Evidence map›Paper›PMID 40052760›Full record

ArticlePediatric pulmonology2025

Outpatient Respiratory Outcomes in Extremely Preterm Children During the First 3 Years of Life.

Cynara Leon, Pallavi Kawatra, Amanda Martin, Brianna Aoyama, Joseph M Collaco, Sharon A McGrath-Morrow

Abstract read
In one paragraph

Article in Pediatric pulmonology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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

6 authors.

Cynara LeonDivision of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0000-0001-9763-1826
Pallavi KawatraDivision of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Amanda MartinDivision of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Brianna AoyamaEudowood Division of Pediatric Respiratory Sciences, Johns Hopkins University, Baltimore, Maryland, USA.ORCID http://orcid.org/0000-0003-0389-4559
Joseph M CollacoEudowood Division of Pediatric Respiratory Sciences, Johns Hopkins University, Baltimore, Maryland, USA.ORCID http://orcid.org/0000-0002-2581-4372
Sharon A McGrath-MorrowDivision of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0000-0002-1576-5394

Funding

Translational Research Support CoreP30ES013508 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI Rebecca A Simmons · 2006 to 2026
$35.3M
Clinical and Biochemical Features of Metabolic Dysregulation in Formerly Preterm ChildrenR01HL169859 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Eric Douglas Austin, Joseph Michael Collaco · 2024 to 2026
$2.2M
Multidisciplinary Training Program in Pediatric Lung DiseasesT32HL160493 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI Sharon Ann McGrath-Morrow, Lisa R. Young · 2022 to 2026
$2.0M
The Role of Outpatient Diuretic Therapy in Bronchopulmonary DysplasiaR03HD109442 · NICHD · JOHNS HOPKINS UNIVERSITY · PI COLLACO, JOSEPH MICHAEL · 2023 to 2024
$185k
NHLBI NIH HHS R01 HL169859NHLBI NIH HHS T32 HL160493NICHD NIH HHS R03 HD109442NIEHS NIH HHS P30 ES013508This work was supported by R03HD109442 (J.M.C. and S.A.M.), T32-HL160493-01 (C.L.), and R01HL169859 (S.A.M.).
6 · The paper itself

Abstract

rationaleExtremely preterm infants are at highest risk for developing bronchopulmonary dysplasia (BPD). This study aimed to examine the relationship between gestational age and respiratory outcomes in children with BPD in the outpatient setting.

methodsData were collected from 1025 preterm children with BPD recruited from outpatient bronchopulmonary (BPD) clinics at Johns Hopkins and Children's Hospital of Philadelphia (CHOP). Extremely preterm children (22-24 and 25-27 weeks gestation) were compared to a reference group of very preterm children (28-32 weeks gestation). Data were analyzed using Χ

resultsInfants born at < 25 weeks gestation were more likely to have severe BPD (71.9%), be discharged on supplemental oxygen (50.7%), have public insurance, and self-report as Black (60.4%) compared to those born > 25 weeks. In the outpatient setting, extremely preterm children (22-24 weeks gestation) had a higher likelihood of activity limitation (OR 1.72) compared to very preterm infants. Hispanic children, regardless of gestational age, were more likely to have sick visits (OR 2.09) and a hospital admission (OR 2.15) compared to non-Hispanic children. Children with public insurance had a higher likelihood of ED visits (OR 1.48), hospital admissions (OR 1.49), systemic steroid use (OR 1.39), nighttime respiratory symptoms (OR 1.66), and activity limitations (OR 1.61) compared to privately insured children.

conclusionsAfter initial hospital discharge, extremely preterm children (22-24 weeks gestation) have a higher likelihood of activity limitation. However, other factors including race/ethnicity and public insurance are more likely driving outpatient respiratory outcomes regardless of gestational age.

Indexed as

Bronchopulmonary DysplasiaInfant, Extremely PrematureChild, PreschoolFemaleGestational AgeHospitalizationHumansInfantInfant, NewbornMaleOutpatientsacute care usebronchopulmonary dysplasiagestational ageoutpatientsymptoms

Identifiers

PMID40052760
PMCPMC11955149

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.