Evidence map›Paper›PMID 39113184›Full record

Observational studyBritish journal of clinical pharmacology2024

Prescriptions of anti-reflux drugs in neonatology and neonatal intensive care units: A large multicentre observational study (2014-2022).

Manon Tauzin, Béatrice Gouyon, Jiao Liu, Alexandre Lapillonne, Simon Lorrain, Marc Bellaiche, Camille Jung, LOGIPREN Collaborative Working Group

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in British journal of clinical pharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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.

Manon TauzinNeonatal Intensive Care Unit, Centre Hospitalier Intercommunal de Créteil (CHIC), Créteil, France.ORCID https://orcid.org/0000-0003-0547-4566
Béatrice GouyonCentre d'Études Périnatales de l'Océan Indien (CEPOI, EA7388), Université de La Réunion, Saint-Pierre, France.
Jiao LiuClinical Research Center, CHIC, Créteil, France.
Alexandre LapillonneNeonatal Intensive Care Unit, APHP Necker-Enfants Malades Hospital, Paris Université, Paris, France.
Simon LorrainCentre d'Études Périnatales de l'Océan Indien (CEPOI, EA7388), Université de La Réunion, Saint-Pierre, France.
Marc BellaicheDepartment of Pediatric Gastroenterology, Robert Debré Hospital, Paris, France.
Camille JungClinical Research Center, CHIC, Créteil, France.
LOGIPREN Collaborative Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsGastro-oesophageal reflux is common in newborns, especially in premature infants. Treatment by medication is controversial as the drugs prescribed have not been consistently proven to be effective and are known to have adverse effects. This study sought to identify trends in the prescription of anti-reflux medication in a large group of French neonatal units.

methodsData on prescriptions of anti-reflux treatments-proton pump inhibitors (PPIs), antacids, histamine-2 receptor antagonists (H2RAs), and prokinetics-from 2014 to 2022 for infants with a corrected gestational age <45 weeks, were extracted from a prescription database (Logipren®) used by 63 French neonatal units, and then analysed.

resultsOf all infants recorded in the database during the study period (n = 152 743), 10.2% (n = 15 650) were prescribed anti-reflux medication (95% confidence interval [CI] 10.0-10.4%), mainly as monotherapy (77.5%). The rate was higher in the subgroup of preterm infants born before 28 weeks of gestation (n = 9493) (20.6%, 95% CI 19.8-21.4%; n = 1956). PPIs were the most commonly prescribed anti-reflux medications (6.9% of infants, 95% CI 6.8-7.0), followed by antacids (5.2%, 95% CI 5.1-5.3%), while H2RAs and prokinetics were rarely prescribed. Over the period, the prescription rate remained stable for PPIs, decreased for H2RAs (τ = -0.86, P = .02), and, among preterm infants born at gestational ages of 28-31 or 32-36 weeks, increased for antacids.

conclusionsAnti-reflux medications were frequently prescribed by neonatal units, especially for extremely premature infants. Most of these prescriptions were for PPIs and antacids.

Indexed as

AntacidsGastroesophageal RefluxHistamine H2 AntagonistsIntensive Care Units, NeonatalPractice Patterns, Physicians'Proton Pump InhibitorsDatabases, FactualDrug PrescriptionsFemaleFranceGastrointestinal AgentsGestational AgeHumansInfant, NewbornInfant, PrematureMaleAntacidsGastrointestinal AgentsHistamine H2 AntagonistsProton Pump Inhibitorsantacidsgastro‐oesophageal refluxinfant, newbornproton pump inhibitors

Identifiers

PMID39113184
PMCPMC11602936

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Registered trials

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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.