Evidence map›Paper›PMID 33415555›Full record

Trial reportIndian journal of pediatrics2021

Nebulized Magnesium Sulfate for Treatment of Persistent Pulmonary Hypertension of Newborn: A Pilot Randomized Controlled Trial.

Elsayed Abdelkreem, Shaimaa M Mahmoud, Moustafa O Aboelez, Mohamed Abd El Aal

2 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Indian journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.8field-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.

NCT04328636 phase1 / phase2completednot on this map

Nebulized Magnesium Sulfate for Treatment of Persistent Pulmonary Hypertension of The Newborn

TypeinterventionalSponsorSohag UniversityRan2017 to 2020Enrolled28ConditionsPersistent Fetal Circulation, Persistent Pulmonary Hypertension of the Newborn, PPHNArmsNebulized Magnesium Sulfate, Intravenous Magnesium Sulfate
NCT04898114 phase1 / phase2recruitingnot on this map

Effectiveness of Nebulized Magnesium Sulfate Combined With Sildenafil Citrate in Persistent Pulmonary Hypertension of Newborn

TypeinterventionalSponsorSohag UniversityRan2021 to 2025Enrolled40ConditionsPersistent Pulmonary Hypertension of NewbornArmsMagnesium sulfate, Sildenafil Citrate, Isotonic saline
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Magnesium therapy in persistent pulmonary hypertension of the newborn: a scoping review.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Thieno[2,3-ACS omega · 2022
    Article
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  11. Article
  12. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Elsayed AbdelkreemDepartment of Pediatrics, Faculty of Medicine, Sohag University, Sohag, 82524, Egypt. d.elsayedmohammed@med.sohag.edu.eg.ORCID 0000-0002-8976-2989
Shaimaa M MahmoudDepartment of Pediatrics, Faculty of Medicine, Sohag University, Sohag, 82524, Egypt.
Moustafa O AboelezDepartment of Pharmaceutical Medicinal Chemistry, Faculty of Pharmacy, Sohag University, Sohag, Egypt.
Mohamed Abd El AalDepartment of Pediatrics, Faculty of Medicine, Sohag University, Sohag, 82524, Egypt.
Sohag University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the effectiveness of nebulized magnesium sulfate in treating persistent pulmonary hypertension of newborn (PPHN).

methodsTwenty-eight mechanically ventilated term neonates with severe PPHN were randomized into two groups: NebMag group (n = 14), who receiving nebulized isotonic magnesium (1024 mg/h), and IVMag group (n = 14), who received intravenous magnesium (200 mg/kg over 30 min, followed by 50 mg/kg/h). The study time frame was 24 h. Outcome measures were the changes in oxygenation index (OI), mean arterial blood pressure (MABP), vasoactive inotropic score (VIS), and serum magnesium level.

resultsBaseline demographic, ventilatory, and hemodynamic characteristics were comparable between the two groups. At the end of the study, the OI decreased by 44.3% in the NebMag group compared with 35.3% in the IVMag group (mean difference -3.14; 95%CI -5.08, -1.19; p 0.003). The NebMag group had a higher MABP (mean difference 2.29 mmHg; 95% CI 1.80, 2.77; p 0.000) and lower VIS (mean difference -14.64; 95% CI -16.52, -12.77; p 0.000) at the 24-h study time point. The increase in serum magnesium level, measured at 12-h study time point, was lower in the NebMag group (mean difference -2.26 mmol/L; 95% CI -2.58, -1.96; p 0.000).

conclusionNebulized magnesium sulfate may be an effective therapeutic modality for neonates with severe PPHN on mechanical ventilation, but this should be confirmed by larger studies. Retrospectively registered at www.clinicaltrials.gov (identifier: NCT04328636).

Indexed as

Magnesium SulfatePersistent Fetal Circulation SyndromeBlood Gas AnalysisHumansInfant, NewbornPilot ProjectsRespiration, ArtificialMagnesium SulfateHypoxiaMagnesiumNebulizerNeonatePersistent fetal circulationPPHN

Identifiers

PMID33415555
PMCPMC7790729
OpenAlexW3120166387

What OpenQuestion holds

Textmetadata
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.