Evidence map›Paper›PMID 35934128›Full record

ArticleThe Journal of pediatrics2022

Prospective Risk Stratification Identifies Healthcare Utilization Associated with Home Oxygen Therapy for Infants with Bronchopulmonary Dysplasia.

Joanne M Lagatta, Liyun Zhang, Ke Yan, Sara Dawson, Michael E Msall, Namasivayam Ambalavanan, David C Brousseau

Abstract read
In one paragraph

Article in The Journal of pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Managing established bronchopulmonary dysplasia without using routine blood gas measurements.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  5. Review
  6. Article
  7. 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 3 institutions in 1 country.

Joanne M LagattaDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI. Electronic address: jlagatta@mcw.edu.
Liyun ZhangDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Ke YanDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Sara DawsonDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Michael E MsallDepartment of Pediatrics, University of Chicago, Chicago, IL.
Namasivayam AmbalavananDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, AL.
David C BrousseauDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Medical College of Wisconsin · USUniversity of Alabama at Birmingham · USUniversity of Chicago · US

Funding

Home Oxygen Use for Infants with Bronchopulmonary Dysplasia: Balancing Infant, Family, and Health System OutcomesK23HL136525 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI LAGATTA, JOANNE M · 2018 to 2022
$809k
NHLBI NIH HHS K23 HL136525
6 · The paper itself

Abstract

objectiveTo test whether prospective classification of infants with bronchopulmonary dysplasia identifies lower-risk infants for discharge with home oxygen who have fewer rehospitalizations by 1 year after neonatal intensive care unit discharge. STUDY

designThis is a prospective single-center cohort that included infants from 2016 to 2019 with bronchopulmonary dysplasia, defined as receiving respiratory support at 36 weeks of postmenstrual age. "Lower-risk" infants were receiving ≤2 L/min nasal cannula flow, did not have pulmonary hypertension or airway comorbidities, and had blood gas partial pressure of carbon dioxide <70 mm Hg. We compared 3 groups by discharge status: lower-risk room air, lower-risk home oxygen, and higher-risk home oxygen. The primary outcome was rehospitalization at 1 year postdischarge, and the secondary outcomes were determined by the chart review and parent questionnaire.

resultsAmong 145 infants, 32 (22%) were lower-risk discharged in room air, 49 (32%) were lower-risk using home oxygen, and 64 (44%) were higher-risk. Lower-risk infants using home oxygen had rehospitalization rates similar to those of lower-risk infants on room air (18% vs 16%, P = .75) and lower rates than higher-risk infants (39%, P = .018). Lower-risk infants using home oxygen had more specialty visits (median 10, IQR 7-14 vs median 6, IQR 3-11, P = .028) than those on room air. Classification tree analysis identified risk status as significantly associated with rehospitalization, along with distance from home to hospital, inborn, parent-reported race, and siblings in the home.

conclusionsProspectively identified lower-risk infants discharged with home oxygen had fewer rehospitalizations than higher-risk infants and used more specialty care than lower-risk infants discharged in room air.

Indexed as

Bronchopulmonary DysplasiaAftercareHumansInfantInfant, NewbornInfant, PrematureOxygenOxygen Inhalation TherapyPatient Acceptance of Health CarePatient DischargeProspective StudiesRisk AssessmentOxygenneonatal intensive careprematurity

Identifiers

PMID35934128
PMCPMC13537438
OpenAlexW4296905417

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.