Evidence map›Paper›PMID 34285358›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2021

Comparative efficacy and safety of late surfactant preparations: a retrospective study.

Morgan D Lane, Sujata Kishnani, Obianuju Udemadu, Samuel Eshun Danquah, Robert M Treadway, Aaliyah Langman, Stephen Balevic, Wesley M Jackson, Matthew Laughon, Christoph P Hornik and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Surfactant treatment at birth in a contemporary cohort of preterm infants with bronchopulmonary dysplasia.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Observational
  4. Use of surfactant beyond respiratory distress syndrome, what is the evidence?Journal of perinatology : official journal of the California Perinatal Association · 2024
    Review
  5. Review
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

13 authors at 3 institutions in 1 country.

Morgan D LaneDuke Clinical Research Institute, Duke University, Durham, NC, USA.
Sujata KishnaniDuke Clinical Research Institute, Duke University, Durham, NC, USA.
Obianuju UdemaduDuke Clinical Research Institute, Duke University, Durham, NC, USA.
Samuel Eshun DanquahDuke Clinical Research Institute, Duke University, Durham, NC, USA.
Robert M TreadwayDuke Clinical Research Institute, Duke University, Durham, NC, USA.
Aaliyah LangmanDuke Clinical Research Institute, Duke University, Durham, NC, USA.
Stephen BalevicDuke Clinical Research Institute, Duke University, Durham, NC, USA.
Wesley M JacksonNeonatal-Perinatal Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Matthew LaughonNeonatal-Perinatal Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID 0000-0002-4052-3215
Christoph P HornikDuke Clinical Research Institute, Duke University, Durham, NC, USA.
Rachel G GreenbergDuke Clinical Research Institute, Duke University, Durham, NC, USA.ORCID 0000-0003-4156-8543
Reese H ClarkCREQS, MEDNAX, Sunrise, FL, USA.ORCID 0000-0002-7363-4640
Kanecia O ZimmermanDuke Clinical Research Institute, Duke University, Durham, NC, USA. kanecia.zimmerman@duke.edu.ORCID 0000-0003-3748-6932
Duke University · USUniversity of North Carolina at Chapel Hill · USMednax (United States) · US

Funding

Duke CTSA (Composite)KL2TR001115 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, KRAFT, MONICA · 2013 to 2017
$5.1M
Investigating polypharmacy-related adverse events in critically ill children using electronic health records and simulated drug levelsK23HD091398 · NICHD · DUKE UNIVERSITY · PI ZIMMERMAN, KANECIA OBIE · 2017 to 2020
$629k
Mentorship of Early-Career Clinicians in Bronchopulmonary Dysplasia Drug TherapiesK24HL143283 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LAUGHON, MATTHEW · 2019 to 2023
$613k
FDA HHS UG3 FD006797NCATS NIH HHS KL2 TR001115NHLBI NIH HHS K24 HL143283NICHD NIH HHS HHSN275201000003CNICHD NIH HHS HHSN275201000003I
6 · The paper itself

Abstract

objectiveCharacterize the use, efficacy, and safety of poractant alfa and calfactant surfactants compared to beractant in preterm infants receiving late surfactant. STUDY

designWe included infants <37 weeks gestational age (GA) discharged from Pediatrix Medical Group-managed neonatal intensive care units (1997-2017). Efficacy and safety outcomes of interest were analyzed.

resultsOf 184,770 infants administered surfactant at any time, 7846 (4.23%) received late surfactant at a median (25th, 75th percentile) PNA of 8 days (3, 22); specifically, 2976 received poractant alfa (38%), 2890 beractant (37%), and 1936 calfactant (25%). We identified no significant differences in composite efficacy or safety outcomes between surfactants in the primary analysis, but 33-36 week GA infants administered poractant alfa had significantly greater odds of developing a safety event.

conclusionsCompared to beractant, there is no evidence of overall superior efficacy or safety of poractant alfa.

Indexed as

Biological ProductsPulmonary SurfactantsRespiratory Distress Syndrome, NewbornHumansInfant, NewbornInfant, PrematurePhospholipidsRetrospective StudiesSurface-Active AgentsBiological ProductsPhospholipidsPulmonary SurfactantsSurface-Active Agents

Identifiers

PMID34285358
PMCPMC8290378
OpenAlexW3184626103

What OpenQuestion holds

Textmetadata
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.