Evidence map›Paper›PMID 34552014›Full record

Observational studyRespiratory care2021

Inhaled Nitric Oxide Use and Outcomes in Critically Ill Children With a History of Prematurity.

Aline B Maddux, Peter M Mourani, Russell Banks, Ron W Reeder, Murray M Pollack, Robert A Berg, Kathleen L Meert, Patrick S McQuillen, Andrew R Yates, Daniel A Notterman and 2 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Respiratory care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

12 authors.

Aline B MadduxChildren's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado. aline.maddux@childrenscolorado.org.
Peter M MouraniArkansas Children's Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Russell BanksUniversity of Utah, Salt Lake City, Utah.
Ron W ReederUniversity of Utah, Salt Lake City, Utah.
Murray M PollackChildren's National Health System, Washington, DC.
Robert A BergThe Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Kathleen L MeertChildren's Hospital of Michigan, Detroit, Michigan.
Patrick S McQuillenBenioff Children's Hospital, San Francisco, California.
Andrew R YatesNationwide Children's Hospital, The Ohio State University, Columbus, Ohio.
Daniel A NottermanDepartment of Molecular Biology, Princeton University, Princeton, New Jersey.
John T BergerChildren's National Health System, Washington, DC.
Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Research Network

Funding

Data Coordinating Center for the Collaborative Pediatric Critical Care Research NetworkU01HD049934 · NICHD · UNIVERSITY OF UTAH · PI DEAN, JONATHAN MICHAEL · 2005 to 2020
$35.2M
Collaborative Pediatric Critical Care Research Network (CPCCRN) at Children's NationalUG1HD049981 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI POLLACK, MURRAY MICHAEL, WESSEL, DAVID LLOYD · 2015 to 2020
$1.8M
Pediatric Critical Care Research Network at Children's Hospital of PhiladelphiaUG1HD063108 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI BERG, ROBERT ALLEN, ZUPPA, ATHENA F. · 2015 to 2020
$1.7M
Collaborative Research to Validate Biomarkers of Pediatric ARDSUG1HD083166 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MCQUILLEN, PATRICK SEAN, SAPRU, ANIL · 2015 to 2020
$1.6M
Collaborative Pediatric Critical Care Research NetworkUG1HD050096 · NICHD · WAYNE STATE UNIVERSITY · PI MEERT, KATHLEEN L. · 2015 to 2020
$1.6M
Collaborative Network Study of Airway Microbiome and Host Responses in Pediatric Respiratory FailureUG1HD083171 · NICHD · UNIVERSITY OF COLORADO DENVER · PI CARPENTER, TODD C · 2015 to 2020
$1.5M
Collaborative Pediatric Critical Care Research Network (UG1)UG1HD083170 · NICHD · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI HALL, MARK W · 2015 to 2020
$1.5M
Collaborative Pediatric Critical Care Research Network (CPCCRN)RL1HD107777 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI ROBERT ALLEN BERG, Julie C. Hollows Fitzgerald · 2021 to 2026
$1.1M
Functional Outcomes after Prolonged Mechanical Ventilation in ChildrenK23HD096018 · NICHD · UNIVERSITY OF COLORADO DENVER · PI MADDUX, ALINE BERNARD · 2019 to 2023
$807k
NICHD NIH HHS K23 HD096018NICHD NIH HHS RL1 HD107777NICHD NIH HHS U01 HD049934NICHD NIH HHS UG1 HD049981NICHD NIH HHS UG1 HD050096NICHD NIH HHS UG1 HD063108NICHD NIH HHS UG1 HD083166NICHD NIH HHS UG1 HD083170NICHD NIH HHS UG1 HD083171
6 · The paper itself

Abstract

backgroundInhaled nitric oxide (INO) is used to treat hypoxic respiratory failure without clear evidence of benefit. Future trials to evaluate its use will be designed based on an understanding of the populations in which this therapy is provided and with outcomes based on patient characteristics, for example, a history of premature birth.

methodsThis was a multi-center prospective observational study that evaluated subjects in the pediatric ICU who were treated with INO for a respiratory indication, excluding those treated in the neonatal ICU or treated for birth-related disease. We used logistic regression to evaluate characteristics associated with mortality and duration of mechanical ventilation. Specifically, we compared subjects born early preterm (<32 weeks post-conceptual age), late preterm (32-37 weeks post-conceptual age), and full term.

resultsA total of 163 children (median age [interquartile range], 1.8 [0.7-6.0] y) were included, 41 (25.2%) had a history of preterm birth (18 born early preterm and 23 born late preterm). INO was initiated for less-severe lung disease in the early preterm versus late preterm versus full-term subjects (median mean airway pressures, 16 vs 19 vs 19 cm H

conclusionsINO was used differently in early preterm subjects. Clinical trials that evaluate INO use should have standardized oxygenation deficit thresholds for initiation of therapy and should consider stratifying by early preterm status.

Indexed as

Premature BirthRespiratory InsufficiencyAdministration, InhalationChildCritical IllnessFemaleHumansInfantInfant, NewbornNitric OxidePregnancyVasodilator AgentsNitric OxideVasodilator AgentsAcute Respiratory Distress Syndromecritical care outcomesinfantnitric oxidepediatricprematurepulmonary hypertensionright ventricular failure

Identifiers

PMID34552014
PMCPMC8810581

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.