Evidence map›Paper›PMID 35173286›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2022

Decreasing delivery room CPAP-associated pneumothorax at ≥35-week gestational age.

Edward F Stocks, Mambarambath Jaleel, William Smithhart, Patti J Burchfield, Anita Thomas, Kate Louise M Mangona, Vishal Kapadia, Myra Wyckoff, Venkatakrishna Kakkilaya, Shelby Brenan and 4 more

Open access · bronzeAbstract read
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 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Singapore Neonatal Resuscitation Guidelines 2026.Singapore medical journal · 2026
    Guideline
  3. Guideline
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Pneumothorax in a term newborn.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Review
  10. 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

14 authors at 4 institutions in 1 country.

Edward F StocksUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Mambarambath JaleelUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
William SmithhartUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Patti J BurchfieldUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Anita ThomasUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Kate Louise M MangonaUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Vishal KapadiaUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0001-7862-5869
Myra WyckoffUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Venkatakrishna KakkilayaUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Shelby BrenanUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
L Steven BrownParkland Health & Hospital System, Dallas, TX, USA.
Christopher ClarkParkland Health & Hospital System, Dallas, TX, USA.
David B NelsonUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Luc P BrionUniversity of Texas Southwestern Medical Center, Dallas, TX, USA. luc.brion@utsouthwestern.edu.ORCID http://orcid.org/0000-0002-6139-0132
The University of Texas Southwestern Medical Center · USParkland Health & Hospital System · USJackson Laboratory · USSouthwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe previously reported an increase in pneumothorax after implementing delivery room (DR) continuous positive airway pressure (CPAP) for labored breathing or persistent cyanosis in ≥35-week gestational age (GA) neonates unexposed to DR-positive pressure ventilation (DR-PPV). We hypothesized that pneumothorax would decrease after de-implementing DR-CPAP in those unexposed to DR-PPV or DR-O STUDY

designIn a retrospective cohort excluding DR-PPV the primary outcome was DR-CPAP-related pneumothorax (1st chest radiogram, 1st day of life). In a subgroup treated by the resuscitation team and admitted to the NICU, the primary outcome was DR-CPAP-associated pneumothorax (1st radiogram, no prior PPV) without DR-PPV/O

resultsIn the full cohort, occurrence of DR-CPAP-related pneumothorax decreased after the intervention (11.0% vs 6.0%, P < 0.001). In the subgroup, occurrence of DR-CPAP-associated pneumothorax decreased after the intervention (1.4% vs. 0.06%, P < 0.001).

conclusionThe occurrence of CPAP-associated pneumothorax decreased after avoiding DR-CPAP in ≥35-week GA neonates without DR-PPV/O

Indexed as

PneumothoraxRespiratory Distress Syndrome, NewbornContinuous Positive Airway PressureDelivery RoomsFemaleGestational AgeHumansInfant, NewbornPregnancyRetrospective Studies

Identifiers

PMID35173286
PMCPMC8853308
OpenAlexW4212831076

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.