Evidence map›Paper›PMID 38553605›Full record

SynthesisJournal of perinatology : official journal of the California Perinatal Association2024

NIV-NAVA versus non-invasive respiratory support in preterm neonates: a meta-analysis of randomized controlled trials.

Milena R Tomé, Eduardo A de S Orlandin, Mariana T Zinher, Sofia O Dias, Walusa A Gonçalves-Ferri, Daniele De Luca, Thaís Iwashita-Lages

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Journal of perinatology : official journal of the California Perinatal Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Non-invasive ventilation in the delivery room.European journal of pediatrics · 2026
    Review
  4. From theory to practice: implementing an education bundle for neurally adjusted ventilatory assist (NAVA) in the intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  5. Review
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

7 authors at 4 institutions in 2 countries.

Milena R ToméFederal University of Campina Grande Faculty of Medicine, Campina Grande, Brazil. milenaramos19@gmail.com.ORCID 0009-0007-9381-0684
Eduardo A de S OrlandinDivision of Neonatal Critical Care, University of São Paulo, Ribeirão Preto, Brazil.
Mariana T ZinherJoana de Gusmão Children's Hospital, Florianópolis, Brazil.
Sofia O DiasFaculdade De Ciências Médicas de São josé dos Campos, São josé dos Campos, Brazil.
Walusa A Gonçalves-FerriDivision of Neonatal Critical Care, University of São Paulo, Ribeirão Preto, Brazil.ORCID 0000-0002-7174-0044
Daniele De LucaDivision of Paediatrics and Neonatal Critical Care, South "A.Beclere" Medical Center, Paris, France.
Thaís Iwashita-LagesDivision of Neonatal Critical Care, University of São Paulo, Ribeirão Preto, Brazil. thaisiwashita@gmail.com.
Universidade de São Paulo · BRHôpital Antoine-Béclère · FRHospital Infantil Joana de Gusmão · BRUniversidade Federal de Campina Grande · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the clinical and physiological outcomes of NIV-NAVA in preterm infants compared with other non-invasive respiratory support. STUDY

designWe conducted a meta-analysis of RCTs and randomized crossover studies comparing NIV-NAVA to other non-invasive strategies in preterm neonates.

resultsNIV-NAVA was superior to other non-invasive support in maximum EAdi (MD - 0.66 µV; 95% CI - 1.17 to -0.15; p = 0.01), asynchrony index (MD - 49.8%; 95% CI - 63.1 to -36.5; p < 0.01), and peak inspiratory pressure (MD - 2.2 cmH2O; 95% CI - 2.7 to -1.7; p < 0.01). However, there were no significant differences in the incidences of intubation (RR 0.91; 95% CI 0.56-1.48; p = 0.71), reintubation (RR 0.72; 95% CI 0.45-1.16; p = 0.18), or bronchopulmonary dysplasia (RR 0.77; 95% CI 0.37-1.60; p = 0.48).

conclusionNIV-NAVA was associated with improvements in maximum Edi, asynchrony index, and peak inspiratory pressure relative to other non-invasive respiratory strategies, without significant differences in clinical outcomes between groups.

Indexed as

Infant, PrematureNoninvasive VentilationRespiratory Distress Syndrome, NewbornBronchopulmonary DysplasiaContinuous Positive Airway PressureHumansInfant, NewbornIntubation, IntratrachealRandomized Controlled Trials as Topic

Identifiers

PMID38553605
OpenAlexW4393305619

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.