Evidence map›Paper›PMID 37166345›Full record

ArticleNeonatology2023

Trends, Characteristic, and Outcomes of Preterm Infants Who Received Postnatal Corticosteroid: A Cohort Study from 7 High-Income Countries.

Shalin Parikh, Brian Reichman, Satoshi Kusuda, Mark Adams, Liisa Lehtonen, Maximo Vento, Mikael Norman, Laura San Feliciano, Tetsuya Isayama, Stellan Hakansson and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Neonatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

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

  1. Pooled it
  2. Trial
  3. Observational
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
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  10. Review
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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

16 authors at 10 institutions in 7 countries.

Shalin ParikhDepartment of Pediatrics, Sinai Health System, University of Toronto, Toronto, Ontario, Canada.
Brian ReichmanGertner Institute for Epidemiology and Health Policy Research, Sheba Medical Centre, Ramat Gan, Israel.
Satoshi KusudaDepartment of Pediatrics, Neonatal Research Network of Japan, Kyorin University, Tokyo, Japan.
Mark AdamsDepartment of Neonatology, University Hospital Zurich, Zurich, Switzerland.
Liisa LehtonenDepartment of Paediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland.
Maximo VentoDivision of Neonatology and Health Research Institute La Fe, Valencia, Spain.
Mikael NormanDepartment of Clinical Science, Intervention and Technology, Karolinska Institutet, Solna, Sweden.
Laura San FelicianoDivision of Neonatology, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain.
Tetsuya IsayamaDivision of Neonatology, Center of Maternal-Fetal Neonatal and Reproductive Medicine, National Center for Child Health and Development, Tokyo, Japan.
Stellan HakanssonDepartment of Clinical Sciences/Pediatrics, Umeå University Hospital, Umeå, Sweden.
Kjell HeleniusDepartment of Paediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland.
Dirk BasslerDepartment of Neonatology, University Hospital Zurich, Zurich, Switzerland.
Junmin YangDepartment of Pediatrics, Sinai Health System, University of Toronto, Toronto, Ontario, Canada.
Prakesh S ShahDepartment of Pediatrics, Sinai Health System, University of Toronto, Toronto, Ontario, Canada.
Lana Gellineo
International Network for Evaluation of Outcomes (iNeo) of neonates investigators
University of Toronto · CAUniversity Hospital of Zurich · CHUniversity of Turku · FIComplejo Hospitalario de Salamanca · ESKarolinska University Hospital · SEKyorin University · JPLeitat Technological Center · ESNational Center For Child Health and Development · JPSheba Medical Center · ILUmeå University · SE

Funding

CIHR APR-126340CIHR CTP 87518CIHR PBN 150642
6 · The paper itself

Abstract

introductionOur objective was to evaluate the temporal trend of systemic postnatal steroid (PNS) receipt in infants of 24-28 weeks' gestational age, identify characteristics associated with PNS receipt, and correlate PNS receipt with the incidence of bronchopulmonary dysplasia (BPD) and BPD/death from an international cohort included in the iNeo network.

methodsWe conducted a retrospective study using data from 2010 to 2018 from seven international networks participating in iNeo (Canada, Finland, Israel, Japan, Spain, Sweden, and Switzerland). Neonates of 24 and 28 weeks' gestational age who survived 7 days and who received PNS were included. We assessed temporal trend of rates of systemic PNS receipt and BPD/death.

resultsA total of 47,401 neonates were included. The mean (SD) gestational age was 26.4 (1.3) weeks and birth weight was 915 (238) g. The PNS receipt rate was 21% (12-28% across networks) and increased over the years (18% in 2010 to 26% in 2018; p < 0.01). The BPD rate was 39% (28-44% across networks) and remained unchanged over the years (35.2% in 2010 to 35.0% in 2018). Lower gestation, male sex, small for gestational age status, and presence of persistent ductus arteriosus (PDA) were associated with higher rates of PNS receipt, BPD, and BPD/death.

conclusionThe use of PNS in extremely preterm neonates increased, but there was no correlation between increased use and the BPD rate. Research is needed to determine the optimal timing, dose, and indication for PNS use in preterm neonates.

Indexed as

Bronchopulmonary DysplasiaInfant, PrematureAdrenal Cortex HormonesCohort StudiesDeveloped CountriesGestational AgeHumansInfantInfant, NewbornMaleRetrospective StudiesAdrenal Cortex HormonesBronchopulmonary dysplasiaInfantPostnatal steroidPreterm

Identifiers

PMID37166345
PMCPMC10614478
OpenAlexW4366998655

What OpenQuestion holds

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LicenceCC BY-NC
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.