Evidence map›Paper›PMID 42477099›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2026

Advancing neonatal care through standardized lung ultrasound implementation.

Svetlana Dauengauer-Kirliene, Grazvydas Jakumas, Luis Leon Gunter, Honorata Prunskiene, Lina Lisauskiene, Dominyka Juodyte, Meda Sutkeviciute, Dominyka Lesnikoviene, Agata Nedelko, Ingrida Pilypiene and 2 more

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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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

12 authors.

Svetlana Dauengauer-KirlieneFaculty of Medicine, Clinic of children's diseases, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania. svetlana.dauengauer-kirliene@mf.vu.lt.ORCID http://orcid.org/0000-0003-3090-2526
Grazvydas JakumasFaculty of Medicine, Clinic of children's diseases, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania.ORCID http://orcid.org/0009-0001-6703-9044
Luis Leon GunterFaculty of Medicine, Clinic of children's diseases, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania.ORCID http://orcid.org/0009-0004-4388-0973
Honorata PrunskieneNeonatology Center, Neonatal Unit, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.ORCID http://orcid.org/0009-0004-8764-9917
Lina LisauskienePopulation Genomics Laboratory, Faculty of Medicine, Translational Health Research Institute, Vilnius University, Vilnius, Lithuania.ORCID http://orcid.org/0000-0001-9091-3986
Dominyka JuodyteNeonatology Center, Neonatal Unit, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.
Meda SutkeviciuteNeonatology Center, Neonatal Unit, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.
Dominyka LesnikovieneNeonatology Center, Neonatal Unit, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.ORCID http://orcid.org/0009-0002-3026-654X
Agata NedelkoNeonatology Center, Neonatal Unit, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.ORCID http://orcid.org/0009-0007-4949-7475
Ingrida PilypieneFaculty of Medicine, Clinic of children's diseases, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania.
Yogen SinghDepartment of Pediatrics, Division of Neonatology, UC Davis Children's Hospital, University of California, Sacramento, CA, USA.ORCID http://orcid.org/0000-0002-5207-9019
Violeta GulbinieneFaculty of Medicine, Clinic of children's diseases, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania.ORCID http://orcid.org/0000-0002-2506-521X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the impact of standardized lung ultrasound (LUS) implementation in neonatal intensive care.

methodsA retrospective cohort study of 172 neonates born at 23-32 weeks of gestation between 2021 and 2024. Two epochs were compared: before and after LUS implementation. Primary outcomes included X-ray exposure, respiratory support, and surfactant use; secondary outcomes included intraventricular hemorrhage, bronchopulmonary dysplasia, retinopathy of prematurity and sepsis.

resultsLUS implementation reduced chest radiography by 52% and multiple exposures by 17% (p-value < 0.001). The need for mechanical ventilation rates decreased by 25% (p-value < 0.001), with no change in non-invasive support or surfactant use. LUS score independently predicted early surfactant administration (AUC 0.84, 95% CI 0.73-0.95), increasing odds by 40% per point. No increase in adverse outcomes was observed.

conclusionsStandardized LUS significantly reduced chest radiography exposure and the need for mechanical ventilation, and facilitated early surfactant therapy.

Indexed as

Intensive Care, NeonatalLungBronchopulmonary DysplasiaFemaleGestational AgeHumansInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalMalePulmonary SurfactantsRadiography, ThoracicRespiration, ArtificialRespiratory Distress Syndrome, NewbornRetrospective StudiesUltrasonographyPulmonary Surfactants

Identifiers

PMID42477099

What OpenQuestion holds

Textmetadata
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.