Evidence map›Paper›PMID 42187335›Full record

Trial reportPediatric pulmonology2026

Early Versus Conventional Discontinuation of Caffeine Therapy for Apnea of Prematurity: A Randomized Controlled Trial-The DECaf Trial.

Nirupa Chandorkar, Gunjana Kumar, Gurnoor Singh, Kaifi Siddiqui, Jai Krishan Mittal, Surendra Singh, Anil Galwa, Amit Kumar

Abstract readEquivalence TrialRandomized Controlled Trial
In one paragraph

Trial report in Pediatric pulmonology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Nirupa ChandorkarDepartment of Neonatology, National Institute of Medical Science and Research Hospital, Nims University Rajasthan, Jaipur, India.ORCID https://orcid.org/0009-0001-6639-3703
Gunjana KumarDepartment of Neonatology, National Institute of Medical Science and Research Hospital, Nims University Rajasthan, Jaipur, India.
Gurnoor SinghDepartment of Neonatology, National Institute of Medical Science and Research Hospital, Nims University Rajasthan, Jaipur, India.
Kaifi SiddiquiDepartment of Neonatology, National Institute of Medical Science and Research Hospital, Nims University Rajasthan, Jaipur, India.
Jai Krishan MittalDepartment of Neonatology, National Institute of Medical Science and Research Hospital, Nims University Rajasthan, Jaipur, India.
Surendra SinghDepartment of Pediatrics, National Institute of Medical Science and Research Hospital, Nims University Rajasthan, Jaipur, India.
Anil GalwaDepartment of Pediatrics, National Institute of Medical Science and Research Hospital, Nims University Rajasthan, Jaipur, India.
Amit KumarDepartment of Pediatrics, National Institute of Medical Science and Research Hospital, Nims University Rajasthan, Jaipur, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWhile caffeine therapy is well-established for managing apnea of prematurity (AOP), standardized protocols for its discontinuation are lacking. This study evaluated whether earlier cessation at 33 weeks postmenstrual age (PMA) is as safe as conventional discontinuation at 34 weeks.

methodsPreterm neonates (26-32 weeks of gestation) on caffeine for AOP, who were off respiratory support and apnea-free for 5 consecutive days by 33 weeks PMA, were randomized to early discontinuation (Group A) or conventional discontinuation at 34 weeks PMA (Group B). The primary outcome was recurrence of apnea (RAP) post-cessation.

resultsApnea recurrence was similar between groups (13.7% vs. 10%; OR 1.44, p = 0.71). Caffeine duration was significantly shorter in Group A (21.5 vs. 28.5 days, p = 0.024). No significant differences were noted in secondary outcomes or neonatal morbidities.

conclusionsEarly discontinuation of caffeine at 33 weeks PMA in stable preterm neonates appears safe and may reduce drug exposure without increasing apnea risk.

Indexed as

ApneaCaffeineCentral Nervous System StimulantsInfant, Premature, DiseasesFemaleGestational AgeHumansInfant, NewbornInfant, PrematureMaleRecurrenceTreatment InterruptionTreatment OutcomeCaffeineCentral Nervous System Stimulantsapnea of prematuritycaffeinediscontinuationpreterm neonaterandomized trial

Identifiers

PMID42187335
PMCPMC13383969

What OpenQuestion holds

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Registered trials

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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.