Evidence map›Paper›PMID 33093140›Full record

ReviewPediatrics2020

Patent Ductus Arteriosus of the Preterm Infant.

Shannon E G Hamrick, Hannes Sallmon, Allison T Rose, Diego Porras, Elaine L Shelton, Jeff Reese, Georg Hansmann

Registry-linked trialAbstract readReview
In one paragraph

Review in 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 NCT06064825 (Long Term Follow-up of the TREOCAPA), which is not on this map. Cited by 161 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
161citing papers in PubMed, 10 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.

NCT06064825 recruitingnot on this mapstarted 2023, after this paper: background citation

Long Term Follow-up of the TREOCAPA (Prophylactic TREatment Of the duCtus Arteriosus in Preterm Infants by Acetaminophen) Study (TREOCAPA-LT)

TypeobservationalSponsorInstitut National de la Santé Et de la Recherche Médicale, FranceRan2023 to 2027Enrolled500ConditionsPatency of the Ductus Arteriosus Acetaminophen Extreme PrematurityArms2 year follow-up of neurodevelopment using a parental questionnaire
3 · Its place in the literature

Who cites it

161 citing papers in PubMed, 10 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Administration time of caffeine in preterm infants: systematic review and meta-analysis.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Pooled it
  4. Pooled it
  5. Procedural closure of the patent ductus arteriosus in preterm infants: a clinical practice guideline.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Guideline
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Furosemide for patent ductus arteriosus during cyclooxygenase inhibitor therapy: A systematic review.Pediatrics international : official journal of the Japan Pediatric Society
    Pooled it
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Impact of transcatheter PDA closure on renal function in extremely low birth weight infants-a multicenter study.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article

101 more citing papers are in PubMed but not listed here.

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

7 authors.

Shannon E G HamrickDivisions of Neonatology and.
Hannes SallmonDepartment of Pediatric Cardiology, Charité University Medical Center, Berlin, Germany.
Allison T RoseDivisions of Neonatology and.
Diego PorrasDepartment of Cardiology, Boston Children's Hospital and Harvard Medical School, Harvard University, Boston, Massachusetts.
Elaine L SheltonDivision of Neonatology, Vanderbilt University Medical Center, Nashville, Tennessee; and.
Jeff ReeseDivision of Neonatology, Vanderbilt University Medical Center, Nashville, Tennessee; and.
Georg HansmannDepartment of Pediatric Cardiology and Critical Care, Hannover Medical School, Hannover, Germany georg.hansmann@gmail.com.

Funding

Pharmacological Validation of Vascular KATP Channels for Modulating Ductus Arteriosus ToneR01HD099777 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DENTON, JEROD S., SHELTON, ELAINE · 2020 to 2023
$2.3M
Ductus Arteriosus Regulation by Anion ChannelsR01HL128386 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI LAMB, FRED S, REESE, JOHN JEFFREY · 2016 to 2019
$2.3M
KATP channels as biomechanical sensors in the regulation of ductus arteriosus toneR21HL132805 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SHELTON, ELAINE · 2016 to 2017
$417k
NHLBI NIH HHS R01 HL128386NHLBI NIH HHS R21 HL132805NICHD NIH HHS R01 HD099777
6 · The paper itself

Abstract

Postnatal ductal closure is stimulated by rising oxygen tension and withdrawal of vasodilatory mediators (prostaglandins, nitric oxide, adenosine) and by vasoconstrictors (endothelin-1, catecholamines, contractile prostanoids), ion channels, calcium flux, platelets, morphologic maturity, and a favorable genetic predisposition. A persistently patent ductus arteriosus (PDA) in preterm infants can have clinical consequences. Decreasing pulmonary vascular resistance, especially in extremely low gestational age newborns, increases left-to-right shunting through the ductus and increases pulmonary blood flow further, leading to interstitial pulmonary edema and volume load to the left heart. Potential consequences of left-to-right shunting via a hemodynamically significant patent ductus arteriosus (hsPDA) include increased risk for prolonged ventilation, bronchopulmonary dysplasia, necrotizing enterocolitis or focal intestinal perforation, intraventricular hemorrhage, and death. In the last decade, there has been a trend toward less aggressive treatment of PDA in preterm infants. However, there is a subgroup of infants who will likely benefit from intervention, be it pharmacologic, interventional, or surgical: (1) prophylactic intravenous indomethacin in highly selected extremely low gestational age newborns with PDA (<26 + 0/7 weeks' gestation, <750 g birth weight), (2) early targeted therapy of PDA in selected preterm infants at particular high risk for PDA-associated complications, and (3) PDA ligation, catheter intervention, or oral paracetamol may be considered as rescue options for hsPDA closure. The impact of catheter-based closure of hsPDA on clinical outcomes should be determined in future prospective studies. Finally, we provide a novel treatment algorithm for PDA in preterm infants that integrates the several treatment modalities in a staged approach.

Indexed as

AlgorithmsDuctus Arteriosus, PatentHumansInfant, NewbornInfant, Premature

Identifiers

PMID33093140
PMCPMC7605084

What OpenQuestion holds

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Read underepoch 390

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.