Evidence map›Paper›PMID 40797022›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2025

Gestational age-based outcomes of neonates with Down syndrome in the neonatal intensive care unit (NICU): review of pediatric health information system (PHIS) database.

Emily A Messick, Stephen A Hart, Julie Strominger, Sara Conroy, Carl H Backes, Clifford L Cua

Abstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 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. 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

6 authors.

Emily A MessickDepartment of Pediatrics, Nationwide Children's Hospital, Columbus, OH, USA. Emily.Messick@nationwidechildrens.org.ORCID http://orcid.org/0000-0002-8936-0699
Stephen A HartDepartment of Pediatrics, Nationwide Children's Hospital, Columbus, OH, USA.ORCID http://orcid.org/0000-0002-1651-4511
Julie StromingerOhio Perinatal Research Network, Nationwide Children's Hospital, Columbus, OH, USA.
Sara ConroyOhio Perinatal Research Network, Nationwide Children's Hospital, Columbus, OH, USA.ORCID http://orcid.org/0000-0001-9155-9456
Carl H BackesDepartment of Pediatrics, Nationwide Children's Hospital, Columbus, OH, USA.
Clifford L CuaDepartment of Pediatrics, Nationwide Children's Hospital, Columbus, OH, USA.ORCID http://orcid.org/0000-0002-9172-3874

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine differences in neonatal intensive care unit (NICU) outcomes in neonates with Down syndrome (DS) by gestational age (GA) using a large national database STUDY

designRetrospective analysis of Pediatric Health Information System database, including neonates with DS admitted to the NICU <30 days old from 1/1/2008-12/31/2022. Neonates were stratified by GA (extremely preterm, very preterm, moderate/late preterm, term). GA-based risk differences were examined for NICU outcomes using term neonates as reference.

resultsOverall mortality rate was 7% with increasing mortality as GA decreased (RD 6.1 [95% CI 4.8, 7.5], RD 25.4 [95% CI 20.5, 30.6], RD 36.8 [95% CI 27.3, 46.8] for moderate/late preterm, very preterm, extremely preterm). The overall rate of pulmonary hypertension was 23% and 14% of the cohort required a gastrostomy tube.

conclusionPrematurity significantly increases risk of NICU mortality for neonates with DS. Rates of pulmonary hypertension and gastrostomy were high throughout all groups.

Indexed as

Down SyndromeGestational AgeIntensive Care Units, NeonatalDatabases, FactualFemaleGastrostomyHealth Information SystemsHospital MortalityHumansHypertension, PulmonaryInfant MortalityInfant, NewbornInfant, PrematureMaleRetrospective StudiesUnited States

Identifiers

PMID40797022
PMCPMC12716992

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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.