Evidence map›Paper›PMID 31611615›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2020

Change in neonatal resuscitation guidelines and trends in incidence of meconium aspiration syndrome in California.

Vaneet K Kalra, Henry C Lee, Lillian Sie, Anura W Ratnasiri, Mark A Underwood, Satyan Lakshminrusimha

Abstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
  4. Review
  5. Article
  6. Meconium Aspiration Syndrome: A Narrative Review.Children (Basel, Switzerland) · 2021
    Review
  7. Review
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.

Vaneet K KalraDepartment of Pediatrics, UC Davis Health System, Sacramento, CA, USA. vkkalra@ucdavis.edu.
Henry C LeeDepartment of Pediatrics, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-8383-1720
Lillian SieDepartment of Pediatrics, Stanford University, Stanford, CA, USA.
Anura W RatnasiriDepartment of Cardiovascular medicine, UC Davis Health System, Sacramento, CA, USA.
Mark A UnderwoodDepartment of Pediatrics, UC Davis Health System, Sacramento, CA, USA.
Satyan LakshminrusimhaDepartment of Pediatrics, UC Davis Health System, Sacramento, CA, USA.

Funding

Optimal Oxygenation in Neonatal Lung InjuryR01HD072929 · NICHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Satyanarayana Lakshminrusimha · 2012 to 2026
$5.4M
Foundation for the National Institutes of Health (Foundation for the National Institutes of Health, Inc.) HD 072929NICHD NIH HHS R01 HD072929
6 · The paper itself

Abstract

objectiveTo describe trends in the incidence and severity of meconium aspiration syndrome (MAS) around the release of revised Neonatal Resuscitation Program (NRP) guidelines in 2016. STUDY

designThe California Perinatal Quality Care Collaborative database was queried for years 2013-2017 to describe the incidence and outcomes of infants with MAS. Results were analyzed based on both individual years and pre- vs. post-guideline epochs (2013-15 vs. 2017).

resultIncidence of MAS decreased significantly from 2013-15 to 2017 (1.02 to 0.78/1000 births, p < 0.001). Among infants with MAS, delivery room intubations decreased from 2013-15 to 2017 (44.3 vs. 35.1%; p = 0.005), but similar proportion of infants required invasive respiratory support (80.1 vs. 80.8%), inhaled nitric oxide (28.8 vs. 28.4%) or extracorporeal membrane oxygenation (0.81 vs. 0.35%).

conclusionWhile the study design precludes confirmation of implementation of the recent NRP recommendation, there was no increase in the incidence or severity of MAS following its release.

Indexed as

Practice Guidelines as TopicAdministration, InhalationCaliforniaExtracorporeal Membrane OxygenationHumansIncidenceInfant, NewbornInfant, Newborn, DiseasesIntensive Care Units, NeonatalIntubation, IntratrachealMeconium Aspiration SyndromeNitric OxideRespiration, ArtificialResuscitationNitric Oxide

Identifiers

PMID31611615
PMCPMC11858069

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Registered trials

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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.