIH HHS T32 HL083808NIH HHS UH3 OD023288
6 · The paper itself

Abstract

objectiveTo compare changes in lung volumes, as measured by functional residual capacity (FRC), through to discharge in stable infants randomized to 2 weeks of extended continuous positive airway pressure CPAP (eCPAP) vs CPAP discontinuation (dCPAP). STUDY

designInfants born at ≤32 weeks of gestation requiring ≥24 hours of CPAP were randomized to 2 weeks of eCPAP vs dCPAP when meeting CPAP stability criteria. FRC was measured with the nitrogen washout technique. Infants were stratified by gestational age (<28 and ≥ 28 weeks) and twin gestation. A linear mixed-effects model was used to evaluate the change in FRC between the 2 groups. Data were analyzed blinded to treatment group allocation.

resultsFifty infants were randomized with 6 excluded, for a total of 44 infants. Baseline characteristics were similar in the 2 groups. The infants randomized to eCPAP vs dCPAP had a greater increase in FRC from randomization through 2 weeks (12.6 mL vs 6.4 mL; adjusted 95% CI, 0.78-13.47; P = .03) and from randomization through discharge (27.2 mL vs 17.1 mL; adjusted 95% CI, 2.61-17.59; P = .01).

conclusionsPremature infants randomized to eCPAP had a significantly greater increase in FRC through discharge compared with those randomized to dCPAP. An increased change in FRC may lead to improved respiratory health.

trial registrationClinicalTrials.gov: NCT02249143.

Indexed as

AdultContinuous Positive Airway PressureFemaleFunctional Residual CapacityHumansInfant, Low Birth WeightInfant, NewbornInfant, PrematureInfant, Premature, DiseasesLungMalePilot ProjectsRespiratory Distress Syndrome, NewbornTidal VolumeTreatment Outcomecontinuous positive airway pressurefunctional residual capacitypremature

Identifiers

PMID31519441
PMCPMC7986570
OpenAlexW2972572081

What OpenQuestion holds

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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.