Evidence map›Paper›PMID 36914233›Full record

Trial reportArchives of disease in childhood. Fetal and neonatal edition2023

Late permissive hypercapnia and respiratory stability among very preterm infants: a pilot randomised trial.

Colm P Travers, Waldemar A Carlo, Arie Nakhmani, Deborah Laney, Rouba A Chahine, Immaculada Aban, Namasivayam Ambalavanan

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of disease in childhood. Fetal and neonatal edition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03333161 (Prematurity-Related Ventilatory Control), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT03333161 nacompletednot on this map

Prematurity-Related Ventilatory Control (PRE-VENT): Role in Respiratory Outcomes Clinical Research Centers (CRC)

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2018 to 2021Enrolled25ConditionsInfant,PrematureArmsCardiorespiratory monitoring
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Trial
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.

Colm P TraversDepartment of Pediatrics, The University of Alabama at Birmingham, Birmingham, Alabama, USA cptravers@uabmc.edu.ORCID http://orcid.org/0000-0002-3218-1024
Waldemar A CarloDepartment of Pediatrics, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Arie NakhmaniDepartment of Electrical and Computer Engineering, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Deborah LaneyDepartment of Pediatrics, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Rouba A ChahineDepartment of Biostatistics, The University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, USA.
Immaculada AbanDepartment of Biostatistics, The University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, USA.
Namasivayam AmbalavananDepartment of Pediatrics, The University of Alabama at Birmingham, Birmingham, Alabama, USA.

Funding

Prematurity-Related Ventilatory Control: Leadership Data and Coordination Center (LDCC)U01HL133708 · NHLBI · UNIVERSITY OF VIRGINIA · PI LAKE, DOUGLAS E, MOORMAN, JOSEPH RANDALL · 2016 to 2020
$3.7M
Pre-Vent ApneaU01HL133536 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AMBALAVANAN, NAMASIVAYAM, INDIC, PREMANANDA PAI · 2016 to 2020
$2.6M
Non-invasive oscillometry to measure lung mechanics, response to treatments, and predict longer-term pulmonary outcomes among preterm infants: a prospective cohort studyK23HL157618 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Colm Peter Travers · 2022 to 2026
$862k
NHLBI NIH HHS K23 HL157618NHLBI NIH HHS U01 HL133536NHLBI NIH HHS U01 HL133708
6 · The paper itself

Abstract

objectiveDetermine if targeting higher transcutaneous carbon dioxide improves respiratory stability among very preterm infants on ventilatory support.

designSingle-centre pilot randomised clinical trial.

settingThe University of Alabama at Birmingham. PATIENTS: Very preterm infants on ventilatory support after postnatal day 7.

interventionsInfants were randomised to two different transcutaneous carbon dioxide levels targeting 5 mm Hg (0.67 kPa) changes with four sessions each lasting 24 hours for 96 hours: baseline-increase-baseline-increase or baseline-decrease-baseline-decrease.

main outcome measuresWe collected cardiorespiratory data evaluating episodes of intermittent hypoxaemia (oxygen saturations (SpO

resultsWe enrolled 25 infants with a gestational age of 24 w 6 d±11 d (mean±SD) and birth weight 645±142 g on postnatal day 14±3. Continuous transcutaneous carbon dioxide values (56.8±6.9 in the higher group vs 54.5±7.8 in the lower group; p=0.36) did not differ significantly between groups during the intervention days. There were no differences in intermittent hypoxaemia (126±64 vs 105±61 per 24 hours; p=0.30) or bradycardia (11±16 vs 15±23 per hour; p=0.89) episodes between groups. The proportion of time with SpO

conclusionTargeting 5 mm Hg (0.67 kPa) changes in transcutaneous carbon dioxide did not improve respiratory stability among very preterm infants on ventilatory support but the intended carbon dioxide separation was difficult to achieve and maintain. TRIAL REGISTRATION NUMBER: NCT03333161.

Indexed as

HypercapniaInfant, Premature, DiseasesBradycardiaCarbon DioxideHumansHypoxiaInfantInfant, NewbornInfant, PrematurePilot ProjectsCarbon Dioxideneonatologyrespiratory medicine

Identifiers

PMID36914233
PMCPMC10578058

What OpenQuestion holds

Textmetadata
LicenceTDM
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.