Evidence map›Paper›PMID 34349231›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2021

Qualitative indications for tracheostomy and chronic mechanical ventilation in patients with severe bronchopulmonary dysplasia.

Sushmita Yallapragada, Rashmin C Savani, Sara Mūnoz-Blanco, Joanne M Lagatta, William E Truog, Nicolas F M Porta, Leif D Nelin, Huayan Zhang, Shilpa Vyas-Read, Robert DiGeronimo and 7 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 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.5field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Identifying predictors of tracheostomy or death in preterm infants with grade 3 BPD.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  3. Development of an interdisciplinary tool to assess severe BPD phase of illness and application evaluating impact of tracheostomy.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  4. Nasal intermittent positive pressure ventilation in neonates with grade 3 bronchopulmonary dysplasia.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  5. Article
  6. Article
  7. The NICU tracheostomy team: multidisciplinary collaboration for improvement in survival of complex patients.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  8. Article
  9. Managing established bronchopulmonary dysplasia without using routine blood gas measurements.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  10. Article
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  17. 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

17 authors at 13 institutions in 1 country.

Sushmita YallapragadaUT Southwestern Medical Center, Dallas, TX, USA. Sushmita.yallapragada@utsouthwestern.edu.ORCID 0000-0002-1324-6355
Rashmin C SavaniUT Southwestern Medical Center, Dallas, TX, USA.ORCID 0000-0002-9533-5422
Sara Mūnoz-BlancoUT Southwestern Medical Center, Dallas, TX, USA.
Joanne M LagattaMedical College of Wisconsin, Milwaukee, WI, USA.ORCID 0000-0002-5147-2396
William E TruogChildren's Mercy-Kansas City and the University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA.
Nicolas F M PortaNorthwestern University & Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.ORCID 0000-0002-6135-8503
Leif D NelinNationwide Children's Hospital, Columbus, OH, USA.
Huayan ZhangChildren's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0003-0843-8448
Shilpa Vyas-ReadEmory University, Atlanta, GA, USA.ORCID 0000-0002-9402-6433
Robert DiGeronimoSeattle Children's Hospital/University of Washington, Seattle, WA, USA.ORCID 0000-0001-6011-012X
Girija NatarajanChildren's Hospital of Michigan, Detroit, MI, USA.
Erica WymoreUniversity of Colorado, Aurora, CO, USA.
Beth HabermanCincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Joana MachryJohns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Karin PotokaAkron Children's Hospital, Akron, OH, USA.
Children’s Hospital Neonatal Consortium severe bronchopulmonary dysplasia subgroup
Karna MurthyNorthwestern University & Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Southwestern Medical Center · USNorthwestern University · USAkron Children's Hospital · USChildren's Hospital of Michigan · USChildren's Hospital of Philadelphia · USCincinnati Children's Hospital Medical Center · USEmory University · USJohns Hopkins University · USMedical College of Wisconsin · USNationwide Children's Hospital · USSeattle Children's Hospital · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Missouri–Kansas City · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe decision to pursue chronic mechanical ventilation involves a complex mix of clinical and social considerations. Understanding the medical indications to pursue tracheostomy would reduce the ambiguity for both providers and families and facilitate focus on appropriate clinical goals.

objectiveTo describe potential indications to pursue tracheostomy and chronic mechanical ventilation in infants with severe BPD (sBPD). STUDY

designWe surveyed centers participating in the Children's Hospitals Neonatal Consortium to describe their approach to proceed with tracheostomy in infants with sBPD. We requested a single representative response per institution. Question types were fixed form and free text responses.

resultsThe response rate was high (31/34, 91%). Tracheostomy was strongly considered when: airway malacia was present, PCO

conclusionsUnderstanding the range of indications utilized by high level NICUs around the country to pursue a tracheostomy in an infant with sBPD is one step toward standardizing consensus indications for tracheostomy in the future.

Indexed as

Bronchopulmonary DysplasiaChildHumansInfantInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalRespiration, ArtificialTracheostomy

Identifiers

PMID34349231
PMCPMC8331995
OpenAlexW3192111913

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.