Evidence map›Paper›PMID 33614850›Full record

ReviewGlobal pediatric health2021

Hypochloremia Secondary to Diuretics in Preterm Infants: Should Clinicians Pay Close Attention?

Renjithkumar Kalikkot Thekkeveedu, Sumana Ramarao, Nilesh Dankhara, Pradeep Alur

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Global pediatric health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06940856 (The Impact of Chloride Imbalance on BPD Development and Mortality in Preterm Infants), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 18% 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.

NCT06940856 recruitingnot on this mapstarted 2025, after this paper: background citation

The Impact of Chloride Imbalance on BPD Development and Mortality in Preterm Infants

TypeobservationalSponsorKanuni Sultan Suleyman Training and Research HospitalRan2025 to 2027Enrolled500ConditionsBronchopulmonary Dysplasia (BPD), Mortality Prediction, Chloride DisorderArmsIncomplete response, Complete response, Bad response
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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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

4 authors at 1 institution in 1 country.

Renjithkumar Kalikkot ThekkeveeduUniversity of Mississippi Medical Center, Jackson, MS, USA.ORCID https://orcid.org/0000-0003-3864-0911
Sumana RamaraoUniversity of Mississippi Medical Center, Jackson, MS, USA.
Nilesh DankharaUniversity of Mississippi Medical Center, Jackson, MS, USA.
Pradeep AlurUniversity of Mississippi Medical Center, Jackson, MS, USA.
Jackson Memorial Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diuretic therapy, commonly used in the newborn intensive care unit, is associated with a variety of electrolyte abnormalities such as hyponatremia, hypokalemia, and hypochloremia. Hypochloremia, often ignored, is associated with significant morbidities and increased mortality in infants and adults. Clinicians respond in a reflex manner to hyponatremia than to hypochloremia. Hypochloremia is associated with nephrocalcinosis, hypochloremic alkalosis, and poor growth. Besides, the diuretic resistance associated with hypochloremia makes maintaining chloride levels in the physiological range even more logical. Since sodium supplementation counters the renal absorption of calcium and lack of evidence for spironolactone role in diuretic therapy for bronchopulmonary dysplasia (BPD), alternate chloride supplements such as potassium or arginine chloride may need to be considered in the management of hypochloremia due to diuretic therapy. In this review, we have summarized the current literature on hypochloremia secondary to diuretics and suggested a pragmatic approach to hypochloremia in preterm infants.

Indexed as

bronchopulmonary dysplasiadiureticshypochloremiametabolic alkalosispreterm infants

Identifiers

PMID33614850
PMCPMC7868482
OpenAlexW3127000299

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.