Evidence map›Paper›PMID 40896454›Full record

ArticleEClinicalMedicine2025

Two-year outcomes after selective early treatment of patent ductus arteriosus with ibuprofen in preterm babies: follow-up of Baby-OSCAR-a randomised controlled trial.

Samir Gupta, Heather O'Connor, Edmund Juszczak, Nimish V Subhedar, Ursula Bowler, Charlotte Clarke, David Field, Elizabeth Hutchison, Wilf Kelsall, Justine Pepperell and 6 more

Erratum issuedAbstract read
In one paragraph

Article in EClinicalMedicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Samir GuptaDivision of Neonatology, Sidra Medicine, Doha, Qatar.
Heather O'ConnorNational Perinatal Epidemiology Unit Clinical Trials Unit, Nuffield Department of Population Health, University of Oxford, UK.
Edmund JuszczakNottingham Clinical Trials Unit, School of Medicine, University of Nottingham, Nottingham, UK.
Nimish V SubhedarLiverpool Women's NHS Foundation Trust, Liverpool, UK.
Ursula BowlerNational Perinatal Epidemiology Unit Clinical Trials Unit, Nuffield Department of Population Health, University of Oxford, UK.
Charlotte ClarkeNuffield Department of Population Health, University of Oxford, UK.
David FieldDepartment of Population Health Sciences, University of Leicester, UK.
Elizabeth HutchisonNational Perinatal Epidemiology Unit Clinical Trials Unit, Nuffield Department of Population Health, University of Oxford, UK.
Wilf KelsallNICU, Rosie Hospital, Cambridge University Hospital Foundation Trust, Cambridge, UK.
Justine PepperellNational Perinatal Epidemiology Unit Clinical Trials Unit, Nuffield Department of Population Health, University of Oxford, UK.
Tracy RobertsInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Sunil SinhaSouth Tees Hospitals NHS Foundation Trust, James Cook University Hospital, Middlesbrough, UK.
Kayleigh StanburyNational Perinatal Epidemiology Unit Clinical Trials Unit, Nuffield Department of Population Health, University of Oxford, UK.
Jonathan WyllieSouth Tees Hospitals NHS Foundation Trust, James Cook University Hospital, Middlesbrough, UK.
Pollyanna HardyNational Perinatal Epidemiology Unit Clinical Trials Unit, Nuffield Department of Population Health, University of Oxford, UK.
Samantha JohnsonDepartment of Population Health Sciences, University of Leicester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Children born extremely preterm are at increased risk of developmental problems and respiratory morbidity due to patent ductus arteriosus (PDA). The objective of this study was to evaluate whether early treatment of a PDA ≥1.5 mm with ibuprofen improved neurodevelopmental and respiratory outcomes at 24 months of age, corrected for prematurity. Methods: Baby-OSCAR was a UK multi-center placebo-controlled masked randomized clinical trial in infants born 23 Findings: From July 2015 through December 2020, 653 infants underwent randomization. At 24 months' corrected age, outcome data were available for 537 children: 263 in the ibuprofen group and 274 in the placebo group. Survival without moderate to severe neurodevelopmental impairment in the ibuprofen and placebo groups was 131/248 (53.0%) and 134/259 (51.9%) respectively; adjusted risk ratio 1.01 (95% confidence interval [CI] 0.86-1.18); p = 0.901. Survival without respiratory morbidity was 66/220 (30%) and 74/225 (32.9%) respectively; adjusted risk ratio 0.89 (95% CI 0.68-1.18). Median duration of oxygen supplementation from randomization was 76.0 and 78.0 days, respectively; adjusted median difference -1.5 (-13.8 to 10.9). Interpretation: We found no evidence of an improvement in neurodevelopmental and respiratory outcomes at 24 months' corrected age, after selective early treatment of a PDA ≥1.5 mm with ibuprofen in children born extremely preterm. Funding: This study was funded by the National Institute for Health Research (NIHR) Health Technology Assessment Programme (11/92/15).

Indexed as

DeathNeurodevelopmental outcomesPatent ductus arteriosusPrematureRespiratory outcome

Identifiers

PMID40896454
PMCPMC12396396

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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.