Evidence map›Paper›PMID 35640999›Full record

ArticleRespiratory care2022

Noninvasive Ventilation Exposure Prior to Intubation in Pediatric Hematopoietic Cell Transplant Recipients.

Daniel T Cater, Julie C Fitzgerald, Shira J Gertz, Jennifer A McArthur, Megan C Daniel, Kris M Mahadeo, Deyin D Hsing, Lincoln S Smith, Francis Pike, Courtney M Rowan and 1 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Respiratory care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
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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 9 institutions in 1 country.

Daniel T CaterDivision of Critical Care, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, Indiana. dancater@iu.edu.
Julie C FitzgeraldDivision of Critical Care, Department of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Shira J GertzDivision of Pediatric Critical Care, Department of Pediatrics, Saint Barnabas Medical Center, Livingston, New Jersey.
Jennifer A McArthurDivision of Critical Care, Department of Pediatrics, St Jude Children's Research Hospital, Memphis, Tennessee.
Megan C DanielDivision of Critical Care, Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio.
Kris M MahadeoStem Cell Transplantation and Cellular Therapy, Children's Cancer Hospital, University of Texas M.D. Anderson Cancer Center, Houston, Texas.
Deyin D HsingDivision of Critical Care, Department of Pediatrics, Weil Cornell Medical College, New York-Presbyterian Hospital, New York City, New York.
Lincoln S SmithDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Seattle Children's Hospital, University of Washington, Seattle, Washington.
Francis PikeDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, Indiana.
Courtney M RowanDivision of Critical Care, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, Indiana.
Hematopoietic Cell Transplant subgroup of the Pediatric Acute Lung Injury and Sepsis Investigator Network
Riley Hospital for Children · USChildren's Hospital of Philadelphia · USIndiana University School of MedicineNationwide Children's Hospital · USNewYork–Presbyterian Hospital · USSaint Barnabas Medical Center · USSeattle Children's Hospital · USSt. Jude Children's Research Hospital · USThe University of Texas MD Anderson Cancer Center · US

Funding

Prognostic biomarkers for respiratory failure post hematopoietic cell transplantationK23HL150244 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI ROWAN, COURTNEY · 2020 to 2024
$899k
Pediatric septic acute kidney injury: personalizing antibiotic dosing through understanding acute kidney injury risk factors and biomarker profilesK23DK119463 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI FITZGERALD, JULIE C. HOLLOWS · 2020 to 2024
$810k
NHLBI NIH HHS K23 HL150244NIDDK NIH HHS K23 DK119463
6 · The paper itself

Abstract

backgroundNoninvasive ventilation (NIV) has become more studied in immunocompromised patients. However, it has not been studied in hematopoietic cell transplantation (HCT) recipients, who have higher mortality and higher pulmonary complication rates than other immunocompromised patients. This population may be prone to negative effects from this treatment modality. The aim of this study was to determine whether NIV use is associated with worse outcomes in this vulnerable patient population.

methodsA secondary analysis of a retrospective multi-center database was performed. Twelve pediatric ICUs across the United States enrolled HCT subjects from 2009-2014 that were admitted to the pediatric ICU (PICU) with the diagnosis of acute respiratory failure. Subjects exposed to NIV prior to intubation were compared against those not exposed to NIV. Our primary outcome was all-cause mortality at 90 d; secondary outcomes included ventilator-free days (VFD) at 28 d and development of pediatric ARDS. Multivariable logistic and linear regression models were constructed using variables significant on univariable analysis.

resultsTwo-hundred eleven subjects were included. Of these, 82 (39%) received NIV prior to intubation. Those that received NIV prior to intubation were older (13 vs 6 y,

conclusionsIn this cohort of children post-HCT, NIV use prior to intubation was associated with worse outcomes. The benefits and risks of NIV in this patient population should be carefully evaluated prior to its use, and careful patient selection is crucial for its optimal utilization.

Indexed as

Hematopoietic Stem Cell TransplantationNoninvasive VentilationRespiratory Distress SyndromeRespiratory InsufficiencyChildHumansIntubation, IntratrachealRetrospective StudiesTransplant Recipientsartificial respirationcritical carehematopoietic stem cell transplantationmortalitynoninvasive ventilationpediatrics

Identifiers

PMID35640999
PMCPMC9994337
OpenAlexW4281615173

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.