Evidence map›Paper›PMID 32093927›Full record

ArticleThe Journal of pediatrics2020

Home Oxygen Use and 1-Year Readmission among Infants Born Preterm with Bronchopulmonary Dysplasia Discharged from Children's Hospital Neonatal Intensive Care Units.

Joanne Lagatta, Karna Murthy, Isabella Zaniletti, Stephanie Bourque, William Engle, Rebecca Rose, Namasivayam Ambalavanan, David Brousseau

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.8field-weighted citation impact, top 7% 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

28 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

8 authors at 6 institutions in 1 country.

Joanne LagattaDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI. Electronic address: jlagatta@mcw.edu.
Karna MurthyDepartment of Pediatrics, Northwestern University, Chicago, IL.
Isabella ZanilettiChildren's Hospitals Association, Lenexa, KS.
Stephanie BourqueDepartment of Pediatrics, University of Colorado, Aurora, CO.
William EngleDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN.
Rebecca RoseDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN.
Namasivayam AmbalavananDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, AL.
David BrousseauDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Indiana University School of MedicineMedical College of Wisconsin · USChildren's Hospital Association · USNorthwestern University · USUniversity of Alabama at Birmingham · USUniversity of Colorado Anschutz Medical Campus · US

Funding

Home Oxygen Use for Infants with Bronchopulmonary Dysplasia: Balancing Infant, Family, and Health System OutcomesK23HL136525 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI LAGATTA, JOANNE M · 2018 to 2022
$809k
NHLBI NIH HHS K23 HL136525
6 · The paper itself

Abstract

objectiveTo determine associations between home oxygen use and 1-year readmissions for preterm infants with bronchopulmonary dysplasia (BPD) discharged from regional neonatal intensive care units. STUDY

designWe performed a secondary analysis of the Children's Hospitals Neonatal Database, with readmission data via the Pediatric Hospital Information System and demographics using ZIP-code-linked census data. We included infants born <32 weeks of gestation with BPD, excluding those with anomalies and tracheostomies. Our primary outcome was readmission by 1 year corrected age; secondary outcomes included readmission duration, mortality, and readmission diagnosis-related group codes. A staged multivariable logistic regression was adjusted for center, clinical, and social risk factors; at each stage we included variables associated at P < .1 in bivariable analysis with home oxygen use or readmission.

resultsHome oxygen was used in 1906 of 3574 infants (53%) in 22 neonatal intensive care units. Readmission occurred in 34%. Earlier gestational age, male sex, gastrostomy tube, surgical necrotizing enterocolitis, lower median income, nonprivate insurance, and shorter hospital-to-home distance were associated with readmission. Home oxygen was not associated with odds of readmission (OR, 1.2; 95% CI, 0.98-1.56), readmission duration, or mortality. Readmissions for infants with home oxygen were more often coded as BPD (16% vs 4%); readmissions for infants on room air were more often gastrointestinal (29% vs 22%; P < .001). Clinical risk factors explained 72% of center variance in readmission.

conclusionsHome oxygen use is not associated with readmission for infants with BPD in regional neonatal intensive care units. Center variation in home oxygen use does not impact readmission risk. Nonrespiratory problems are important contributors to readmission risk for infants with BPD.

Indexed as

Infant, PrematureBronchopulmonary DysplasiaEnterocolitis, NecrotizingFemaleGastrostomyGestational AgeHome Care Services, Hospital-BasedHumansIncomeInfant, NewbornInsurance, HealthIntensive Care Units, NeonatalMaleOxygen Inhalation TherapyPatient ReadmissionRisk Factorsbronchopulmonary dysplasiahome oxygenneonatal intensive carepremature infantsreadmission

Identifiers

PMID32093927
PMCPMC7605365
OpenAlexW3008293824

What OpenQuestion holds

Textmetadata
LicenceTDM
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.