Evidence map›Paper›PMID 32847833›Full record

Observational studyArchives of disease in childhood. Fetal and neonatal edition2021

Fetal haemoglobin and bronchopulmonary dysplasia in neonates: an observational study.

William Hellström, Tobias Martinsson, Ann Hellstrom, Eva Morsing, David Ley

Registry-linked trialOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in Archives of disease in childhood. Fetal and neonatal edition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05612919 (Safety, Feasibility and Efficacy of Red Blood Cells From Umbilical Cord Blood for Transfusion of Extremely Preterm Infants), which is not on this map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 9% 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.

NCT05612919 nacompletednot on this mapstarted 2023, after this paper: background citation

Safety, Feasibility and Efficacy of Red Blood Cells From Umbilical Cord Blood for Transfusion of Extremely Preterm Infants: Clinical Phase

TypeinterventionalSponsorHospital Clinic of BarcelonaRan2023 to 2025Enrolled41ConditionsInfant, Extremely Premature, Erythrocyte Transfusion, Umbilical Cord IssueArmsRed blood cell from umbilical cord blood, Red blood cell from adult donor
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Establishing reference intervals for fetal hemoglobin percentage from 23 to 40 weeks of gestation using refineR.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  6. Assessment of iron sufficiency in premature infants treated with darbepoetin using conventional and novel erythrocyte metrics.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  7. Article
  8. A CBC drawn postnatally from umbilical cord blood can provide valuable diagnostic information for infants admitted to the NICU.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  9. Decreasing packed red blood cell (pRBC) transfusions in neonates through quality improvement.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. A clinician's musings on oxygen: Too little or too much with life in the balance.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. How Delayed Cord Clamping Saves Newborn Lives.Children (Basel, Switzerland) · 2025
    Review
  19. Fetal haemoglobin and oxygen requirement in preterm infants: an observational study.Archives of disease in childhood. Fetal and neonatal edition · 2025
    Observational
  20. [Progress in the clinical application of cord blood transfusion in neonates].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    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

5 authors at 2 institutions in 1 country.

William HellströmDepartment of Pediatrics, University of Gothenburg, Institute of Clinical Sciences, Gothenburg, Sweden william.hellstrom@gu.se.ORCID http://orcid.org/0000-0001-6669-260X
Tobias MartinssonDepartment of Clinical Sciences Lund, Pediatrics, Lund University, Skåne University Hospital, Lund, Sweden.
Ann HellstromDepartment of Ophthalmology, University of Gothenburg, Institute of Neuroscience and Physiology, Gothenburg, Sweden.
Eva MorsingDepartment of Clinical Sciences Lund, Pediatrics, Lund University, Skåne University Hospital, Lund, Sweden.
David LeyDepartment of Clinical Sciences Lund, Pediatrics, Lund University, Skåne University Hospital, Lund, Sweden.
Lund University · SEUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEarly decrease in fetal haemoglobin (HbF) is an indicator of loss of endogenous blood components that might have predictive value for development of bronchopulmonary dysplasia (BPD). The link between HbF and BPD has not been evaluated.

designRetrospective observational study.

settingTertiary level neonatal intensive care unit, referral centre for Southern Sweden. PATIENTS: 452 very preterm infants (<30 gestational weeks) born 2009-2015.

interventionsRegular clinical practice.

main outcome measuresMean HbF, haemoglobin (Hb) and partial oxygen pressure (PaO

resultsThe mean gestational age (GA) at birth was 26.4 weeks, and 213 (56%) infants developed BPD. A 10% increase in HbF was associated with a decreased prevalence of BPD, OR 0.64 (95% CI 0.49 to 0.83; p<0.001). This association remained when adjusting for mean PaO

conclusionsEarly rapid postnatal decline in HbF levels was associated with development of BPD in very preterm infants. The association between HbF and BPD was not mediated by increased oxygen exposure. The potential benefit of minimising loss of endogenous blood components on BPD outcome will be investigated in a multicentre randomised trial.

Indexed as

Bronchopulmonary DysplasiaFemaleFetal HemoglobinGestational AgeHumansInfant, Extremely PrematureInfant, NewbornInfant, Very Low Birth WeightIntensive Care Units, NeonatalMaleRetrospective StudiesFetal Hemoglobinneonatologypathologyphysiology

Identifiers

PMID32847833
PMCPMC7788221
OpenAlexW3080781392

What OpenQuestion holds

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LicenceCC BY
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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.