Evidence map›Paper›PMID 32527290›Full record

ArticleTrials2020

Less invasive surfactant administration versus endotracheal surfactant instillation followed by limited peak pressure ventilation in preterm infants with respiratory distress syndrome in China: study protocol for a randomized controlled trial.

Jiajun Zhu, Yingying Bao, Lizhong Du, Huafei Huang, Qin Lv, Yejun Jiang, Yuxuan Dai, Zhijun Chen, Jingyun Shi, Yongyan Shi and 5 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

15 authors at 11 institutions in 1 country.

Jiajun ZhuWomen's Hospital, Zhejiang University, School of Medicine, Hangzhou, 310006, China. jiajunzhu@zju.edu.cn.ORCID http://orcid.org/0000-0002-6474-7790
Yingying BaoWomen's Hospital, Zhejiang University, School of Medicine, Hangzhou, 310006, China.
Lizhong DuThe Children's Hospital, Zhejiang University, School of Medicine, Hangzhou, 310052, China. dulizhong@zju.edu.cn.
Huafei HuangJiaxing Maternity and Child Health Care Hospital, Jiaxing, 314051, China.
Qin LvNingbo Maternal and Children Hospital, Ningbo, 315012, China.
Yejun JiangShao Xing Maternity and Child Health Care Hospital, Shaoxing, 312000, China.
Yuxuan DaiCentral Hospital of Jinhua, Jinghua, 321000, China.
Zhijun ChenBoai Hospital of Zhongshan, Zhongshan, 528400, China.
Jingyun ShiGansu Provincial Maternity and Child-Care Hospital, Lanzhou, 730050, China.
Yongyan ShiShengjing Hospital of China Medical University, Shenyang, 110004, China.
Chuangzhong YangAffiliated Shenzhen Maternity& Child Healthcare Hospital, Southern Medical University, Shenzhen, 518028, China.
Hua MeiAffiliated Hospital of Inner Mongolia Medical University, Hohhot, 010050, China.
Hong JiangYan'an University Affiliated Hospital, Yan'an, 716000, China.
Yanhui SunChongqing Health Center for Women and Children, Chongqing, 400021, China.
Xuemei SunLinyi People's Hospital, Linyi, 276003, China.
Women's Hospital, School of Medicine, Zhejiang University · CNBoai Hospital of Zhongshan · CNChildren's Hospital of Zhejiang University · CNChina Medical University · CNGansu Provincial Maternal and Child Health Hospital · CNInner Mongolia Medical University · CNJinhua Central Hospital · CNLinyi People's Hospital · CNShaoxing City Women and Children Hospital · CNShenzhen Maternity and Child Healthcare Hospital · CNYanan University Affiliated Hospital · CN

Funding

the Major scientific and technological projects of medical and health in Zhejiang Province WKJ-ZJ-2032
6 · The paper itself

Abstract

backgroundLess invasive surfactant administration (LISA) is a way of giving surfactant without endotracheal intubation and has shown to be promising in reducing the incidence of bronchopulmonary dysplasia (BPD) in preterm infants. However, the mechanism underlying its beneficial effect and variations in the technique of administration may prevent its widespread use. This trial aims to evaluate the effects of two methods of surfactant administration, LISA or endotracheal surfactant administration followed by low peak pressure (LPPSA) ventilation, in preterm infants with respiratory distress syndrome (RDS).

methodsThe LISA Or Low Peak Pressure trial is to be conducted in 14 tertiary neonatal intensive care units in China. A total of 600 preterm infants born with gestational age between 25 DISCUSSION: Data from recent systematic review and meta-analysis have suggested a possible improvement in outcomes of preterm infants with RDS by the LISA technique. However, robust evidence is lacking. Why LISA plays a potential role in reducing respiratory morbidity, mainly BPD in preterm infants, remains unclear. The possible explanations are the active and uninterrupted delivery of continuous positive airway pressure during the LISA procedure and the avoidance of complications caused by intubation and relatively high pressure/volume ventilation following surfactant administration. We hypothesized that LISA's effectiveness lies mainly in avoiding relatively high-pressure positive ventilation immediately following surfactant administration. Thus, this multicenter randomized controlled trial will focus on issues of endotracheal intubation and the pressure/volume used during conventional surfactant administration. The effectiveness, safety and comorbidities of preterm infants following LISA or LPPSA will be evaluated.

trial registrationChinese Clinical Trial Registry: ChiCTR1900020970. Registered on 23 January 2019.

Indexed as

Continuous Positive Airway PressureInfant, PrematureChinaHumansInfant, NewbornIntubation, IntratrachealMulticenter Studies as TopicPulmonary SurfactantsRandomized Controlled Trials as TopicRespiration, ArtificialRespiratory Distress Syndrome, NewbornTime FactorsTreatment OutcomePulmonary SurfactantsLess invasive surfactant administrationLow peak pressure ventilationPreterm infantRespiratory distress syndrome

Identifiers

PMID32527290
PMCPMC7289227
OpenAlexW3035259481

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.