Evidence map›Paper›PMID 34996949›Full record

ArticleScientific reports2022

Assessing cerebral blood flow, oxygenation and cytochrome c oxidase stability in preterm infants during the first 3 days after birth.

Ajay Rajaram, Daniel Milej, Marianne Suwalski, Lilian Kebaya, Matthew Kewin, Lawrence Yip, Sandrine de Ribaupierre, Victor Han, Mamadou Diop, Soume Bhattacharya and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05941494 (Cerebral Hemodynamic and Metabolic Responses to Anesthesia and Vasopressors in Adult Surgery), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
11.0field-weighted citation impact, top 1% 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.

NCT05941494 phase4unknown statusnot on this mapstarted 2023, after this paper: background citation

Cerebral Hemodynamic and Metabolic Responses to Anesthesia and Vasopressors in Adult Surgery: A 2x2 Factorial Design Randomized Controlled Trial With Light-based Neuromonitoring (CHEM-FACT Study)

TypeinterventionalSponsorJason ChuiRan2023 to 2025Enrolled80ConditionsAnesthesiaArmsPropofol, Sevoflurane, Ephedrine, Phenylephrine
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 30 citations in OpenAlex.

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  7. Non-invasive point-of-care optical technique for continuous in vivo assessment of microcirculatory function: Application to a preclinical model of early sepsis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2024
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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

11 authors at 3 institutions in 1 country.

Ajay RajaramImaging Program, Lawson Health Research Institute, London, ON, Canada. ajay.rajaram@childrens.harvard.edu.
Daniel MilejImaging Program, Lawson Health Research Institute, London, ON, Canada.
Marianne SuwalskiImaging Program, Lawson Health Research Institute, London, ON, Canada.
Lilian KebayaDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, London Health Sciences Centre, London, ON, N6A 3K7, Canada.
Matthew KewinImaging Program, Lawson Health Research Institute, London, ON, Canada.
Lawrence YipImaging Program, Lawson Health Research Institute, London, ON, Canada.
Sandrine de RibaupierreDepartment of Medical Biophysics, Western University, London, Canada.
Victor HanDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, London Health Sciences Centre, London, ON, N6A 3K7, Canada.
Mamadou DiopImaging Program, Lawson Health Research Institute, London, ON, Canada.
Soume BhattacharyaDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, London Health Sciences Centre, London, ON, N6A 3K7, Canada.
Keith St LawrenceImaging Program, Lawson Health Research Institute, London, ON, Canada. kstlaw@lawsonimaging.ca.
Lawson Health Research Institute · CALondon Health Sciences Centre · CAWestern University · CA

Funding

CIHR CGP-14171Natural Sciences and Engineering Research Council of Canada CHRP 478470
6 · The paper itself

Abstract

A major concern with preterm birth is the risk of neurodevelopmental disability. Poor cerebral circulation leading to periods of hypoxia is believed to play a significant role in the etiology of preterm brain injury, with the first three days of life considered the period when the brain is most vulnerable. This study focused on monitoring cerebral perfusion and metabolism during the first 72 h after birth in preterm infants weighing less than 1500 g. Brain monitoring was performed by combining hyperspectral near-infrared spectroscopy to assess oxygen saturation and the oxidation state of cytochrome c oxidase (oxCCO), with diffuse correlation spectroscopy to monitor cerebral blood flow (CBF). In seven of eight patients, oxCCO remained independent of CBF, indicating adequate oxygen delivery despite any fluctuations in cerebral hemodynamics. In the remaining infant, a significant correlation between CBF and oxCCO was found during the monitoring periods on days 1 and 3. This infant also had the lowest baseline CBF, suggesting the impact of CBF instabilities on metabolism depends on the level of blood supply to the brain. In summary, this study demonstrated for the first time how continuous perfusion and metabolic monitoring can be achieved, opening the possibility to investigate if CBF/oxCCO monitoring could help identify preterm infants at risk of brain injury.

Indexed as

Cerebrovascular CirculationInfant, PrematureOptical ImagingOxygen ConsumptionSpectroscopy, Near-InfraredBirth WeightBrainElectron Transport Complex IVEnzyme StabilityFemaleGestational AgeHumansInfant, NewbornInfant, Very Low Birth WeightMaleOxidation-ReductionElectron Transport Complex IVOxygen

Identifiers

PMID34996949
PMCPMC8741949
OpenAlexW4205138657

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.