Evidence map›Paper›PMID 31910992›Full record

Trial reportThe Journal of pediatrics2020

Long-Term Neurobehavioral and Quality of Life Outcomes of Critically Ill Children after Glycemic Control.

Katherine V Biagas, Veronica J Hinton, Natalie R Hasbani, Peter M Luckett, David Wypij, Vinay M Nadkarni, Michael S D Agus, HALF-PINT trial study investigators, PALISI Network

Registry-linked trialOpen 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 trial NCT01565941 (Heart And Lung Failure - Pediatric INsulin Titration Trial), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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.

NCT01565941 phase3completednot on this map

Heart And Lung Failure - Pediatric INsulin Titration Trial (HALF-PINT)

TypeinterventionalSponsorBoston Children's HospitalRan2012 to 2018Enrolled713ConditionsHeart Failure, Respiratory FailureArmsInsulin
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Neurocognitive functioning and health-related quality of life of children after pediatric intensive care admission: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Pooled it
  2. Trial
  3. Article
  4. Observational
  5. Association between maternal hypertension and infant neurodevelopment in extremely preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  6. 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

9 authors at 6 institutions in 1 country.

Katherine V BiagasDepartment of Pediatrics, Stony Brook Children's Hospital and the Renaissance School of Medicine, Stony Brook, NY. Electronic address: katherine.biagas@stonybrookmedicine.edu.
Veronica J HintonDepartment of Psychology, Queens College and the Graduate Center of the City University of New York, New York, NY.
Natalie R HasbaniDepartment of Cardiology, Boston Children's Hospital and Harvard Medical School, Boston, MA.
Peter M LuckettDepartment of Pediatrics, University of Texas Southwestern Medical Center and Children's Health, Dallas, TX.
David WypijDepartment of Cardiology, Boston Children's Hospital and Harvard Medical School, Boston, MA.
Vinay M NadkarniDepartment of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia and the University of Pennsylvania, Philadelphia, PA.
Michael S D AgusDivision of Medical Critical Care, Department of Pediatrics, Boston Children's Hospital and Harvard Medical School, Boston, MA.
HALF-PINT trial study investigators
PALISI Network
Boston Children's Hospital · USHarvard University · USStony Brook Children's Hospital · USThe Graduate Center, CUNY · USThe University of Texas Southwestern Medical Center · USUniversity of Pennsylvania · US

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
HALF-PINT: Heart and Lung Failure - Pediatric INsulin Titration trial - CCCU01HL107681 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI AGUS, MICHAEL SD, NADKARNI, VINAY M · 2011 to 2016
$9.6M
HALF-PINT: Heart And Lung Failure - Pediatric INsulin Titration trial - DCCU01HL108028 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI WYPIJ, DAVID · 2011 to 2016
$2.9M
NCATS NIH HHS UL1 TR001873NHLBI NIH HHS U01 HL107681NHLBI NIH HHS U01 HL108028
6 · The paper itself

Abstract

objectivesTo investigate adaptive skills, behavior, and quality health-related quality of life in children from 32 centers enrolling in the Heart And Lung Failure-Pediatric INsulin Titration randomized controlled trial. STUDY

designThis prospective longitudinal cohort study compared the effect of 2 tight glycemic control ranges (lower target, 80-100 mg/dL vs higher target, 150-180 mg/dL) 1-year neurobehavioral and health-related quality of life outcomes. Subjects had confirmed hyperglycemia and cardiac and/or respiratory failure. Patients aged 2-16 years old enrolled between April 2012 and September 2016 were studied at 1 year after intensive care discharge. The primary outcome, adaptive skills, was assessed using the Vineland Adaptive Behavior Scale. Behavior and health-related quality of life outcomes were assessed as secondary outcomes using the Pediatric Quality of Life and Child Behavior Checklist at baseline and 1-year follow-up. Group differences were evaluated using regression models adjusting for age category, baseline overall performance, and risk of mortality.

resultsOf 369 eligible children, 358 survived after hospital discharge and 214 (60%) completed follow-up. One-year Vineland Adaptive Behavior Scale-II composite scores were not different (mean ± SD, 79.9 ± 25.5 vs 79.4 ± 26.9, lower vs higher target; P = .20). Improvement in Pediatric Quality of Life total health from baseline was greater in the higher target group (adjusted mean difference, 8.2; 95% CI, 1.1-15.3; P = .02).

conclusionsOne-year adaptive behavior in critically ill children with lower vs higher target glycemic control did not differ. The higher target group demonstrated improvement from baseline in overall health. This study affirms the lack of benefit of lower glucose targeting.

trial registrationClinicalTrials.gov: NCT01565941.

Indexed as

Critical IllnessQuality of LifeAdaptation, PsychologicalAdolescentBlood GlucoseChildChild, PreschoolFemaleHumansHyperglycemiaIntensive Care Units, PediatricLength of StayMaleNeurodevelopmental DisordersProspective StudiesTime FactorsBlood Glucose

Identifiers

PMID31910992
PMCPMC7122648
OpenAlexW2997685902

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.