Evidence map›Paper›PMID 38783049›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2024

Post-natal steroid exposure in very low birthweight neonates and associations with acute kidney injury.

Cassandra Coleman, Jeffrey King, David T Selewski, Jill C Newman, Heidi J Steflik

Abstract read
In one paragraph

Article 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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. Review
  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

5 authors.

Cassandra ColemanDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA. Cassandra.coleman@vumc.org.ORCID 0000-0002-2790-8057
Jeffrey KingDepartment of Pediatrics, Medical University of South Carolina, Charleston, SC, USA.ORCID 0009-0008-7362-3707
David T SelewskiDepartment of Pediatrics, Medical University of South Carolina, Charleston, SC, USA.ORCID 0000-0003-0358-0760
Jill C NewmanDepartment of Pediatrics, Medical University of South Carolina, Charleston, SC, USA.
Heidi J SteflikDepartment of Pediatrics, Medical University of South Carolina, Charleston, SC, USA.ORCID 0000-0003-2168-4926

Funding

South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
NCATS NIH HHS UL1 TR001450
6 · The paper itself

Abstract

objectiveThe relationship between adrenal insufficiency (AI), post-natal steroids (PNS) and neonatal acute kidney injury (AKI) remains understudied. We investigated associations between PNS and AKI in very low birthweight (VLBW) neonates, hypothesizing PNS is associated with reduced AKI. STUDY

designWe conducted a single-center retrospective review of VLBW infants comparing those with and without PNS exposure. Associations between PNS exposure and AKI were evaluated using generalized linear mixed-modeling adjusted for confounders.

resultOf 567 neonates, 97 (17.1%) were exposed to PNS and 130 (22.9%) experienced AKI. Infants with PNS had lower gestational age, birthweight, Apgar scores, and experienced more AI versus those without PNS (all p < 0.05). PNS was associated with AKI (aRR 1.72, 95% CI 1.09-2.72) though hydrocortisone alone was not.

conclusionPNS exposure, but not hydrocortisone alone, is associated with increased AKI in VLBW neonates. Further analysis is needed to investigate the role of AI and AKI.

Indexed as

Acute Kidney InjuryHydrocortisoneInfant, Very Low Birth WeightAdrenal InsufficiencyFemaleGestational AgeHumansInfant, NewbornMaleRetrospective StudiesRisk FactorsHydrocortisone

Identifiers

PMID38783049
PMCPMC11606920

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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.