Evidence map›Paper›PMID 39992455›Full record

Observational studyEuropean journal of pediatrics2025

Thoracic electrical bioimpedance in preterm newborns with and without respiratory distress syndrome: an exploratory observational study.

Giulia Paviotti, Matteo Pavan, Marco Driutti, Yvonne Beorchia, Luigi Castriotta, Francesco Maria Risso, Jenny Bua

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in European journal of pediatrics, 2025. 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. 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

7 authors.

Giulia PaviottiDivision of Neonatology, University Hospital of Udine, Via Pozzuolo 330, Udine, Italy. paviottigiulia@gmail.com.
Matteo PavanDivision of Neonatology and Neonatal Intensive Care Unit, Ospedale Isola Tiberina - Gemelli Isola, Rome, Italy.
Marco DriuttiInstitute of Hygiene and Evaluative Epidemiology, Friuli Centrale University Health Authority, Udine, Italy.
Yvonne BeorchiaInstitute of Hygiene and Evaluative Epidemiology, Friuli Centrale University Health Authority, Udine, Italy.
Luigi CastriottaInstitute of Hygiene and Evaluative Epidemiology, Friuli Centrale University Health Authority, Udine, Italy.
Francesco Maria RissoDivision of Neonatology and Neonatal Intensive Care Unit, Spedali Civili, Brescia, Italy.
Jenny BuaDivision of Neonatology, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To test the hypothesis that thoracic fluid content (TFC) by thoracic electrical bioimpedance would be higher in preterm infants with respiratory distress syndrome (RDS) both at birth and in the first 48 h of life than in those without RDS and that TFC measured at birth would be associated with RDS diagnosis and need for surfactant. Cross-sectional exploratory observational study including infants ≤ 34 weeks of gestation admitted to two level three NICUs. TFC, clinical, and respiratory data were recorded at 5 timepoints: within the first 2 h of life, before surfactant therapy, and at 4, 12, 24, and 48 h of life. TFC was compared between infants with and without RDS. A ROC curve was calculated to assess the association between TFC at birth and the need for surfactant. TFC was higher in infants with RDS than in infants without RDS at all timepoints. The ROC AUC of TFC measured at birth for the need for surfactant was 0.817 (95% CI 0.64-0.93, p < 0.001); a TFC cut-off of 20.4 1/KOhm/Kg yielded a sensitivity of 83% and specificity of 80% for the need for surfactant. Conclusion: TFC in the first 48 h of life was higher in preterm infants with RDS than in infants without RDS. TFC measured within the first 2 h of life had a good association with the need for surfactant. What is known: • Thoracic electrical bioimpedance can be used to measure thoracic fluid content (TFC) non invasively in newborns What is new: • TFC was higher in premature newborns with respiratory distress syndrome (RDS) that in those without RDS in the first 48 h of life. A high TFC in the first 2 h was associated with the need for surfactant.

Indexed as

Electric ImpedanceRespiratory Distress Syndrome, NewbornCross-Sectional StudiesFemaleHumansInfant, NewbornInfant, PrematureMalePulmonary SurfactantsROC CurveSensitivity and SpecificityPulmonary SurfactantsPrematurityRespiratory distress syndromeThoracic fluid content

Identifiers

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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.