Evidence map›Paper›PMID 34107888›Full record

ArticleBMC pediatrics2021

Surgical management of patent ductus arteriosus in pre-term infants - a british paediatric surveillance study.

A Warnock, L Szatkowski, A Lakshmanan, L Lee, W Kelsall

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

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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

5 authors at 4 institutions in 1 country.

A WarnockNeonatal Unit, Nottingham University Hospitals NHS Trust, Nottingham, UK.
L SzatkowskiDivision of Epidemiology and Public Health, School of Medicine, University of Nottingham, Nottingham, UK.
A LakshmananNeonatal Unit, University Hospitals of Coventry and Warwickshire, Coventry, UK.
L LeeNeonatal Unit, Nottingham University Hospitals NHS Trust, Nottingham, UK.
W KelsallNeonatal Unit, Cambridge University Foundation Trust, Cambridge, CB2 2QQ, UK. wilf.kelsall@addenbrookes.nhs.uk.
Nottingham University Hospitals NHS Trust · GBCoventry (United Kingdom) · GBUniversity of Cambridge · GBUniversity of Nottingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to provide UK data describing the incidence of patent ductus arteriosus (PDA) surgery in the neonatal population, including: pre-ligation management, and outcomes until discharge. We used British Paediatric Surveillance Unit (BPSU) methodology; collecting data via questionnaires for preterm neonates undergoing PDA ligation (PDAL) between 1st Sept 2012 - 30th Sept 2013. Infants born less than 37 weeks gestation, who underwent PDAL prior to discharge home, with no other structural cardiac abnormality, were included. Information collected included: patient demographics, pre and post-operative clinical characteristics, pre-operative medical management, post-operative complications and outcome.

resultsOver the study, 263 infants underwent PDAL an incidence of 3.07 per 10,000 live births. 88% were born extremely preterm (< 28 weeks) and 60% were male. The commonest reasons for ligation were inability to wean respiratory support (83.7%) and haemodynamically significant PDA (87.8%). Pre-operatively 65.7% received medical therapy. Surgery was performed at a median age of 33 days (range 9-260, IQR 24-48); the corrected age was less than 31 + 6 week in 50.6% babies at PDAL. Most, (90%), of procedures were open ligation; only 9 (3.4%) were catheter occlusions (PDACO). 20.5% of patients had post-operative complications. The 30-day mortality was 3%, with 93.5% surviving to hospital discharge.

conclusionThis study showed there was little consensus over medical and surgical management of the PDA or timing of surgery.

Indexed as

Ductus Arteriosus, PatentChildGestational AgeHumansInfantInfant, NewbornLigationMalePatient DischargeRetrospective StudiesCardiothoracicLigationNeonatalPatent Ductus ArteriosusPreterm

Identifiers

PMID34107888
PMCPMC8187455
OpenAlexW3166683115

What OpenQuestion holds

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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.