Evidence map›Paper›PMID 34725449›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2022

Presumed adrenal insufficiency in neonates treated with corticosteroids for the prevention of bronchopulmonary dysplasia.

Justin B Josephsen, Brianna M Hemmann, Connie D Anderson, Brett M Hemmann, Paula M Buchanan, Howard L Williams, Lisa M Lubsch, Noah H Hillman

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Neonatologists' practices in screening and managing corticosteroid-induced adrenal insufficiency in the NICU- a multicenter study.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  2. Article
  3. Post-natal steroid exposure in very low birthweight neonates and associations with acute kidney injury.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  4. 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

8 authors at 3 institutions in 1 country.

Justin B JosephsenDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, Saint Louis University School of Medicine, St. Louis, MO, USA. justin.josephsen@health.slu.edu.ORCID http://orcid.org/0000-0003-4175-7977
Brianna M HemmannCincinnati Children's Hospital Medical Center, Department of Pharmacy, Cincinnati, OH, USA.
Connie D AndersonDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, Saint Louis University School of Medicine, St. Louis, MO, USA.
Brett M HemmannThe Christ Hospital Health Network, Department of Pharmacy, Cincinnati, OH, USA.
Paula M BuchananDepartment of Health and Clinical Outcomes Research, Saint Louis University School of Medicine, St. Louis, MO, USA.
Howard L WilliamsSSM Health Cardinal Glennon Children's Hospital, Department of Pharmacy, St. Louis, MO, USA.
Lisa M LubschSSM Health Cardinal Glennon Children's Hospital, Department of Pharmacy, St. Louis, MO, USA.
Noah H HillmanDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, Saint Louis University School of Medicine, St. Louis, MO, USA.
Saint Louis University · USCardinal Glennon Children’s Medical Center · USCincinnati Children's Hospital Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine if extremely preterm (EPT) neonates receiving dexamethasone for the prevention of BPD have a higher incidence of presumed adrenal insufficiency (PAI). STUDY

designRetrospective cohort study of neonates <28 weeks gestation examining PAI after dexamethasone use and PAI after intratracheal budesonide with surfactant administration.

resultOf 332 neonates, 38% received dexamethasone. The incidence of PAI was higher in neonates who had received dexamethasone (20.8% vs 2.9%, p < 0.001). However, for intubated babies receiving surfactant, dexamethasone was not independently associated with increased PAI after adjusting for gestational age, birthweight, and race (aOR 2.92, 95% CI: 0.79-10.85). Dexamethasone was independently associated with increased PAI in infants previously receiving budesonide/surfactant treatment (aOR 5.38, 95% CI: 1.38-20.90).

conclusionThe use of dexamethasone alone was not associated with increased PAI, when adjusted for prematurity-related factors. The combination of budesonide with dexamethasone was significantly associated with increased PAI.

Indexed as

Adrenal InsufficiencyBronchopulmonary DysplasiaPulmonary SurfactantsAdrenal Cortex HormonesBudesonideDexamethasoneHumansInfantInfant, NewbornRespiration, ArtificialRetrospective StudiesSurface-Active AgentsAdrenal Cortex HormonesBudesonideDexamethasonePulmonary SurfactantsSurface-Active Agents

Identifiers

PMID34725449
OpenAlexW3209213738

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.