Evidence map›Paper›PMID 40264079›Full record

ArticleBMC pediatrics2025

A new mortality score in preterm infants: the vasoactive inotropic score.

Elif Özalkaya, İlter Arifoğlu, Emre Yarış, Sevilay Topcuoğlu, Selim Sancak, Emre Dinçer, Özge Yatır Alkan, Güner Karatekin

Abstract readComparative Study
In one paragraph

Article in BMC pediatrics, 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. Article
  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

8 authors.

Elif ÖzalkayaUniversity of Health Sciences, Faculty of Medicine, Zeynep Kamil Maternity and Children's Training and Research Hospital, Department of Pediatrics, Division of Neonatology, Istanbul, 34668, Turkey. elifozalkay@gmail.com.
İlter ArifoğluUniversity of Health Sciences, Faculty of Medicine, Zeynep Kamil Maternity and Children's Training and Research Hospital, Department of Pediatrics, Division of Neonatology, Istanbul, 34668, Turkey.
Emre YarışUniversity of Health Sciences, Faculty of Medicine, Zeynep Kamil Maternity and Children's Training and Research Hospital, Department of Pediatrics, Division of Neonatology, Istanbul, 34668, Turkey.
Sevilay TopcuoğluUniversity of Health Sciences, Faculty of Medicine, Zeynep Kamil Maternity and Children's Training and Research Hospital, Department of Pediatrics, Division of Neonatology, Istanbul, 34668, Turkey.
Selim SancakUniversity of Health Sciences, Faculty of Medicine, Zeynep Kamil Maternity and Children's Training and Research Hospital, Department of Pediatrics, Division of Neonatology, Istanbul, 34668, Turkey.
Emre DinçerUniversity of Health Sciences, Faculty of Medicine, Zeynep Kamil Maternity and Children's Training and Research Hospital, Department of Pediatrics, Division of Neonatology, Istanbul, 34668, Turkey.
Özge Yatır AlkanUniversity of Health Sciences, Faculty of Medicine, Zeynep Kamil Maternity and Children's Training and Research Hospital, Department of Pediatrics, Division of Neonatology, Istanbul, 34668, Turkey.
Güner KaratekinUniversity of Health Sciences, Faculty of Medicine, Zeynep Kamil Maternity and Children's Training and Research Hospital, Department of Pediatrics, Division of Neonatology, Istanbul, 34668, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study is to evaluate the predictive value of the vasoactive inotropic score (VIS) for mortality in extremely low birth weight (ELBW) preterm infants and to compare this value with the well-known Clinical Risk Index for Babies-II (CRIB-II) score.

methodsThis study was designed as a retrospective study. A total of 280 preterm infants weighing under 1000 g who were admitted to the neonatal intensive care unit over a five-year period were included in the study. For each patient, a CRIB-II score and VIS were calculated, and their ability to predict mortality was compared. To predict and compare the accuracy of the scoring systems, Receiver Operating Characteristic (ROC) analysis was used, and the area under the curve (AUC) was calculated.

resultsIn infants who died within the first 28 days after birth, the CRIB-II score (p < 0.001) and VISmax (p < 0.001) were higher compared with those who survived. The AUCs for the CRIB-II score and VIS in predicting mortality were 0.86/0.81, with cut-offs of > 12/ > 5, sensitivities of 79/70, specificities of 82/87, positive predictive values (PPVs) of 81/85, and negative predictive values (NPVs) of 80/75. There were no statistically significant differences between the AUC values of the CRIB-II score and VIS variables (p = 0.160).

conclusionThe VIS can predict mortality in ELBW preterm infants as accurately as the CRIB-II score can.

Indexed as

Infant, Extremely Low Birth WeightInfant MortalityInfant, Premature, DiseasesArea Under CurveFemaleHumansInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalMalePredictive Value of TestsRetrospective StudiesRisk AssessmentROC CurveMortalityPretermQuantitativeScore

Identifiers

PMID40264079
PMCPMC12016103

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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.