Evidence map›Paper›PMID 39636156›Full record

Observational studyPediatric pulmonology2025

Clinical Outcomes Through Two Years for Infants With Bronchopulmonary Dysplasia and Tracheomalacia.

Sara M Zak, Ina St Onge, Nara S Higano, Alister J Bates, Deep Gandhi, Robert J Fleck, Paul S Kingma, Jason C Woods, Erik B Hysinger

Abstract readObservational Study
In one paragraph

Observational study in Pediatric pulmonology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

9 authors.

Sara M ZakDivision of Pulmonary Medicine, Cincinnati Children's Hospital, Cincinnati, Ohio, USA.ORCID http://orcid.org/0000-0003-4166-0008
Ina St OngeDivision of Pulmonary Medicine, Cincinnati Children's Hospital, Cincinnati, Ohio, USA.
Nara S HiganoDivision of Pulmonary Medicine, Cincinnati Children's Hospital, Cincinnati, Ohio, USA.
Alister J BatesDivision of Pulmonary Medicine, Cincinnati Children's Hospital, Cincinnati, Ohio, USA.
Deep GandhiDepartment of Radiology, Center for Pulmonary Imaging Research, Division of Pulmonary Medicine, Cincinnati Children's Hospital, Cincinnati, Ohio, USA.
Robert J FleckDepartment of Radiology, Center for Pulmonary Imaging Research, Division of Pulmonary Medicine, Cincinnati Children's Hospital, Cincinnati, Ohio, USA.
Paul S KingmaDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.ORCID http://orcid.org/0000-0001-7065-8711
Jason C WoodsDivision of Pulmonary Medicine, Cincinnati Children's Hospital, Cincinnati, Ohio, USA.
Erik B HysingerDivision of Pulmonary Medicine, Cincinnati Children's Hospital, Cincinnati, Ohio, USA.ORCID http://orcid.org/0000-0002-9222-898X

Funding

MRI Phenotyping of Severe BPD and Prediction of OutcomesR01HL146689 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI JASON C WOODS · 2019 to 2026
$4.6M
NHLBI NIH HHS R01 HL146689This work was supported by NIH grant #R01 HL 146689.
6 · The paper itself

Abstract

backgroundTracheomalacia (TM) is common in infants with bronchopulmonary dysplasia (BPD) and associated with respiratory morbidity. Assessment of TM was historically via bronchoscopy, but recent studies demonstrate that ultrashort echo-time (UTE) magnetic resonance imaging (MRI) can accurately assess TM in neonates. RESEARCH QUESTION: Do neonates with MRI-identified TM and BPD have increased respiratory morbidity through age 2 years?

methodsWe performed an observational cohort study of 54 subjects with BPD and assessed TM using UTE MRI at term-equivalent age. TM was defined as an airway minor/major axis ratio (r

resultsThere were 23 subjects (43%) with TM. Modified Ochiai MRI scores were similar between the subjects with and without TM (7.3 ± 4.1 vs. 7.4 ± 4.1). Subjects with TM were more likely to require respiratory support at age 2 years (62% vs. 30%, p = 0.04) and be prescribed systemic corticosteroids (71% vs. 27%, p = 0.004). Most patients with TM were prescribed bronchodilators (90% vs. 60%, p = 0.04). A 10% increase in tracheal collapse correlated with a 28-day increased hospital length of stay (p = 0.047), increased likelihood of pneumonia (p = 0.05), and treatment with antibiotics (p = 0.04) and systemic steroids (p = 0.008).

conclusionsTM in the neonatal period was associated with increased respiratory morbidity through age 2 years, demonstrated by increased respiratory support and more frequent usage of systemic corticosteroids and bronchodilators, independent of the severity of BPD. These results highlight the significance of central airway disease in neonates with BPD.

Indexed as

Bronchopulmonary DysplasiaTracheomalaciaChild, PreschoolCohort StudiesFemaleHumansInfantInfant, NewbornMagnetic Resonance ImagingMaleRespiration, Artificialairway collapsebronchopulmonary dysplasiatracheomalaciaUTE MRI

Identifiers

PMID39636156
PMCPMC11758772

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.