Evidence map›Paper›PMID 39154109›Full record

ArticleScientific reports2024

Methylxanthine use in infants with hypoxic-ischemic encephalopathy: a retrospective cohort study.

Madeleine E Laughon, Jacob K Johnson, Rachel G Greenberg, Reese H Clark, Wesley M Jackson

Abstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. 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.

Madeleine E Laughon *Department of Pediatrics, UNC School of Medicine, The University of North Carolina at Chapel Hill, Campus Box #7596, Chapel Hill, NC, 27599-7596, USA.
Jacob K Johnson *Department of Pediatrics, UNC School of Medicine, The University of North Carolina at Chapel Hill, Campus Box #7596, Chapel Hill, NC, 27599-7596, USA.
Rachel G GreenbergDepartment of Pediatrics, Duke University, Durham, NC, USA.
Reese H ClarkPediatrix Center for Research, Education, Quality, and Safety, Sunrise, FL, USA.
Wesley M JacksonDepartment of Pediatrics, UNC School of Medicine, The University of North Carolina at Chapel Hill, Campus Box #7596, Chapel Hill, NC, 27599-7596, USA. wesley.jackson@unc.edu.

Funding

Dose Optimization for Novel Drugs for Infants with Hypoxic-Ischemic EncephalopathyK23HD111623 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Wesley M Jackson · 2023 to 2026
$690k
NICHD NIH HHS K23 HD111623NIH HHS K23HD111623
6 · The paper itself

Abstract

Therapeutic hypothermia is the standard treatment for hypoxic-ischemic encephalopathy (HIE), but despite its widespread use, the rates of mortality and neurodevelopmental impairment for moderate to severe HIE remain around 30%. Methylxanthines, such as caffeine and aminophylline, have potential neuroprotective effects in the setting of hypoxic-ischemic injury. However, data on the safety and efficacy of methylxanthines in the setting of therapeutic hypothermia for HIE are limited. This retrospective multicenter study examined in-hospital outcomes in 52 infants with HIE receiving methylxanthines and therapeutic hypothermia. The frequency of mortality and in-hospital morbidities were similar to those of infants enrolled in clinical trials undergoing therapeutic hypothermia without adjunctive therapies. Clinical trials of methylxanthines for neuroprotection in HIE are needed to determine safety and efficacy and should explore optimal dosing and timing of methylxanthine administration.

Indexed as

Hypothermia, InducedHypoxia-Ischemia, BrainNeuroprotective AgentsXanthinesAminophyllineCaffeineFemaleHumansInfantInfant, NewbornMaleRetrospective StudiesTreatment OutcomeAminophyllineCaffeinemethylxanthineNeuroprotective AgentsXanthines

Identifiers

PMID39154109
PMCPMC11330532

What OpenQuestion holds

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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.