Evidence map›Paper›PMID 41428592›Full record

ArticleNeonatology2026

Oxygenation Index and Oxygen Saturation Index in Congenital Diaphragmatic Hernia: Do Management Guidelines Make a Difference?

Tanner S Ellsworth, Ryan J Carpenter, Christian C Yost, Bradley A Yoder, Michelle J Yang

Abstract read
In one paragraph

Article in Neonatology, 2026. 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

5 authors.

Tanner S EllsworthDivisions of Neonatology, University of Utah School of Medicine and Primary Children's Hospital, Intermountain Healthcare Salt Lake City, Salt Lake City, Utah, USA.
Ryan J CarpenterDivisions of Neonatology, University of Utah School of Medicine and Primary Children's Hospital, Intermountain Healthcare Salt Lake City, Salt Lake City, Utah, USA.
Christian C YostDivisions of Neonatology, University of Utah School of Medicine and Primary Children's Hospital, Intermountain Healthcare Salt Lake City, Salt Lake City, Utah, USA.
Bradley A YoderDivisions of Neonatology, University of Utah School of Medicine and Primary Children's Hospital, Intermountain Healthcare Salt Lake City, Salt Lake City, Utah, USA.
Michelle J YangDivisions of Neonatology, University of Utah School of Medicine and Primary Children's Hospital, Intermountain Healthcare Salt Lake City, Salt Lake City, Utah, USA, michelle.yang@hsc.utah.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

<p>Introduction: The aim of this study was to correlate oxygenation index (OI) and oxygen saturation index (OSI) in congenital diaphragmatic hernia (CDH) and determine the impact of guideline changes from two different epochs.

methodsRetrospective analysis of 390 CDH neonates managed at University of Utah/Primary Children's Hospitals from 2003 to 2024. We performed regression analysis for paired OI and OSI values over the first week of life (2,604 pairs), comparing pre- (2003-2015) and post- (2016-2024) epoch effects of a 2016 CDH guideline. We analyzed predictive abilities for OI and OSI within and between epochs for extracorporeal membrane oxygenation (ECMO) and/or death.

resultsOI and OSI showed higher correlation in the post- (R2 = 0.755) vs. pre-epoch (R2 = 0.650). Between epochs analysis demonstrated lower inspired oxygen, mean airway pressure, arterial oxygen pressure, OI, and OSI in the post-epoch. ECMO use was lower in post-epoch (9.8% vs. 33%), but pre-ECMO OI and OSI were similar between epochs. Classification of severe lung dysfunction by OI >25 or OSI >12 showed similar abilities to predict ECMO and/or death. DISCUSSION: OI and OSI were highly correlated in CDH but affected by variation in CDH management. OSI classified severity of cardiopulmonary dysfunction as effectively as OI. </p>.

Indexed as

Extracorporeal Membrane OxygenationHernias, Diaphragmatic, CongenitalOxygenOxygen SaturationPractice Guidelines as TopicFemaleHumansInfant, NewbornMaleRetrospective StudiesUtahOxygenCongenital diaphragmatic herniaExtracorporeal membrane oxygenationOutcome predictionOxygenation indexOxygen saturation index

Identifiers

PMID41428592
PMCPMC12851597

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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.