Evidence map›Paper›PMID 37425435›Full record

ArticleJTCVS open2023

Infants less than or equal to 2.5 kg have increased mortality and worse motor neurodevelopmental outcomes at 2 years of age after Norwood-Sano palliation.

Konstantin Averin, Lindsay Ryerson, Morteza Hajihosseini, Irina A Dinu, Darren H Freed, Gwen Bond, Ari R Joffe, De Villiers Jonker, Leonora Hendson, Charlene M T Robertson and 1 more

Open access · goldAbstract read
In one paragraph

Article in JTCVS open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 95% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 0 citations in OpenAlex.

  1. Pooled it
  2. 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

11 authors at 3 institutions in 1 country.

Konstantin AverinDivision of Cardiology, Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Lindsay RyersonDivision of Critical Care, Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Morteza HajihosseiniSchool of Public Health, University of Alberta, Edmonton, Alberta, Canada.
Irina A DinuSchool of Public Health, University of Alberta, Edmonton, Alberta, Canada.
Darren H FreedDepartment of Surgery, University of Alberta, Edmonton, Alberta, Canada.
Gwen BondGlenrose Rehabilitation Hospital, Edmonton, Alberta, Canada.
Ari R JoffeDivision of Critical Care, Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
De Villiers JonkerDepartment of Surgery, University of Alberta, Edmonton, Alberta, Canada.
Leonora HendsonSection of Neonatology, Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Charlene M T RobertsonGlenrose Rehabilitation Hospital, Edmonton, Alberta, Canada.
Joseph AtallahDivision of Cardiology, Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
University of Alberta · CAGlenrose Rehabilitation Hospital · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: In infants with single-ventricle congenital heart disease, prematurity and low weight at the time of the Norwood operation are risk factors for mortality. Reports assessing outcomes (including neurodevelopment) post Norwood palliation in infants ≤2.5 kg are limited. Methods: All infants who underwent a Norwood-Sano procedure between 2004 and 2019 were identified. Infants ≤2.5 kg at the time of the operation (cases) were matched 3:1 with infants >3.0 kg (comparisons) for year of surgery and cardiac diagnosis. Demographic and perioperative characteristics, survival, and functional and neurodevelopmental outcomes were compared. Results: Twenty-seven cases (mean ± standard deviation: weight 2.2 ± 0.3 kg and age 15.6 ± 14.1 days at surgery) and 81 comparisons (3.5 ± 0.4 kg and age 10.9 ± 7.9 days at surgery) were identified. Post-Norwood, cases had a longer time to lactate ≤2 mmol/L (33.1 ± 27.5 vs 17.9 ± 12.2 hours, Conclusions: Infants ≤2.5 kg at Norwood-Sano palliation have significantly increased postoperative morbidity and mortality up to 2-year follow-up. Neurodevelopmental motor outcomes were worse in these infants. Additional studies are warranted to assess the outcome of alternative medical and interventional treatment plans in this patient population.

Indexed as

congenital heart surgerylow birth weightmortalityneurodevelopmentNorwoodprematuritysingle-ventricle congenital heart disease

Identifiers

PMID37425435
PMCPMC10328833
OpenAlexW4353094381

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.