Evidence map›Paper›PMID 34364368›Full record

ArticleBMC pregnancy and childbirth2021

Antenatal dexamethasone use and respiratory distress in late preterm infants: results from first Vietnamese matched cohort study.

Tran Tuan Hung Ho, Quang Vinh Truong, Thi Kim Anh Nguyen, Minh Tam Le, Vu Quoc Huy Nguyen

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 5 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 1 institution in 1 country.

Tran Tuan Hung HoDepartment of Obstetrics & Gynecology, Hue University of Medicine and Pharmacy, Hue University, Hue, 49120, Vietnam.
Quang Vinh TruongDepartment of Obstetrics & Gynecology, Hue University of Medicine and Pharmacy, Hue University, Hue, 49120, Vietnam.
Thi Kim Anh NguyenDepartment of Obstetrics & Gynecology, Hue University of Medicine and Pharmacy, Hue University, Hue, 49120, Vietnam.
Minh Tam LeDepartment of Obstetrics & Gynecology, Hue University of Medicine and Pharmacy, Hue University, Hue, 49120, Vietnam.
Vu Quoc Huy NguyenDepartment of Obstetrics & Gynecology, Hue University of Medicine and Pharmacy, Hue University, Hue, 49120, Vietnam. nvqhuy@huemed-univ.edu.vn.
Hue University · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRespiratory distress syndrome (RDS) is one of the leading causes of early neonatal morbidity and mortality in late preterm infants (LPIs) worldwide. This matched cohort study aimed to assess how the antenatal dexamethasone use affect the respiratory distress (RD) proportion in preterm newborns between 34 0/7 weeks and 36 6/7 weeks of gestation.

methodsThis was a prospective cohort study on 78 women with singleton pregnancy who were in threatened preterm birth and had not received prior dexamethasone, who were admitted between 34 0/7 weeks and 36 6/7 weeks at Hue University of Medicine and Pharmacy Hospital from June 2018 to May 2020. The matched control group without dexamethasone use included 78 pregnant women diagnosed with threatened late preterm births who were at similar gestational ages and estimated fetal weights as the treatment group. The treatment group received 6 mg intramuscular dexamethasone every 12 h for a total of 4 doses or until delivery. Primary outcome was the rate of neonatal RD. Secondary neonatal outcomes included the need for respiratory support, neonatal intensive care unit (NICU) admission, hypoglycemia, necrotizing enterocolitis, intraventricular hemorrhage, and neonatal death. Statistical analyses were performed by using SPSS software, version 26.0.

resultsThe proportion of RD in LPI was significantly lower in the treatment group than in the matched control group (10.3% vs. 23.1%, respectively), adjusted Odds Ratio [aOR] 0.29; 95% confidence interval [CI] 0.10 - 0.83 and p = 0.021. Neonatal hypoglycemia was more common in the dexamethasone group than in the matched group (25.6% vs. 12.8%, respectively; aOR, 2.59; 95% CI, 1.06 - 6.33; p = 0.037). There were no significant between-groups differences in the incidence of respiratory support, NICU admission or length of hospital stay.

conclusionsAdministration of antenatal dexamethasone to women at risk for late preterm birth could help to lower the proportion of respiratory distress in late preterm infants.

Indexed as

Premature BirthAdultCase-Control StudiesCohort StudiesDexamethasoneFemaleGlucocorticoidsHumansInfant, NewbornInfant, Newborn, DiseasesInfant, PrematurePregnancyPrenatal CareRespiratory Distress Syndrome, NewbornRespiratory InsufficiencyVietnamDexamethasoneGlucocorticoidsAntenatal dexamethasoneLate preterm infantRespiratory distress

Identifiers

PMID34364368
PMCPMC8349074
OpenAlexW3188965336

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LicenceCC BY
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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.