Evidence map›Paper›PMID 39015443›Full record

ArticleJTCVS open2024

An evaluation of the outcomes associated with peritoneal catheter use in neonates undergoing cardiac surgery: A multicenter study.

David M Kwiatkowski, Jeffrey A Alten, Kenneth E Mah, David T Selewski, Tia T Raymond, Natasha S Afonso, Joshua J Blinder, Matthew T Coghill, David S Cooper, Joshua D Koch and 9 more

Abstract read
In one paragraph

Article in JTCVS open, 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. Article
  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

19 authors.

David M KwiatkowskiDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, Calif.
Jeffrey A AltenDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Kenneth E MahDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, Calif.
David T SelewskiDepartment of Pediatrics, Medical University of South Carolina, Charleston, SC.
Tia T RaymondDepartment of Pediatrics, Medical City Children's Hospital, Dallas, Tex.
Natasha S AfonsoDepartment of Pediatrics, Baylor College of Medicine, Houston, Tex.
Joshua J BlinderDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, Calif.
Matthew T CoghillDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, Ala.
David S CooperDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Joshua D KochDepartment of Pediatrics, Phoenix Children's Hospital, Phoenix, Ariz.
Catherine D KrawczeskiDepartment of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio.
David L S MoralesDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Tara M NeumayrDepartment of Pediatrics, Washington University School of Medicine, St Louis, Mo.
A K M Fazlur RahmanDepartment of Biostatistics, University of Alabama at Birmingham, Birmingham, Ala.
Garrett ReichleDepartment of Pediatrics, University of Michigan School of Medicine, Ann Arbor, Mich.
Sarah TabbuttDepartment of Pediatrics, University of California - San Francisco School of Medicine, San Francisco, Calif.
Tennille N WebbDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, Ala.
Santiago BorasinoDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, Ala.
NEonatal and Pediatric Heart Renal Outcomes Network collaborative

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The study objective was to determine if intraoperative peritoneal catheter placement is associated with improved outcomes in neonates undergoing high-risk cardiac surgery with cardiopulmonary bypass. Methods: This propensity score-matched retrospective study used data from 22 academic pediatric cardiac intensive care units. Consecutive neonates undergoing Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery category 3 to 5 cardiac surgery with cardiopulmonary bypass at centers participating in the NEonatal and Pediatric Heart Renal Outcomes Network collaborative were studied to determine the association of the use of an intraoperative placed peritoneal catheter for dialysis or passive drainage with clinical outcomes, including the duration of mechanical ventilation. Results: Among 1490 eligible neonates in the NEonatal and Pediatric Heart Renal Outcomes Network dataset, a propensity-matched analysis was used to compare 395 patients with peritoneal catheter placement with 628 patients without peritoneal catheter placement. Time to extubation and most clinical outcomes were similar. Postoperative length of stay was 5 days longer in the peritoneal catheter placement cohort (17 vs 22 days, Conclusions: This study does not demonstrate improved outcomes among neonates with placement of a peritoneal catheter during cardiac surgery. Outcomes were similar apart from longer hospital stay in the peritoneal catheter cohort. The no-peritoneal catheter cohort had a 50% higher incidence of moderate to severe acute kidney injury (12% vs 18%). This analysis does not support indiscriminate peritoneal catheter use, although it may support the utility for postoperative fluid removal among neonates at risk for acute kidney injury. A multicenter controlled trial may better elucidate peritoneal catheter effects.

Indexed as

acute kidney injuryfluid overloadneonatal cardiac surgeryperitoneal catheterperitoneal dialysis

Identifiers

PMID39015443
PMCPMC11247230

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.