Evidence map›Paper›PMID 33625665›Full record

Trial reportIndian journal of pediatrics2021

Duration of Caffeine for Apnea of Prematurity-A Randomized Controlled Trial.

Raj Prakash, Femitha Pournami, Jyothi Prabhakar, Anand Nandakumar, P M C Nair, Naveen Jain

Abstract readRandomized Controlled Trial
PubMed Publisher
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. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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.

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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Strategies for cessation of caffeine administration in preterm infants.The Cochrane database of systematic reviews · 2024
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Raj PrakashDepartment of Neonatology, Kerala Institute of Medical Sciences, Trivandrum, Kerala, 695029, India.
Femitha PournamiDepartment of Neonatology, Kerala Institute of Medical Sciences, Trivandrum, Kerala, 695029, India. femi_shifas@yahoo.com.ORCID http://orcid.org/0000-0002-2921-6003
Jyothi PrabhakarDepartment of Neonatology, Kerala Institute of Medical Sciences, Trivandrum, Kerala, 695029, India.
Anand NandakumarDepartment of Neonatology, Kerala Institute of Medical Sciences, Trivandrum, Kerala, 695029, India.
P M C NairDepartment of Neonatology, Kerala Institute of Medical Sciences, Trivandrum, Kerala, 695029, India.
Naveen JainDepartment of Neonatology, Kerala Institute of Medical Sciences, Trivandrum, Kerala, 695029, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThere is sufficient evidence to support use of caffeine therapy for apnea of prematurity, but practices vary widely when it comes to discontinuing therapy. This study was planned to compare 'recurrence of apnea of prematurity' (RAP); when 2 protocols were used to stop caffeine therapy.

methodsNeonates delivered at 26-32 wk gestation on caffeine therapy for apnea of prematurity were randomized into 2 groups: Group 1-caffeine stopped at 7 d apnea-free period, and Group 2-continued for a prefixed period till at least 34 wk postmenstrual age (PMA). Proportion of infants in each group with RAP were analyzed.

resultsEach group consisted of 60 infants. Proportion of infants in each group with RAP, were not different (15% vs 13%); odds ratio (OR) 0.87; 95% confidence interval (CI) (0.31-2.43). Caffeine could be stopped earlier (33 vs 34 wk PMA); and cumulative duration of therapy was lesser (19.5 vs 33 d) when stopped at 7 d apnea-free period. Other studied outcomes were similar between the two groups.

conclusionsMandatorily continuing caffeine therapy up to 34 wk PMA in select preterm groups does not seem to decrease risk of recurrence of apnea. Larger trials that specifically study extremely preterm infants are required to make robust recommendations on when to stop therapy. CLINICAL TRIALS REGISTRY OF INDIA NO: CTRI/2016/12/007559. http://ctri.nic.in/Clinicaltrials/pdf_generate.php?trialid=14195&EncHid=&modid=&compid=%27,%2714195det%27.

Indexed as

Central Nervous System StimulantsInfant, Premature, DiseasesApneaCaffeineHumansInfantInfant, NewbornInfant, PrematureCaffeineCentral Nervous System StimulantsApnea of prematurityCaffeineDuration of therapy

Identifiers

What OpenQuestion holds

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Registered trials

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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.