Evidence map›Paper›PMID 37824471›Full record

ArticlePloS one2023

A pilot exploratory study examining the potential influence of continuous positive airway pressure devices on cranial molding trajectories in preterm infants.

Dana B McCarty, Ashley Hite, Anna Brown, Kerry Blazek, Lauren Quinn, Sara Hammond, Marcella Boynton, T Michael O'Shea

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 35% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

8 authors at 3 institutions in 1 country.

Dana B McCartyDivision of Physical Therapy, Department of Health Sciences, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, United States of America.ORCID 0000-0001-6499-8197
Ashley HiteDepartment of Rehabilitation Services, Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina, United States of America.
Anna BrownDivision of Physical Therapy, Department of Health Sciences, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, United States of America.
Kerry BlazekDepartment of Rehabilitation Services, UNC Children's Hospital, Chapel Hill, North Carolina, United States of America.
Lauren QuinnDepartment of Rehabilitation Services, UNC Children's Hospital, Chapel Hill, North Carolina, United States of America.ORCID 0000-0002-5438-3364
Sara HammondDepartment of Rehabilitation Services, UNC Children's Hospital, Chapel Hill, North Carolina, United States of America.
Marcella BoyntonDivision of General Medicine and Clinical Epidemiology, Department of Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, United States of America.ORCID 0000-0001-7793-2111
T Michael O'SheaDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.ORCID 0000-0001-6692-911X
University of North Carolina at Chapel Hill · USUniversity of North Carolina Health Care · USAtrium Health Wake Forest Baptist · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this exploratory study was to assess the potential impacts of two different continuous positive airway pressure (CPAP) devices on preterm infant head shape and circumference. STUDY

designTwenty infants born at <32 weeks gestational age requiring CPAP support were enrolled. Ten infants used the Hudson RCI Nasal Prong CPAP device and 10 infants used the Fisher-Paykel CPAP device. Infant Cranial Index (CI) and head circumference (HC) were collected weekly as well as infant gestational age at birth, and total number of days on CPAP.

resultsAt baseline, average total birthweight of infants was 1021 grams (SD = 227 grams), average gestational age was 26.9 weeks (SD = 1.80), mean CI was 79.7 cm (SD = 5.95), and HC was 10.2 cm (SD = 0.92). Days on CPAP ranged from 16 to 63 days, with an average of 40.7 (SD = 13.6) days. Neither CI nor HC differed by device type; however, the Fisher-Paykel device was associated with slightly greater HC growth rate.

conclusionCPAP devices and the pressures they apply plausibly contribute to preterm infant cranial molding over time, with the greatest potential impact on infants who require CPAP support for longer periods; however, these findings must be validated in larger cohorts. Additionally, positioning practices should be further examined to determine how they may contribute to or prevent the development of cranial molding deformity.

Indexed as

Infant, PrematureRespiratory Distress Syndrome, NewbornBirth WeightContinuous Positive Airway PressureGestational AgeHumansInfantInfant, Newborn

Identifiers

PMID37824471
PMCPMC10569633
OpenAlexW4387569106

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.