Evidence map›Paper›PMID 36997690›Full record

ReviewPediatric research2024

Near-infrared spectroscopy monitoring of neonatal cerebrovascular reactivity: where are we now?

Silvia Martini, Liesbeth Thewissen, Topun Austin, Cristine Sortica da Costa, Willem P de Boode, Eugene Dempsey, Elisabeth Kooi, Adelina Pellicer, Christopher J Rhee, Joan Riera and 3 more

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  3. Care of the Newborn and Cord During the Third Stage of Labour (Scientific Impact Paper No. 78).BJOG : an international journal of obstetrics and gynaecology · 2026
    Review
  4. Observational
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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

13 authors at 20 institutions in 13 countries.

Silvia MartiniNeonatal Intensive Care Unit, IRCCS AOU S. Orsola, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy. silvia.martini9@unibo.it.ORCID 0000-0003-2078-7114
Liesbeth ThewissenDepartment of Neonatology, University Hospitals Leuven, Leuven, Belgium.
Topun AustinNeonatal Intensive Care Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Cristine Sortica da CostaNeonatal Intensive Care Unit, Great Ormond Street Hospital for Children, London, UK.
Willem P de BoodeDepartment of Neonatology, Radboud University Medical Center, Radboud Institute for Health Sciences, Amalia Children's Hospital, Nijmegen, The Netherlands.
Eugene DempseyDepartment of Paediatrics and Child Health, INFANT Centre, University College Cork, Cork, Ireland.
Elisabeth KooiDivision of Neonatology, Beatrix Children's Hospital, University Medical Center, University of Groningen, Groningen, The Netherlands.
Adelina PellicerDepartment of Neonatology, La Paz University Hospital, Madrid, Spain.
Christopher J RheeSection of Neonatology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
Joan RieraDepartment of Neonatology, La Paz University Hospital, Madrid, Spain.
Martin WolfBiomedical Optics Research Laboratory, Department of Neonatology, University Hospital Zurich, Zurich, Switzerland.
Flora WongMonash Newborn, Monash Children's Hospital, Hudson Institute of Medical Research, Department of Paediatrics, Monash University, Melbourne, VIC, Australia.
European Society for Paediatric Research (ESPR) Special Interest Group “Near InfraRed Spectroscopy” (NIRS)
Copenhagen University Hospital · DKMedical University of Graz · ATBaylor College of Medicine · USGazi University · TRHospital Universitario La Paz · ESKU Leuven · BERadboud University Nijmegen · NLUniversity College Cork · IEUniversity Medical Center Utrecht · NLBoston Children's Hospital · USCambridge University Hospitals NHS Foundation Trust · GBGreat Ormond Street Hospital · GBHackensack University Medical Center Mountainside · USHudson Institute of Medical Research · AUNuffield Orthopaedic Centre · GBPoznan University of Medical Sciences · PLUniversity Children's Hospital Tübingen · DEUniversity Medical Center Groningen · NLUniversity of Bologna · ITUniversity of Copenhagen · DK

Funding

European Society for Paediatric Research (ESPR)
6 · The paper itself

Abstract

Cerebrovascular reactivity defines the ability of the cerebral vasculature to regulate its resistance in response to both local and systemic factors to ensure an adequate cerebral blood flow to meet the metabolic demands of the brain. The increasing adoption of near-infrared spectroscopy (NIRS) for non-invasive monitoring of cerebral oxygenation and perfusion allowed investigation of the mechanisms underlying cerebrovascular reactivity in the neonatal population, confirming important associations with pathological conditions including the development of brain injury and adverse neurodevelopmental outcomes. However, the current literature on neonatal cerebrovascular reactivity is mainly still based on small, observational studies and is characterised by methodological heterogeneity; this has hindered the routine application of NIRS-based monitoring of cerebrovascular reactivity to identify infants most at risk of brain injury. This review aims (1) to provide an updated review on neonatal cerebrovascular reactivity, assessed using NIRS; (2) to identify critical points that need to be addressed with targeted research; and (3) to propose feasibility trials in order to fill the current knowledge gaps and to possibly develop a preventive or curative approach for preterm brain injury. IMPACT: NIRS monitoring has been largely applied in neonatal research to assess cerebrovascular reactivity in response to blood pressure, PaCO

Indexed as

Cerebrovascular CirculationSpectroscopy, Near-InfraredBrainBrain InjuriesHumansInfant, NewbornInfant, PrematureMonitoring, PhysiologicOxygenOxygen

Identifiers

PMID36997690
OpenAlexW4361266831

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.