Evidence map›Paper›PMID 35428277›Full record

ArticleBMC pediatrics2022

Red blood cell transfusions post diagnosis of necrotizing enterocolitis and the deterioration of necrotizing enterocolitis in full-term and near-term infants: a propensity score adjustment retrospective cohort study.

Lijuan Luo, Xingling Liu, Huan Yu, Mei Luo, Wen Jia, Wenbin Dong, Xiaoping Lei

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 53% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

7 authors at 2 institutions in 1 country.

Lijuan LuoDivision of Neonatology, Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, 8 Kangcheng Road, Luzhou, Sichuan, China.
Xingling LiuDivision of Neonatology, Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, 8 Kangcheng Road, Luzhou, Sichuan, China.
Huan YuDivision of Neonatology, Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, 8 Kangcheng Road, Luzhou, Sichuan, China.
Mei LuoDivision of Neonatology, Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, 8 Kangcheng Road, Luzhou, Sichuan, China.
Wen JiaDivision of Neonatology, Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, 8 Kangcheng Road, Luzhou, Sichuan, China.
Wenbin DongDivision of Neonatology, Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, 8 Kangcheng Road, Luzhou, Sichuan, China.
Xiaoping LeiDivision of Neonatology, Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, 8 Kangcheng Road, Luzhou, Sichuan, China. leixiaoping2020@swmu.edu.cn.
Affiliated Hospital of Southwest Medical University · CNShanghai Clinical Research Center · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNecrotizing enterocolitis (NEC) is one of serious gastrointestinal inflammatory diseases in newborn infants, with a high morbidity and mortality. Red blood cell transfusion (RBCT) plays a controversial and doubtful role in the treatment of NEC. In present study, we aim to analyze the association between RBCT and the deterioration of NEC.

methodsThis was a retrospective cohort study of near-term and full-term infants with a confirmed diagnosis of Bell's stage II NEC between Jan 1, 2010 and Jan 31, 2020. The maternal and infant baseline characteristics, treatment information and laboratory test for each case were collected. The eligible subjects were divided into two groups based on receiving RBCT post NEC diagnosis or not. The propensity score was used to eliminate potential bias and baseline differences. A multivariate logistic regression model was used to adjust the propensity score and calculate the odds ratio (OR) and 95% confidential interval (CI) of RBCT for the deterioration of NEC.

resultsA total of 242 infants were included in this study, 60 infants had a history of RBCT post NEC diagnosis, and 40 infants deteriorated from Bell's stage II to stage III. By adjusting the propensity score, RBCT post NEC diagnosis was associated with an increased risk for NEC deteriorating from stage II to III (adjusted OR 6.06, 95%CI 2.94-12.50, P = 0.000).

conclusionsNEC infants who required RBCT post NEC diagnosis were more likely to deteriorate from stage II to III in full-term and near-term infants.

Indexed as

Enterocolitis, NecrotizingFetal DiseasesInfant, Newborn, DiseasesErythrocyte TransfusionFemaleHumansInfantInfant, NewbornPropensity ScoreRetrospective StudiesRisk FactorsDeteriorationInfantsNecrotizing enterocolitisPropensity scoreRed blood transfusion

Identifiers

PMID35428277
PMCPMC9012001
OpenAlexW4223888741

What OpenQuestion holds

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LicenceCC BY
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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.