Evidence map›Paper›PMID 31570798›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2019

A single-dose indomethacin prophylaxis for reducing perinatal brain injury in extremely low birth weight infants: a non-inferiority analysis.

Ramachandra Bhat, Michael Zayek, Paul Maertens, Fabien Eyal

Erratum issuedAbstract 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. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Prevention of severe brain injury in very preterm neonates: A quality improvement initiative.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  4. Article
  5. Outcomes in infants < 29 weeks of gestation following single-dose prophylactic indomethacin.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  6. A clinical analysis of very and extremely low birth weight preterm infants.American journal of translational research · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Ramachandra BhatDepartment of Pediatrics, Division of Neonatology, University of South Alabama, Mobile, AL, USA. rbhat@health.southalabama.edu.
Michael ZayekDepartment of Pediatrics, Division of Neonatology, University of South Alabama, Mobile, AL, USA.
Paul MaertensDepartment of Neurology, Child Neurology Division, University of South Alabama, Mobile, AL, USA.
Fabien EyalDepartment of Pediatrics, Division of Neonatology, University of South Alabama, Mobile, AL, USA.
University of South Alabama · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate whether rates of perinatal brain injury among extremely low birth weight infants are comparable between two treatments: single-dose indomethacin prophylaxis (SGL-IP) (0.2 mg/kg, given once) vs. standard-dose indomethacin prophylaxis (STD-IP) (0.1 mg/kg/day, 3 days).

methodsIn this retrospective study, the primary outcome was perinatal brain injury (neuro-imaging evidence of intraventricular hemorrhage or periventricular leukomalacia) or death before discharge. A non-inferior efficacy of an SGL-IP regimen compared with a STD-IP regimen was determined by calculating the adjusted difference in the risk of the primary outcome using a multivariable logistic regression model. A 10-percentage point non-inferiority margin was favored.

resultsPrevalence rates of primary outcome were 41.7% in the SGL-IP group (n = 403) and 42.5% in the STD-IP group (n = 509) (adjusted risk difference: -1.2, 95% CI: -7.6 to +5.2, p = 0.71).

conclusionUse of a single prophylactic indomethacin dose was as effective as a standard regimen in preventing perinatal brain injury.

Indexed as

Infant, Extremely Low Birth WeightAlabamaAnti-Inflammatory Agents, Non-SteroidalCerebral HemorrhageDrug Administration ScheduleEquivalence Trials as TopicFemaleHospital MortalityHumansIndomethacinInfant, NewbornLeukomalacia, PeriventricularLogistic ModelsMaleMultivariate AnalysisRetrospective StudiesAnti-Inflammatory Agents, Non-SteroidalIndomethacin

Identifiers

PMID31570798
OpenAlexW4230510388

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.