Evidence map›Paper›PMID 34437765›Full record

ArticlePediatric pulmonology2021

Differences in clinical and laboratory biomarkers for short and long-term respiratory outcomes in preterm neonates.

Richard B Parad, Janis L Breeze, Norma Terrin, Lynette K Rogers, Carolyn M Salafia, Anne Greenough, Jonathan M Davis

Open access · greenAbstract read
In one paragraph

Article in Pediatric pulmonology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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 5 institutions in 2 countries.

Richard B ParadDepartment of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-4326-0609
Janis L BreezeTufts Clinical and Translational Science Institute Biostatistics, Epidemiology and Research Design (BERD) Center, Tufts University and the Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, Massachusetts, USA.
Norma TerrinTufts Clinical and Translational Science Institute Biostatistics, Epidemiology and Research Design (BERD) Center, Tufts University and the Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, Massachusetts, USA.
Lynette K RogersThe Abigail Wexner Research Institute at Nationwide Children's Hospital, Center for Perinatal Research, Ohio State University, Columbus, Ohio, USA.
Carolyn M SalafiaDepartment of Pathology, New York Methodist Hospital, Brooklyn, New York, USA.
Anne GreenoughWomen and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.ORCID 0000-0002-8672-5349
Jonathan M DavisTufts Clinical and Translational Science Institute Biostatistics, Epidemiology and Research Design (BERD) Center, Tufts University and the Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, Massachusetts, USA.
Tufts University · USBrigham and Women's Hospital · USKing's College London · GBNationwide Children's Hospital · USNewYork–Presbyterian Brooklyn Methodist Hospital · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Tufts Clinical and Translational Science Institute (Pilot Supplement)UL1TR002544 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2018 to 2022
$50.2M
TUFTS CLINICAL AND TRANSLATION SCIENCE INSTITUTE (UL1): BPCAUL1RR025752 · NCRR · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2008 to 2011
$17.6M
NCATS NIH HHS UL1 TR002544NCRR NIH HHS UL1 RR025752NCRR NIH HHS UL1 RR025758
6 · The paper itself

Abstract

backgroundPulmonary outcome of premature neonates has focused more on short-term than long-term respiratory morbidities.

objectiveDescribe risk factors/biomarkers associated with short-term (bronchopulmonary dysplasia [BPD]) (supplemental oxygen use at 36 weeks postmenstrual age [PMA]) and longer-term (chronic respiratory morbidity [CRM]) (respiratory related symptoms, medications, medical/emergency visits, hospitalizations at 6-12 months corrected gestational age [CGA]) respiratory outcomes in a longitudinal cohort. DESIGN/

methodsNeonates born at 24-29-week gestation were prospectively followed to 6-12-month CGA. Associations between clinical and laboratory risk factors/biomarkers of BPD and CRM were explored.

resultsOf 86 subjects, 94% survived. Outcomes were available for 89% at 36-week PMA (BPD present in 42% of infants) and 72% at 6-12-month CGA (CRM present in 47% of infants). For the 54 infants with known outcomes for both BPD and CRM, diagnoses were discordant in 41%. BPD was associated with lower birthweight and birthweight Z-score for GA, lower Apgar scores, more surfactant doses, higher SNAPPE-II scores, highest Day 1 inspired oxygen concentration, Day 7 oxygen use, prolonged ventilatory support, bacteremia, necrotizing enterocolitis, and treated patent ductus arteriosus. CRM was associated with lower Apgar scores, Day 7 oxygen use and higher urine vascular endothelial growth factor. Patterns of plasma and urine lipid oxidation products differed in the two outcomes.

conclusionIn this hypothesis generating and exploratory study, BPD and CRM were associated with different risk factors/biomarker patterns. Concordance between these two outcomes was weak. Strategies for reducing CRM should be studied in cohorts identified by appropriate early risk factors/biomarkers.

Indexed as

Bronchopulmonary DysplasiaBiomarkersGestational AgeHumansInfantInfant, NewbornInfant, PrematureRisk FactorsVascular Endothelial Growth Factor ABiomarkersVascular Endothelial Growth Factor Abronchopulmonary dysplasia (BPD)chronic respiratory morbidity (CRM)epidemiologyneonatal lung diseaseneonatal pulmonarypreterm neonates

Identifiers

PMID34437765
PMCPMC8630934
OpenAlexW3194386146

What OpenQuestion holds

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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.