Evidence map›Paper›PMID 35616853›Full record

Observational studyJournal of ultrasound2023

A detailed echocardiographic evaluation of ventricular functions in stable full term small for gestational age babies.

Arjun Verma, Pradeep Suryawanshi, Chinmay Chetan, Gauri Oka, Yogen Singh, Aditya Kallimath, Pari Singh, Reema Garegrat

Registry-linked trialOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of ultrasound, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06200519 (A Longitudinal Observational Assessment of Diastolic Function During the Transitional Period and Infancy Using Serial Echocardiography in Neonates Born at 35 Weeks Gestation or Above), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 37% 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.

NCT06200519 active not recruitingnot on this mapstarted 2024, after this paper: background citation

A Longitudinal Observational Assessment of Diastolic Function During the Transitional Period and Infancy Using Serial Echocardiography in Neonates Born at 35 Weeks Gestation or Above

TypeobservationalSponsorUniversity College CorkRan2024 to 2026Enrolled216ConditionsDiastolic Dysfunction, Neonatal Encephalopathy, Small for Gestational Age at Delivery, Transient Tachypnea of the Newborn
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. 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 2 countries.

Arjun VermaDepartment of Neonatology, Bharati Vidyapeeth University Medical College, Hospital and Research Center, Pune, Maharashtra, India.
Pradeep SuryawanshiDepartment of Neonatology, Bharati Vidyapeeth University Medical College, Hospital and Research Center, Pune, Maharashtra, India. drpradeepsuryawanshi@gmail.com.ORCID http://orcid.org/0000-0002-4364-2041
Chinmay ChetanDepartment of Neonatology, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India.
Gauri OkaDepartment of Research, Bharati Vidyapeeth University Medical College, Hospital and Research Center, Pune, Maharashtra, India.
Yogen SinghDepartment of Pediatrics, Division of Neonatology, Loma Linda University School of Medicine, Loma Linda, CA, 92354, USA.
Aditya KallimathDepartment of Neonatology, Bharati Vidyapeeth University Medical College, Hospital and Research Center, Pune, Maharashtra, India.
Pari SinghDepartment of Neonatology, Bharati Vidyapeeth University Medical College, Hospital and Research Center, Pune, Maharashtra, India.
Reema GaregratDepartment of Neonatology, Bharati Vidyapeeth University Medical College, Hospital and Research Center, Pune, Maharashtra, India.
Bharati Vidyapeeth Deemed University · INLoma Linda University · USSwami Rama Himalayan University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSGA infants with fetal growth restriction have reduced ability to adapt themselves to the postnatal life because of certain epigenetic changes in cardiac function. The aim of the present study is to assess and compare the cardiac functions of fetal growth restricted SGA newborns to the term stable AGA newborns, and evaluate any differences in the cardiac functions during the postnatal transitional circulation.

methodThis observational study was conducted at a multispecialty tertiary care hospital in Western India from June to November 2021. The newborns were evaluated using bedside echocardiography at 24-48 h and repeat screening after 48 h. The echocardiographic assessment of the systolic function was done using EF, FS, FAC and TAPSE; diastolic function using E/A wave ratio and global functioning using LV MPI.

resultTwnety-four babies were included in cases and 30 in the control arm of the study. Maternal and newborn characteristics were comparable between the two groups. FS, EF for left ventricle and TAPSE, FAC for right ventricular systolic function were significantly lower in SGA group (p = 0.02, 0.02, 0.00 and 0.01; respectively). The current study revealed a lower tricuspid E/A ratio and higher mitral E/A ratio with a significant difference beyond 48 h in the first week of life (p value 0.00). Left ventricular MPI was significantly higher in SGA infants compared to AGA infants during two subsequent readings in immediate newborn period with p values 0.01 and 0.02 respectively. The subgroup analysis revealed that fetal growth-restricted neonates with absent end-diastolic flow had a greater impact on ventricular functions.

conclusionPresent study showed a significant systolic and diastolic dysfunction during initial newborn period in growth restricted SGA infants.

Indexed as

EchocardiographyInfant, Small for Gestational AgeGestational AgeHeart VentriclesHumansInfantInfant, NewbornVentricular FunctionAGA appropriate for gestational ageEF Ejection fractionFAC Fractional area changeFS Fractional shorteningMPI Myocardial performance IndexSGA small for gestational ageTAPSE tricuspid annular plane systolic excursion

Identifiers

PMID35616853
PMCPMC10063694
OpenAlexW4281563727

What OpenQuestion holds

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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.