Evidence map›Paper›PMID 36153409›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2022

Evaluation and validation of a prediction model for extubation success in very preterm infants.

Rebecca A Dryer, Anand Salem, Vivek Saroha, Rachel G Greenberg, Matthew A Rysavy, Sanjay Chawla, Ravi M Patel

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 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
1.2field-weighted citation impact, top 20% 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, 8 citations in OpenAlex.

  1. Peri-extubation settings in preterm neonates: a systematic review and meta-analysis.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Pooled it
  2. Review
  3. Review
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 5 institutions in 1 country.

Rebecca A DryerEmory University School of Medicine, Atlanta, GA, USA.
Anand SalemEmory University School of Medicine, Atlanta, GA, USA.
Vivek SarohaEmory University School of Medicine, Atlanta, GA, USA.
Rachel G GreenbergDuke University School of Medicine, Durham, NC, USA.ORCID 0000-0003-4156-8543
Matthew A RysavyUniversity of Iowa, Iowa City, IA, USA.ORCID 0000-0002-1209-6607
Sanjay ChawlaChildren's Hospital of Michigan, Central Michigan University, Mt Pleasant, MI, USA.ORCID 0000-0002-7299-2737
Ravi M PatelEmory University School of Medicine, Atlanta, GA, USA. rmpatel@emory.edu.ORCID 0000-0002-7444-5550
Emory University · USCentral Michigan University · USDuke University · USJohns Hopkins University · USUniversity of Iowa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo perform an external validation of a publicly available model predicting extubation success in very preterm infants. STUDY

designRetrospective study of infants born <1250 g at a single center. Model performance evaluated using the area under the receiver operating characteristic curve (AUROC) and comparing observed and expected probabilities of extubation success, defined as survival ≥5 d without an endotracheal tube.

resultsOf 177 infants, 120 (68%) were extubated successfully. The median (IQR) gestational age was 27 weeks (25-28) and weight at extubation was 915 g (755-1050). The model had acceptable discrimination (AUROC 0.72 [95% CI 0.65-0.80]) and adequate calibration (calibration slope 0.96, intercept -0.06, mean observed-to-expected difference in probability of extubation success -0.08 [95% CI -0.01, -0.15]).

conclusionsThe extubation success prediction model has acceptable performance in an external cohort. Additional prospective studies are needed to determine if the model can be improved or how it can be used for clinical benefit.

Indexed as

Airway ExtubationInfant, Premature, DiseasesGestational AgeHumansInfantInfant, NewbornInfant, PrematureInfant, Very Low Birth WeightRetrospective Studies

Identifiers

PMID36153409
OpenAlexW4296976232

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.