Evidence map›Paper›PMID 38044334›Full record

ReviewPediatric research2024

Neonatal sepsis and cardiovascular dysfunction I: mechanisms and pathophysiology.

Sophie M Duignan, Satyan Lakshminrusimha, Kathryn Armstrong, Willem P de Boode, Afif El-Khuffash, Orla Franklin, Eleanor J Molloy, Infection, Inflammation, Immunology and Immunisation (I4) section of the European Society for Paediatric Research (ESPR)

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 14% 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, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Neonatal reference values and nomograms of systemic vascular resistances estimated with electrical cardiometry.Journal of perinatology : official journal of the California Perinatal Association · 2025
    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 17 institutions in 10 countries.

Sophie M DuignanDepartment of Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin, Ireland.
Satyan LakshminrusimhaDepartment of Pediatrics, UC Davis Children's Hospital, Sacramento, CA, USA.
Kathryn ArmstrongChildren's Heart Centre, BC Children's Hospital, Vancouver, BC, Canada.
Willem P de BoodeDepartment of Neonatology, Radboud University Medical Center, Radboud Institute for Health Sciences, Amalia Children's Hospital, Nijmegen, The Netherlands.
Afif El-KhuffashSchool of Medicine, Department of Paediatrics, Royal College of Surgeons in Ireland, Dublin, Ireland.
Orla FranklinDepartment of Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin, Ireland.
Eleanor J MolloyDiscipline of Paediatrics, Trinity College, The University of Dublin, Trinity Research in Childhood (TRiCC) & Trinity Translational Medicine Institute (TTMI), Dublin, Ireland. eleanor.molloy@tcd.ie.ORCID 0000-0001-6798-2158
Infection, Inflammation, Immunology and Immunisation (I4) section of the European Society for Paediatric Research (ESPR)
Radboud University Nijmegen · NLBC Children's Hospital · CABrown University · USChildren's Health Ireland at Crumlin · IEEmma Kinderziekenhuis · NLErasmus MC · NLKarolinska University Hospital · SEPirogov Russian National Research Medical University · RURoyal College of Surgeons in Ireland · IEThe Kids Research Institute Australia · AUTrinity College · CATrinity College Dublin · IEUC Davis Children's Hospital · USUniversitätsmedizin Göttingen · DEUniversity Hospital of North Norway · NOUniversity of Lausanne · CHUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The highest incidence of sepsis across all age groups occurs in neonates leading to substantial mortality and morbidity. Cardiovascular dysfunction frequently complicates neonatal sepsis including biventricular systolic and/or diastolic dysfunction, vasoregulatory failure, and pulmonary arterial hypertension. The haemodynamic response in neonatal sepsis can be hyperdynamic or hypodynamic and the underlying pathophysiological mechanisms are heterogeneous. The diagnosis and definition of both neonatal sepsis and cardiovascular dysfunction complicating neonatal sepsis are challenging and not consensus-based. Future developments in neonatal sepsis management will be facilitated by common definitions and datasets especially in neonatal cardiovascular optimisation. IMPACT: Cardiovascular dysfunction is common in neonatal sepsis but there is no consensus-based definition, making calculating the incidence and designing clinical trials challenging. Neonatal cardiovascular dysfunction is related to the inflammatory response, which can directly target myocyte function and systemic haemodynamics.

Indexed as

Cardiovascular DiseasesHemodynamicsNeonatal SepsisCardiovascular SystemHumansInfant, Newborn

Identifiers

PMID38044334
OpenAlexW4389305165

What OpenQuestion holds

Textmetadata
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.