Evidence map›Paper›PMID 40329082›Full record

ArticlePediatric research2025

Association of patent ductus arteriosus duration with bronchopulmonary dysplasia and mortality: a cohort study.

Elena Bonafiglia, Simone Garzon, Nicola Forte, Mariachiara Bosco, Matteo Ciuffreda, Alessandra Cristofaletti, Stiljan Hoxha, Renzo Beghini, Stefano Uccella, Leonardo Gottin and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric research, 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. Review
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

13 authors.

Elena BonafigliaNeonatal Intensive Care Unit, University and Hospital Trust of Verona, Verona, Italy.
Simone GarzonUnit of Obstetrics and Gynaecology, Department of Surgery, Dentistry, Pediatrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy.
Nicola ForteNeonatal Intensive Care Unit, University and Hospital Trust of Verona, Verona, Italy.
Mariachiara BoscoUnit of Obstetrics and Gynaecology, Department of Surgery, Dentistry, Pediatrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy.
Matteo CiuffredaDivision of Cardiology, Department of Medicine, University of Verona, Verona, Italy.
Alessandra CristofalettiDivision of Cardiology, Department of Medicine, University of Verona, Verona, Italy.
Stiljan HoxhaDepartment of Surgery, Dentistry, Pediatrics and Gynecology, Division of Cardiac Surgery, University of Verona, 37129, Verona, Italy.
Renzo BeghiniNeonatal Intensive Care Unit, University and Hospital Trust of Verona, Verona, Italy.
Stefano UccellaUnit of Obstetrics and Gynaecology, Department of Surgery, Dentistry, Pediatrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy.
Leonardo GottinIntensive Care Unit, Department of Surgery, Dentistry, Maternity and Infant, University and Hospital Trust of Verona, Verona, Italy.
Giovanni Battista LucianiDepartment of Surgery, Dentistry, Pediatrics and Gynecology, Division of Cardiac Surgery, University of Verona, 37129, Verona, Italy.
Mariela VentolaNeonatal Intensive Care Unit, University and Hospital Trust of Verona, Verona, Italy.
Benjamim FicialNeonatal Intensive Care Unit, University and Hospital Trust of Verona, Verona, Italy. benjamim.ficial@univr.it.ORCID http://orcid.org/0000-0001-6056-5757

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe evaluated if the number of days of exposure to a hemodynamically significant patent ductus arteriosus (hsPDA) is associated with bronchopulmonary dysplasia (BPD) and/or mortality in preterm infants.

methodsWe conducted a retrospective cohort study of preterm infants (birth weight ≤ 1500 g or gestational age < 30 weeks), admitted between January 2017 to December 2022. HsPDA was defined using Neonatologist Performed Echocardiography criteria. Logistic regression was used to assess the relationship between the duration of hsPDA and BPD/death. Additional analyses explored non-linear associations using penalized splines and quadratic functions.

resultsWe included 424 neonates: 204 developed BPD/death. The duration of hsPDA was associated to increased risk of BPD/death (OR = 1.67, 95% CI 1.17-2.56, p < 0.001), adjusted for birth weight, 5' APGAR score, IVH, durations of mechanical and non-invasive ventilation. We found a progressive increase in the OR for BPD/death during the first week of exposure, followed by a plateau.

conclusionThe duration of exposure to hsPDA is associated with adverse neonatal outcomes, (BPD/ death). The risk progressively increases during the first week of exposure followed by a plateau. These findings suggest that the first week of exposure may represent a critical window of opportunity. IMPACT: The duration of exposure to a hemodynamically significant PDA is associated with an increased risk of BPD/death. This risk progressively rises during the first week of exposure and then plateaus thereafter. This study explores the association between BPD/death and the duration of exposure to a hemodynamically significant PDA, longitudinally assessed using a comprehensive echocardiographic protocol. The findings suggest the first week of exposure to a hemodynamically significant PDA is a critical window for interventions to impact outcomes. Future research should focus on identifying high-risk population and developing targeted treatments during this pivotal period.

Indexed as

Bronchopulmonary DysplasiaDuctus Arteriosus, PatentEchocardiographyFemaleGestational AgeHumansInfantInfant, NewbornInfant, PrematureMaleRetrospective StudiesRisk FactorsTime Factors

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.