Evidence map›Paper›PMID 37172814›Full record

ArticleThe Journal of pediatrics2023

Antenatal Steroids, Prophylactic Indomethacin, and the Risk of Spontaneous Intestinal Perforation.

Abbot R Laptook, Heather Weydig, Luc P Brion, Myra H Wyckoff, Tamara I Arnautovic, Noelle Younge, William Oh, Dhuly Chowdhury, Martin Keszler, Abhik Das and 1 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.1field-weighted citation impact, top 13% 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, 8 citations in OpenAlex.

  1. Bowel habits in preterm infants: Observations from the first 2 weeks of life.Journal of pediatric gastroenterology and nutrition · 2025
    Observational
  2. Meconium obstruction of prematurity in tiny babies - towards developing an international consensus.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
  3. Article
  4. Article
  5. The association between antenatal corticosteroids exposure and postnatal growth in infants born between 23 and 29 weeks of gestation.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Abbot R LaptookDepartment of Pediatrics, Women and Infants Hospital, Brown University, Providence, RI. Electronic address: alaptook@wihri.org.
Heather WeydigDepartment of Pediatrics, The University of Texas Southwestern Medical Center, Dallas, TX.
Luc P BrionDepartment of Pediatrics, The University of Texas Southwestern Medical Center, Dallas, TX.
Myra H WyckoffDepartment of Pediatrics, The University of Texas Southwestern Medical Center, Dallas, TX.
Tamara I ArnautovicDepartment of Pediatrics, Women and Infants Hospital, Brown University, Providence, RI.
Noelle YoungeDepartment of Pediatrics, Duke University, Durham, NC.
William OhDepartment of Pediatrics, Women and Infants Hospital, Brown University, Providence, RI.
Dhuly ChowdhuryBiostatistics and Epidemiology, RTI International, Rockville, MD.
Martin KeszlerDepartment of Pediatrics, Women and Infants Hospital, Brown University, Providence, RI.
Abhik DasBiostatistics and Epidemiology, RTI International, Rockville, MD.
National Institute of Child Health and Human Development Neonatal Research NetworkPregnancy & Perinatology, NICHD, Bethesda, MD.
Brown University · USThe University of Texas Southwestern Medical Center · USRTI International · USDuke University · US

Funding

Neonatal Research Network Data Coordinating Center (DCC) 2023-2028U24HD095254 · NICHD · RESEARCH TRIANGLE INSTITUTE · PI Abhik Das · 2018 to 2026
$70.2M
Neonatal Research Network Data Coordinating Center (DCC)U10HD036790 · NICHD · RESEARCH TRIANGLE INSTITUTE · PI DAS, ABHIK · 2008 to 2017
$62.3M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)UL1TR001111 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$43.9M
Duke CTSA (Composite)UL1TR001117 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, LI, JENNIFER S · 2013 to 2017
$41.3M
NICHD Cooperative Multicenter Neonatal Research NetworkU10HD021385 · NICHD · WAYNE STATE UNIVERSITY · PI SHANKARAN, SEETHA · 1991 to 2015
$8.7M
NICHD Cooperative Multicenter Neonatal Research NetworkU10HD027856 · NICHD · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI SOKOL, GREGORY M. · 1991 to 2015
$5.9M
NICHD Cooperative Multicenter Neonatal Research NetworkU10HD040689 · NICHD · UT SOUTHWESTERN MEDICAL CENTER · PI WYCKOFF, MYRA HELEN · 2001 to 2015
$5.6M
NICHD Neonatal Research Network -- Cincinnati Clinical CenterUG1HD027853 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI STEPHANIE L MERHAR · 2016 to 2026
$3.7M
Clinical Center for NICHD/Neonatal Research NetworkUG1HD068244 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI Sara Bonamo DeMauro, Eric C Eichenwald · 2016 to 2026
$3.6M
NICHD COPPERATIVE MULTICENTER NEONATAL RESEARCH NETWORKUG1HD040689 · NICHD · UT SOUTHWESTERN MEDICAL CENTER · PI Myra Helen Wyckoff · 2016 to 2026
$3.5M
NICHD Neonatal Research Network Clinical Center - Case Western Reserve UniversityUG1HD021364 · NICHD · CASE WESTERN RESERVE UNIVERSITY · PI Anna Maria Hibbs · 2016 to 2026
$3.5M
North Carolina Clinical CenterUG1HD040492 · NICHD · DUKE UNIVERSITY · PI CHARLES Michael COTTEN, Matthew Laughon · 2016 to 2026
$3.4M
NCATS NIH HHS UL1 TR001111NCATS NIH HHS UL1 TR001117NICHD NIH HHS U10 HD021385NICHD NIH HHS U10 HD027856NICHD NIH HHS U10 HD036790NICHD NIH HHS U10 HD040689NICHD NIH HHS U10 HD068270NICHD NIH HHS U10 HD068284NICHD NIH HHS U24 HD095254NICHD NIH HHS UG1 HD021364NICHD NIH HHS UG1 HD027851NICHD NIH HHS UG1 HD027853NICHD NIH HHS UG1 HD027880NICHD NIH HHS UG1 HD027904NICHD NIH HHS UG1 HD034216NICHD NIH HHS UG1 HD040492NICHD NIH HHS UG1 HD040689NICHD NIH HHS UG1 HD053089NICHD NIH HHS UG1 HD053109NICHD NIH HHS UG1 HD068244NICHD NIH HHS UG1 HD068263NICHD NIH HHS UG1 HD068278NICHD NIH HHS UG1 HD087226NICHD NIH HHS UG1 HD087229
6 · The paper itself

Abstract

objectiveTo estimate if the odds of spontaneous intestinal perforation (SIP) are increased when antenatal steroids (ANS) given close to delivery are combined with indomethacin on day 1 after birth (Indo-D1). STUDY

designA retrospective cohort study using the Neonatal Research Network (NRN) database of inborn infants, gestational age 22

resultsOf 6851 infants, 243 had SIP (3.5%). ANS exposure occurred in 6393 infants (93.3%) and IndoD1 was given to 1863 infants (27.2%). The time (median, IQR) from last dose of ANS to delivery was 32.5 hours (6-81) vs 37.1 hours (7-110) for infants with or without SIP, respectively (P = .10). Indo-D1 was given to 51.9 vs 26.3% of infants with SIP vs no SIP, respectively (P < .0001). Adjusted analysis indicated no interaction between time of last ANS dose and Indo-D1 for SIP (P = .7). Indo-D1 but not ANS was associated with increased odds of SIP (aOR: 1.73, 1.21-2.48, P = .003).

conclusionThe odds of SIP were increased after receipt of Indo-D1. Exposure to ANS prior to Indo-D1 was not associated with an increase in SIP.

Indexed as

IndomethacinIntestinal PerforationAdultBirth WeightFemaleGestational AgeHumansInfantInfant, NewbornPregnancyRetrospective StudiesSteroidsYoung AdultIndomethacinSteroidsextreme prematurityintestinal injurysmall intestinal rupture

Identifiers

PMID37172814
PMCPMC10524442
OpenAlexW4376109636

What OpenQuestion holds

Textmetadata
LicenceTDM
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.