Evidence map›Paper›PMID 41090276›Full record

Observational studyPediatric pulmonology2025

Evaluating Clinically Directed Continuous Positive Airway Pressure to High Flow Nasal Cannula Transitions in Stable Preterm Infants Using Electrical Impedance Tomography: A Prospective, Observational Study.

David M Rub, Natalie Napolitano, Francis Simmons, Rachel Mackenzie, Kelle Matthews, Elizabeth E Foglia, Howard B Panitch

Abstract readObservational Study
In one paragraph

Observational study 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. Review
  2. Observational
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

7 authors.

David M RubDepartment of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Natalie NapolitanoDepartment of Respiratory Care, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Francis SimmonsDepartment of Respiratory Care, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Rachel MackenzieDepartment of Respiratory Care, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Kelle MatthewsDepartment of Respiratory Care, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Elizabeth E FogliaDepartment of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Howard B PanitchDepartment of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.

Funding

Pediatric Hospital Epidemiology and Outcomes Research Training ProgramT32HD060550 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI Christopher Peter Bonafide, John Chris Feudtner · 2010 to 2026
$6.8M
NHLBI NIH HHS L40 HL176224NICHD NIH HHS T32 HD060550This study was funded by the Division of Neonatology and Division of Pulmonary and Sleep Medicine in the Department of Pediatrics at the Children's Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine. EIT device and disposables provided as in-kind support from Sentec AG.Dr. Rub is supported by the NIH Eunice Kennedy Shriver National Institute of Childhood Health and Human Development under T32HD060550 (Pediatric Hospital Epidemiology and Outcomes Training Program) and the NIH National Heart and Lung Biology Institute under 1L40HL176224-01.
6 · The paper itself

Abstract

objectiveTo assess lung aeration changes during clinically directed transitions from CPAP to HFNC in preterm infants using Electrical Impedance Tomography (EIT).

designProspective, observational study.

settingSingle-center, Level IV Neonatal Intensive Care Unit. PATIENTS: Infants born < 32 weeks gestational age (GA) undergoing a clinically indicated transition from CPAP to HFNC following ≥ 2 weeks of respiratory support.

interventionsEIT data were recorded for 30-60 min before and after transition.

main outcome measuresThe primary outcome was change in end-expiratory lung impedance (ΔEELI). Infants were followed for 7 days following transition to assess for transition failure.

resultsFrom 15 subjects, 4257 total breaths were analyzed. No significant difference in %∆EELI was found between HFNC and CPAP (Median ∆: -1.0%; IQR -3.6% to 6.0%; p = 0.78). The largest %∆EELI decrease (-9.8%) occurred in the subject who failed transition.

conclusionsTransitioning from CPAP to HFNC did not consistently decrease lung aeration in stable preterm infants. In the infant who failed transition, a distinct respiratory pattern was observed using EIT, characterized by a decrease in EELI and frequent recruitment breaths. These findings suggest better methods are needed to individualize and titrate respiratory support at the bedside for preterm infants.

Indexed as

Continuous Positive Airway PressureLungOxygen Inhalation TherapyRespiratory Distress Syndrome, NewbornTomographyCannulaElectric ImpedanceFemaleHumansInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalMaleProspective Studies

Identifiers

PMID41090276
PMCPMC12522079

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.