Evidence map›Paper›PMID 36471386›Full record

ArticleBMC pulmonary medicine2022

Effects of less invasive surfactant administration versus intubation-surfactant-extubation on bronchopulmonary dysplasia in preterm infants with respiratory distress syndrome: a single-center, retrospective study from China.

Chun-Cai Xu, Ying-Ying Bao, Jing-Xin Zhao, Ke Cheng, Ling Sun, Jing-Yuan Wu, Ming-Yuan Wu, Jia-Jun Zhu

Open access · goldAbstract read
In one paragraph

Article in BMC pulmonary medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  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 1 institution in 1 country.

Chun-Cai Xu *Department of Neonatology, Women's Hospital School of Medicine, Zhejiang University, Hangzhou, China.
Ying-Ying Bao *Department of Neonatology, Women's Hospital School of Medicine, Zhejiang University, Hangzhou, China.
Jing-Xin ZhaoDepartment of Neonatology, Women's Hospital School of Medicine, Zhejiang University, Hangzhou, China.
Ke ChengDepartment of Neonatology, Women's Hospital School of Medicine, Zhejiang University, Hangzhou, China.
Ling SunDepartment of Neonatology, Women's Hospital School of Medicine, Zhejiang University, Hangzhou, China.
Jing-Yuan WuDepartment of Neonatology, Women's Hospital School of Medicine, Zhejiang University, Hangzhou, China.
Ming-Yuan WuDepartment of Neonatology, Women's Hospital School of Medicine, Zhejiang University, Hangzhou, China.
Jia-Jun ZhuDepartment of Neonatology, Women's Hospital School of Medicine, Zhejiang University, Hangzhou, China. jiajunzhu@zju.edu.cn.ORCID http://orcid.org/0000-0002-6474-7790
Women's Hospital, School of Medicine, Zhejiang University · CN

Funding

the Major scientific and technological projects of medical and health in Zhejiang Province WKJ-ZJ- 2032
6 · The paper itself

Abstract

backgroundThis study evaluated the effects of less invasive surfactant administration (LISA) and intubation-surfactant-extubation (InSurE) on bronchopulmonary dysplasia (BPD) in preterm infants with respiratory distress syndrome (RDS).

methodsNeonates with respiratory distress syndrome requiring surfactant, with gestational age < 32 weeks and birth weight < 1500 g admitted to our neonatal intensive care unit from January 2018 to December 2019, were retrospectively analyzed. LISA and InSurE were used independently. The incidence of BPD at 36 weeks postmenstrual age, pre-discharge mortality, and need for mechanical ventilation (MV) within 72 h of birth were compared between LISA and InSurE group. Secondary outcomes including necrotizing enterocolitis requiring surgery, retinopathy of prematurity ≥ stage 3, patent ductus arteriosus requiring medical therapy or surgery, and length of hospitalization were analyzed.

resultsAmong the 148 included neonates, there were 46 and 102 infants in LISA group and InSurE group, respectively. There were no significant differences in BPD incidence, the severity of BPD at 36 weeks postmenstrual age, and the rate of MV within the first 72 h after birth between the two groups (P > 0.05, respectively). The incidences of necrotizing enterocolitis requiring surgery, retinopathy of prematurity ≥ stage 3, patent ductus arteriosus requiring medical therapy or surgery, and length of hospitalization did not differ significantly between the two groups (P > 0.05, respectively).

conclusionsFor surfactant administration among preterm infants with respiratory distress syndrome, LISA did not decrease bronchopulmonary dysplasia and severity of BPD at 36 weeks postmenstrual age. The benefits of LISA would require further evaluations.

Indexed as

Bronchopulmonary DysplasiaDuctus Arteriosus, PatentEnterocolitis, NecrotizingPulmonary SurfactantsRespiratory Distress Syndrome, NewbornRetinopathy of PrematurityAirway ExtubationHumansInfantInfant, NewbornInfant, PrematureInfant, Very Low Birth WeightIntubation, IntratrachealRespiration, ArtificialRetrospective StudiesSurface-Active AgentsPulmonary SurfactantsSurface-Active AgentsBronchopulmonary dysplasiaIntubation-surfactant-extubationLess invasive surfactant administrationPreterm infants

Identifiers

PMID36471386
PMCPMC9724250
OpenAlexW4310774919

What OpenQuestion holds

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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.