Evidence map›Paper›PMID 33446244›Full record

ArticleItalian journal of pediatrics2021

Morbidity associated with patent ductus arteriosus in preterm newborns: a retrospective case-control study.

Gianluca Terrin, Maria Di Chiara, Giovanni Boscarino, Valentina Metrangolo, Francesca Faccioli, Elisa Onestà, Antonella Giancotti, Violante Di Donato, Viviana Cardilli, Mario De Curtis

Open access · goldAbstract read
In one paragraph

Article in Italian journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.9field-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.

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

19 citing papers in PubMed, 31 citations in OpenAlex.

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  13. Oxygen for the Newborn: Friend or Foe?Children (Basel, Switzerland) · 2023
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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

10 authors at 1 institution in 1 country.

Gianluca TerrinDepartment of Maternal and Child Health, University of Rome La Sapienza, Rome, Italy. gianluca.terrin@uniroma1.it.ORCID http://orcid.org/0000-0003-3541-2876
Maria Di ChiaraDepartment of Maternal and Child Health, University of Rome La Sapienza, Rome, Italy.
Giovanni BoscarinoDepartment of Maternal and Child Health, University of Rome La Sapienza, Rome, Italy.
Valentina MetrangoloDepartment of Maternal and Child Health, University of Rome La Sapienza, Rome, Italy.
Francesca FaccioliDepartment of Maternal and Child Health, University of Rome La Sapienza, Rome, Italy.
Elisa OnestàDepartment of Maternal and Child Health, University of Rome La Sapienza, Rome, Italy.
Antonella GiancottiDepartment of Maternal and Child Health, University of Rome La Sapienza, Rome, Italy.
Violante Di DonatoDepartment of Maternal and Child Health, University of Rome La Sapienza, Rome, Italy.
Viviana CardilliDepartment of Maternal and Child Health, University of Rome La Sapienza, Rome, Italy.
Mario De CurtisDepartment of Maternal and Child Health, University of Rome La Sapienza, Rome, Italy.
Sapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAssociation between persistency of a patent ductus arteriosus (PDA) and morbidity in preterm newborns is still controversial. We aimed to investigate the relation between PDA and morbidity in a large retrospective study.

methodsA case-control study including neonates consecutively admitted to the Neonatal Intensive Care Unit (NICU), with gestational age (GA) < 32 weeks or body birth weight (BW) < 1500 g, over a 5-year period. Newborns were divided into Cases and Controls, according with the presence or absence of a hemodynamically significant PDA (hs-PDA).

resultsWe enrolled 85 Cases and 193 Controls. Subjects with hs-PDA had significantly (p < 0.001) lower GA (26.7 w, 95%CI 27.1-28.0 vs. 30.1 w, 95%CI 29.7-30.4), BW (1024 g, 95% CI 952-1097 vs. 1310 g 95%CI 1263-1358) and an increased morbidity (60.0% vs. 18.7%). In a sub-group of extremely preterm newborns (GA ≤ 28 weeks and BW ≤ 1000 g), the rate of bronchopulmonary dysplasia (BPD) was significantly increased in Cases (31.7%) compared with Controls (5.9%, p = 0.033). Multivariate analysis showed that morbidity significantly depended on hs-PDA, GA and BW, and that, in extremely preterms, the hs-PDA represented an independent risk factor for BPD.

conclusionsOccurrence of the main morbidities of prematurity depended by hs-PDA, in association with GA, BW, and use of prenatal steroids. In extremely premature babies, hs-PDA is a risk factor for BPD, one of the most important morbidity of prematurity, independently by other confounding variables.

Indexed as

Ductus Arteriosus, PatentFemaleHumansInfant, NewbornInfant, PrematureInfant, Premature, DiseasesInfant, Very Low Birth WeightItalyLogistic ModelsMaleMorbidityRespiration, ArtificialRetrospective StudiesRisk FactorsBronchopulmonary dysplasia (BPD)IbuprofenIntraventricular hemorrhage (IVH)MortalityNecrotizing enterocolitis (NEC)ParacetamolRetinopathy of prematurity (ROP)Survival

Identifiers

PMID33446244
PMCPMC7809822
OpenAlexW3125027736

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.