Evidence map›Paper›PMID 35775767›Full record

ReviewActa bio-medica : Atenei Parmensis2022

Neonatal septic shock, a focus on first line interventions.

Valentina Spaggiari, Erica Passini, Sara Crestani, Maria Federica Roversi, Luca Bedetti, Katia Rossi, Laura Lucaccioni, Cecilia Baraldi, Elisa Della Casa Muttini, Licia Lugli and 2 more

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Acta bio-medica : Atenei Parmensis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07248761 (Efficacy of Early Administration of Hydrocortisone in Shock in Preterm Neonates of Less Than 1,500 g), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.8field-weighted citation impact, top 9% 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.

NCT07248761 phase4active not recruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy of Early Administration of Hydrocortisone in Shock in Preterm Neonates of Less Than 1,500 g

TypeinterventionalSponsorCoordinación de Investigación en Salud, MexicoRan2025 to 2026Enrolled76ConditionsShock, Preterm Birth Complication, Preterm Intraventricular Hemorrhage, Asphyxia PerinatalArmsIntravascular Hydrocortisone (stress dosage): 1 mg/k/dose each 8 hours for 5 days, Vasoactive drug therapies
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. 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

12 authors at 2 institutions in 1 country.

Valentina SpaggiariPediatric Post-graduate School, University Hospital of Modena and Reggio Emilia, Modena, Italy . vale.spaggi@gmail.com.
Erica PassiniPediatric Post-graduate School, University Hospital of Modena and Reggio Emilia, Modena, Italy . erica.passini11@gmail.com.
Sara CrestaniPediatric Post-graduate School, University Hospital of Modena and Reggio Emilia, Modena, Italy . cresara90@gmail.com.
Maria Federica RoversiNeonatal Intensive Care Unit, Women's and Children's Health Department, University Hospital of Modena, Modena, Italy . roversi.federica@aou.mo.it.
Luca BedettiPhD Program in Clinical and Experimental Medicine, University of Modena and Reggio Emilia. luca.bedetti87@gmail.com.
Katia RossiNeonatal Intensive Care Unit, Women's and Children's Health Department, University Hospital of Modena, Modena, Italy . rossi.katia@aou.mo.it.
Laura LucaccioniPediatrics, Women's, and Children's Health Department, University Hospital of Modena, Modena, Italy. laura.lucaccioni@unimore.it.
Cecilia BaraldiNeonatal Intensive Care Unit, Women's and Children's Health Department, University Hospital of Modena, Modena, Italy . baraldi.cecilia@aou.mo.it.
Elisa Della Casa MuttiniNeonatal Intensive Care Unit, Women's and Children's Health Department, University Hospital of Modena, Modena, Italy . dellacasa.elisa@aou.mo.it.
Licia LugliNeonatal Intensive Care Unit, Women's and Children's Health Department, University Hospital of Modena, Modena, Italy . lugli.licia@aou.mo.it.
Lorenzo IughettiPediatrics, Women's, and Children's Health Department, University Hospital of Modena, Modena, Italy. lorenzo.iughetti@unimore.it.
Alberto BerardiNeonatal Intensive Care Unit, Women's and Children's Health Department, University Hospital of Modena, Modena, Italy . alberto.berardi@unimore.it.
Azienda Unita' Sanitaria Locale Di Modena · ITUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Septic shock is a main cause of morbidity and mortality in neonates. Septic shock evolves from compensated to uncompensated through 3 distinct phases. Prompt diagnosis is challenging, since neonatal septic shock may overlap with the physiological changes occurring at birth. The outcome of septic shock depends on a prompt recognition of symptoms and a strict adherence to cardiopulmonary resuscitation guidelines. Fluid administration plays a major role in the initial management of septic shock. If there is no response to volume filling, inotropes must be infused within one hour of onset (dopamine, dobutamine, adrenaline). Life-threatening infections require immediate and aggressive empiric use of antimicrobials. In the pediatric age, delay in antibiotic initiation for treating septic shock is associated with poor outcome and increased risk of mortality. There is a gap regarding first line interventions in neonatal septic shock. This review addresses initial interventions in the treatment of neonatal septic shock and discusses currently available evidences., These interventions may allow to improve the outcome if they are promptly carried out.

Indexed as

Anti-Infective AgentsShock, SepticAnti-Bacterial AgentsChildHumansInfant, NewbornResuscitationAnti-Bacterial AgentsAnti-Infective Agents

Identifiers

PMID35775767
PMCPMC9335427
OpenAlexW4283773109

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.