Evidence map›Paper›PMID 39147903›Full record

Trial reportPediatric research2025

Control of breathing in preterm infants on incubator oxygen or nasal cannula oxygen.

Colm P Travers, Rouba Chahine, Arie Nakhmani, Inmaculada Aban, Waldemar A Carlo, Namasivayam Ambalavanan

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Not yet cited in PubMed.

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

NCT03174301 completednot on this map

Prematurity-Related Ventilatory Control: Role in Respiratory Outcomes

TypeobservationalSponsorUniversity of VirginiaRan2018 to 2021Enrolled739ConditionsInfant, Premature
NCT03333174 nacompletednot on this map

Prematurity-Related Ventilatory Control (PRE-VENT): Role in Respiratory Outcomes Clinical Research Centers (CRC) - Specific Aim 3

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2018 to 2021Enrolled25ConditionsInfant,PrematureArmsCardiorespiratory monitoring
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Colm P TraversDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA. cptravers@uabmc.edu.
Rouba ChahineSocial, Statistical and Environmental Sciences Unit, RTI International, Research Triangle Park, NC, USA.
Arie NakhmaniDepartment of Electrical and Computer Engineering, University of Alabama at Birmingham, Birmingham, AL, USA.
Inmaculada AbanDepartment of Biostatistics, University of Alabama at Birmingham, Birmingham, AL, USA.
Waldemar A CarloDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA.
Namasivayam AmbalavananDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA.

Funding

Prematurity-Related Ventilatory Control: Leadership Data and Coordination Center (LDCC)U01HL133708 · NHLBI · UNIVERSITY OF VIRGINIA · PI LAKE, DOUGLAS E, MOORMAN, JOSEPH RANDALL · 2016 to 2020
$3.7M
Pre-Vent ApneaU01HL133536 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AMBALAVANAN, NAMASIVAYAM, INDIC, PREMANANDA PAI · 2016 to 2020
$2.6M
Non-invasive oscillometry to measure lung mechanics, response to treatments, and predict longer-term pulmonary outcomes among preterm infants: a prospective cohort studyK23HL157618 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Colm Peter Travers · 2022 to 2026
$862k
NHLBI NIH HHS K23 HL157618NHLBI NIH HHS U01 HL133536NHLBI NIH HHS U01 HL133708
6 · The paper itself

Abstract

backgroundIncubator oxygen may improve respiratory stability in preterm infants compared with nasal cannula oxygen.

methodsSingle center randomized trial of infants <29 weeks' gestation on supplemental oxygen at ≥32 weeks' postmenstrual age. Infants were crossed-over every 24 hours for 96 hours between incubator oxygen and nasal cannula ≤1.0 L/kg/min. We measured episodes of intermittent hypoxemia (oxygen saturations (SpO

resultsWe enrolled 25 infants with a gestational age of 26 weeks 4 days±15 days (mean ± SD) and birth weight 805 ± 202 grams. There were no differences in episodes of intermittent hypoxemia, bradycardia, or cerebral hypoxemia between groups. There were fewer episodes of abdominal hypoxemia <40% ≥10 seconds with incubator oxygen compared with nasal cannula (132 ± 130 versus 158 ± 125; p < 0.01). Time with SpO

conclusionThere was no difference in intermittent hypoxemia between incubator and nasal cannula oxygen among preterm infants on supplemental oxygen. Infants had higher levels of carbon dioxide while on incubator oxygen, which may have improved some measures of respiratory stability. CLINCALTRIALS. GOV IDENTIFIERS: NCT03333174 and NCT03174301. IMPACT STATEMENT: In this randomized cross-over trial of preterm infants on supplemental oxygen, incubator oxygen did not decrease episodes of intermittent hypoxemia compared with nasal cannula oxygen. Incubator oxygen reduced time with oxygen saturations less than 85%, reduced abdominal hypoxemia, and increased carbon dioxide levels. Differences in measures of respiratory stability on incubator oxygen may be partly due to higher carbon dioxide levels compared with nasal cannula oxygen. The mode of supplemental oxygen administration may impact control of breathing in preterm infants through its effect on hypopharyngeal oxygen stability and carbon dioxide levels.

Indexed as

CannulaIncubators, InfantInfant, PrematureOxygenOxygen Inhalation TherapyRespirationBradycardiaCarbon DioxideCross-Over StudiesFemaleGestational AgeHumansHypoxiaInfant, NewbornMaleOxygen SaturationCarbon DioxideOxygen

Identifiers

PMID39147903
PMCPMC11828936

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Registered trials

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.