Evidence map›Paper›PMID 35160119›Full record

ArticleJournal of clinical medicine2022

Early N-Terminal Pro B-Type Natriuretic Peptide (NTproBNP) Plasma Values and Associations with Patent Ductus Arteriosus Closure and Treatment-An Echocardiography Study of Extremely Preterm Infants.

Anna Gudmundsdottir, Marco Bartocci, Oda Picard, Joanna Ekström, Alexander Chakhunashvili, Kajsa Bohlin, Caroline Attner, Gordana Printz, Mathias Karlsson, Lilly-Ann Mohlkert and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 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
0.4field-weighted citation impact, top 41% 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, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  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

13 authors at 5 institutions in 2 countries.

Anna GudmundsdottirDepartment of Women's and Children's Health, Karolinska Institutet, 171 77 Stockholm, Sweden.ORCID 0000-0003-0428-6707
Marco BartocciDepartment of Women's and Children's Health, Karolinska Institutet, 171 77 Stockholm, Sweden.
Oda PicardDepartment of Women's and Children's Health, Karolinska Institutet, 171 77 Stockholm, Sweden.
Joanna EkströmEmergency Paediatric Emergency Medicine, Children's Minnesota, Minneapolis, MN 55404, USA.ORCID 0000-0002-5004-7881
Alexander ChakhunashviliDepartment of IT Development and Healthcare Information Systems, Karolinska University Hospital, 171 64 Stockholm, Sweden.
Kajsa BohlinDepartment of Neonatology, Astrid Lindgren Children's Hospital, Karolinska University Hospital, 171 64 Stockholm, Sweden.
Caroline AttnerSachs' Children and Youth Hospital, Södersjukhuset, 118 83 Stockholm, Sweden.
Gordana PrintzDepartment of Women's and Children's Health, Karolinska Institutet, 171 77 Stockholm, Sweden.
Mathias KarlssonClinical Research Center and Department of Clinical Chemistry, Central Hospital, 652 30 Karlstad, Sweden.
Lilly-Ann MohlkertDepartment of Clinical Science, Intervention and Technology, Karolinska Institutet, 171 77 Stockholm, Sweden.ORCID 0000-0001-5742-411X
Jonna KarlénSachs' Children and Youth Hospital, Södersjukhuset, 118 83 Stockholm, Sweden.
Cecilia Pegelow HalvorsenSachs' Children and Youth Hospital, Södersjukhuset, 118 83 Stockholm, Sweden.
Anna-Karin Edstedt BonamyClinical Epidemiology Division, Department of Medicine Solna, Karolinska Institutet, 171 77 Stockholm, Sweden.
Karolinska Institutet · SEKarolinska University Hospital · SEChildren's Minnesota · USKarlstad Central Hospital · SEStockholm South General Hospital · SE

Funding

H.R.H Princess Lovisa Foundation 2010Stockholm County Council and Karolinska Institutet, and the Neonatal Department, Karolinska University Hospital 2010-2016The Foundation for the Astrid Lindgren Children's Hospital Stockholm 2018The Sällskapet Barnavård Foundation 2011, 2013, 2014, 2015the Samariten Foundation 2012, 2013the Swedish Heart-Lung Foundation Grant 2013-0469 2013-0469
6 · The paper itself

Abstract

The aim was to investigate the association of gestational age (GA), echocardiographic markers and levels of plasma N-terminal pro-B-type natriuretic peptide (NTproBNP) with the closure rate of a haemodynamically significant patent ductus arteriosus (hsPDA). Ninety-eight Swedish extremely preterm infants, mean GA 25.7 weeks (standard deviation 1.3), born in 2012-2014, were assessed with echocardiography and for levels of NTproBNP. Thirty-three (34%) infants had spontaneous ductal closure within three weeks of age. Infants having spontaneous closure at seven days or less had significantly lower NTproBNP levels on day three, median 1810 ng/L (IQR 1760-6000 ng/L) compared with: infants closing spontaneously later, 10,900 ng/L (6120-19,200 ng/L); infants treated either with ibuprofen only, 14,600 ng/L (7740-28,100 ng/L); or surgery, 32,300 ng/L (29,100-35,000 ng/L). Infants receiving PDA surgery later had significantly higher NTproBNP values on day three than other infants. Day three NTproBNP cut-off values of 15,001-18,000 ng/L, predicted later PDA surgery, with an area under the curve in ROC analysis of 0.69 (0.54-0.83). In conclusion, the spontaneous PDA closure rate is relatively high in extremely preterm infants. Early NTproBNP levels can be used with GA in the management decisions of hsPDA.

Indexed as

cardiac troponin Techocardiographyextremely pretermN-terminal pro B-type natriuretic peptidepatent ductus arteriosus

Identifiers

PMID35160119
PMCPMC8837127
OpenAlexW4210260385

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.