Evidence map›Paper›PMID 34413893›Full record

ArticleCongenital heart disease2020

Alterations in Metabolites Associated with Hypoxemia in Neonates and Infants with Congenital Heart Disease.

Evan Pagano, Benjamin Frank, James Jaggers, Mark Twite, Tracy T Urban, Jelena Klawitter, Jesse Davidson

Open access · diamondAbstract read
In one paragraph

Article in Congenital heart disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.3field-weighted citation impact, top 46% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. 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

7 authors at 2 institutions in 1 country.

Evan PaganoUniversity of Colorado, Department of Pediatrics, Aurora, CO 80045, USA.
Benjamin FrankUniversity of Colorado, Department of Pediatrics, Aurora, CO 80045, USA.
James JaggersUniversity of Colorado, Department of Surgery, Aurora, CO 80045, USA.
Mark TwiteUniversity of Colorado, Department of Anesthesiology, Aurora, CO 80045, USA.
Tracy T UrbanChildren's Hospital Colorado Research Institute, Aurora, CO 80045, USA.
Jelena Klawitter *University of Colorado, Department of Surgery, Aurora, CO 80045, USA.
Jesse Davidson *University of Colorado, Department of Pediatrics, Aurora, CO 80045, USA.
University of Colorado Denver · USChildren's Hospital Colorado · US

Funding

Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Alkaline Phosphatase in Infant Cardiopulmonary Bypass: Kinetics and RelationshipK23HL123634 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI DAVIDSON, JESSE · 2014 to 2018
$826k
NCATS NIH HHS UL1 TR001082NHLBI NIH HHS K23 HL123634
6 · The paper itself

Abstract

objectives(1) To measure the global shift in the metabolome in hypoxemic versus non-hypoxemic infants with congenital heart disease; (2) To identify metabolites and metabolic pathways that are altered in hypoxemia. STUDY

designAnalysis of serum samples obtained prior to cardiopulmonary bypass from 82 infants ≤120 days old with congenital heart disease requiring surgery at Children's Hospital Colorado. Infants were divided into groups based on pre-operative oxygen saturations: non-hypoxemic (>92%), mild hypoxemia (85-92%), and severe hypoxemia (<85%). Tandem mass spectrometry was used to analyze 165 targeted metabolites. Partial least squares discriminant analysis and

resultsThe broad metabolic fingerprint of neonates or older infants did not vary by degree of hypoxemia. There were 12 individual metabolites that differed between hypoxemic and non-hypoxemic neonates, including lower methylmalonic acid (

conclusionsWe did not find evidence supporting global metabolic changes associated with cyanotic congenital heart disease in neonates or older infants. However, specific metabolites did discriminate between hypoxemic and non-hypoxemic neonates. These include methylmalonic acid, as well as several metabolites known to change in hypoxia-reoxygenation states (hypoxanthine) and chronic hypoxemic states (glutamate, thymine, myo-inositol) and may represent specific metabolic changes triggered by hypoxemia among neonates with cyanotic congenital heart disease.

Indexed as

cyanosisglutamatehypoxanthineMetabolomicsmethylmalonic acidthymine

Identifiers

PMID34413893
PMCPMC8372212
OpenAlexW3087771505

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.