Evidence map›Paper›PMID 38038172›Full record

Observational studyJournal of the American Heart Association2023

Trends in Ductus Arteriosus Stent Versus Blalock-Taussig-Thomas Shunt Use and Comparison of Cost, Length of Stay, and Short-Term Outcomes in Neonates With Ductal-Dependent Pulmonary Blood Flow: An Observational Study Using the Pediatric Health Information Systems Database.

Bethan A Lemley, Lezhou Wu, Amy L Roberts, Russell T Shinohara, William O Quarshie, Athar M Qureshi, Christopher L Smith, Yoav Dori, Matthew J Gillespie, Jonathan J Rome and 3 more

Open access · goldAbstract readComparative StudyMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.9field-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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Observational
  6. Quantitative Analysis of 3D Anatomy to Inform Planning of Ductal Arteriosus Stenting.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Article
  7. Gilding the (Vascular) Ring.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  8. Review
  9. Review
  10. 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

13 authors at 5 institutions in 1 country.

Bethan A LemleyDivision of Cardiology Lurie Children's Hospital Chicago IL USA.ORCID 0000-0003-3698-4155
Lezhou WuDepartment of Biomedical and Health Informatics Children's Hospital of Philadelphia Philadelphia PA USA.
Amy L RobertsDivision of Cardiology The Children's Hospital of Philadelphia Philadelphia PA USA.ORCID 0000-0002-4540-1858
Russell T ShinoharaDepartment of Biostatistics, Epidemiology, and Informatics Perelman School of Medicine at the University of Pennsylvania Philadelphia PA USA.
William O QuarshieDivision of Cardiology The Children's Hospital of Philadelphia Philadelphia PA USA.
Athar M QureshiDivision of Cardiology Texas Children's Hospital Houston TX USA.ORCID 0000-0001-5992-568X
Christopher L SmithDivision of Cardiology The Children's Hospital of Philadelphia Philadelphia PA USA.
Yoav DoriDivision of Cardiology The Children's Hospital of Philadelphia Philadelphia PA USA.ORCID 0000-0003-0531-8723
Matthew J GillespieDivision of Cardiology The Children's Hospital of Philadelphia Philadelphia PA USA.
Jonathan J RomeDivision of Cardiology The Children's Hospital of Philadelphia Philadelphia PA USA.ORCID 0000-0002-7362-0935
Andrew C GlatzDivision of Cardiology St. Louis Children's Hospital St. Louis MO USA.ORCID 0000-0003-3791-8280
Sandra AmaralDivision of Nephrology The Children's Hospital of Philadelphia Philadelphia PA USA.
Michael L O'ByrneDivision of Cardiology The Children's Hospital of Philadelphia Philadelphia PA USA.ORCID 0000-0001-6023-1634
Children's Hospital of Philadelphia · USBaylor College of Medicine · USNorthwestern University · USSt. Louis Children's Hospital · USUniversity of Pennsylvania · US

Funding

Training in Molecular Therapeutics for Pediatric CardiologyT32HL007915 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI Robert J Levy, JOSEPH W ROSSANO · 1999 to 2026
$13.4M
NHLBI NIH HHS T32 HL007915
6 · The paper itself

Abstract

backgroundThe modified Blalock-Taussig-Thomas shunt is the gold standard palliation for securing pulmonary blood flow in infants with ductal-dependent pulmonary blood flow. Recently, the ductus arteriosus stent (DAS) has become a viable alternative. METHODS AND

resultsThis was a retrospective multicenter study of neonates ≤30 days undergoing DAS or Blalock-Taussig-Thomas shunt placement between January 1, 2017 and December 31, 2020 at hospitals reporting to the Pediatric Health Information Systems database. We performed generalized linear mixed-effects modeling to evaluate trends in intervention and intercenter variation, propensity score adjustment and inverse probability weighting with linear mixed-effects modeling to analyze length of stay and cost of hospitalization, and generalized linear mixed modeling to analyze differences in 30-day outcomes. There were 1874 subjects (58% male, 61% White) from 45 centers (29% DAS). Odds of DAS increased with time (odds ratio [OR] 1.23, annually,

conclusionsUse of DAS is increasing, but there is variability across centers. Though odds of transplant-free survival and reintervention were not significantly different after DAS, and DAS was associated with shorter length of stay and lower in-hospital costs.

Indexed as

Blalock-Taussig ProcedureDuctus ArteriosusDuctus Arteriosus, PatentHealth Information SystemsFemaleHumansInfantInfant, NewbornLength of StayMalePalliative CarePulmonary ArteryPulmonary CirculationRetrospective StudiesStentsTreatment OutcomeBlalock‐Taussig‐Thomas shuntcatheterizationcost of hospitalizationductal dependent pulmonary blood flowductal stentductus arteriosus stentlength of stay

Identifiers

PMID38038172
PMCPMC10727347
OpenAlexW4389244381

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.