Evidence map›Paper›PMID 41310529›Full record

Trial reportBMC pediatrics2025

The prediction of phototherapy by early postnatal ETCOc in Chinese newborns.

Ge Yang, Li Deng, Kun Zhang, Huijuan Liu, Xinrui Fu, Yue Hu, Xiaodan Yan, Xiaoyun Zhou, Wei Luo, Siyao Wang and 9 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 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. 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

19 authors.

Ge Yang *Division of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou, Guangdong Province, 510623, China.ORCID 0000-0002-1480-1998
Li Deng *Division of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou, Guangdong Province, 510623, China.
Kun ZhangDivision of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou, Guangdong Province, 510623, China.
Huijuan LiuDivision of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou, Guangdong Province, 510623, China.
Xinrui FuDivision of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou, Guangdong Province, 510623, China.
Yue HuDivision of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou, Guangdong Province, 510623, China.
Xiaodan YanDivision of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou, Guangdong Province, 510623, China.
Xiaoyun ZhouDivision of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou, Guangdong Province, 510623, China.
Wei LuoDivision of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou, Guangdong Province, 510623, China.
Siyao WangDivision of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou, Guangdong Province, 510623, China.
Xiaotong YeDivision of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou, Guangdong Province, 510623, China.
Tianlang ZhangDivision of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou, Guangdong Province, 510623, China.
Fan LiDivision of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou, Guangdong Province, 510623, China.
Zhuanxia HuoDivision of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou, Guangdong Province, 510623, China.
Yan JiangDivision of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou, Guangdong Province, 510623, China.
Shan ZengDivision of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou, Guangdong Province, 510623, China.
Dehua WuClinical Research Center, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Yuan YuanDivision of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou, Guangdong Province, 510623, China.
Huayan ZhangDivision of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou, Guangdong Province, 510623, China. zhangh@chop.edu.ORCID 0000-0003-0843-8448

Funding

Basic and Applied Basic Science Project of the Guangzhou Science and Technology Bureau No. 2023A03J0882Municipal-University-Enterprise Joint Sponsorship Project of the Guangzhou Science and Technology Bureau No. 2023A04J1223Plan on Enhancing Scientific research in Guangzhou Medical University (GMU) GMUCR2024-01014Postdoctoral Fellowship Grant of China Postdoctoral Science Foundation No. 2022M720892Research foundation of Guangzhou Women and Children's Medical Center for Clinical Doctor No.2021BS035Young Science and Technology Talent Support Program of Guangdong Precision Medicine Application Association YSTTGDPMAA202502
6 · The paper itself

Abstract

backgroundThe clinical significance of early postnatal ETCOc in the prediction of phototherapy (PT) for neonatal hyperbilirubinemia has not been fully characterized. We aimed to investigate the relationship between early postnatal ETCOc and the risk of PT within 7 days of life (7 DOLs) and diagnostic performance.

methodsThis is a secondary analysis of the infants randomized to the control group of the HEME trial. Cases were infants who had PT within 7 DOLs and controls were infants who did not require PT. Multivariate logistic regressions were used for the analyses of phototherapy and early postnatal ETCOc, adjusting for transcutaneous bilirubin level, gestational age, birth weight, sex and maternal blood types. We also evaluated the predictive performance of ETCOc by comparing multiple diagnostic parameters.

resultsIn 1,219 infants included, early postnatal ETCOc was associated with 2.98-(95% confidence interval [CI] = 2.22, 4.00, < 0.01), 2.53-(95%CI = 1.65, 3.90, < 0.01) and 2.42(95%CI = 1.05, 5.61, < 0.01)-fold increased odds of PT, respectively. Each one-unit increment of ETCOc was associated with earlier initiation, longer duration and more courses of PT. The ETCOc had a sensitivity of 65.4-87.5%, specificity of 71.7-75.8%, positive predictive values of 41.0-51.6%, and negative predictive values of 87.3-95.3%, with area under curves of 0.732-0.880 for the outcome of PT.

conclusionsA higher early postnatal ETCOc is linked with an increased risk of PT and PT characteristics within 7 DOLs. Early postnatal ETCOc can be a valuable indicator for predicting PT in early postnatal period.

trial registrationRegistration identifier ChiCTR2100051476 of the Chinese Clinical Trial Registry ( https://www.chictr.org.cn/ ).

Indexed as

Hyperbilirubinemia, NeonatalPhototherapyBilirubinChinaEast Asian PeopleFemaleHumansInfant, NewbornMalePredictive Value of TestsBilirubinEnd-tidal carbon monoxide-corrected for ambient CO (ETCOc)HyperbilirubinemiaNeonatesPhototherapy

Identifiers

PMID41310529
PMCPMC12659024

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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.