Evidence map›Paper›PMID 32521539›Full record

ReviewPediatric research2021

Pulmonary hypertension in bronchopulmonary dysplasia.

Georg Hansmann, Hannes Sallmon, Charles C Roehr, Stella Kourembanas, Eric D Austin, Martin Koestenberger, European Pediatric Pulmonary Vascular Disease Network (EPPVDN)

Open access · hybridAbstract readReview
In one paragraph

Review in Pediatric research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 144 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
144citing papers in PubMed, 4 pooled it
14.7field-weighted citation impact, top 1% of its field
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

144 citing papers in PubMed, 4 syntheses or guidelines pooled it, 229 citations in OpenAlex.

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  18. Predicting pulmonary hypertension in infants with bronchopulmonary dysplasia.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
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  20. Article

84 more citing papers are in PubMed but not listed here.

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 at 6 institutions in 4 countries.

Georg HansmannDepartment of Pediatric Cardiology and Critical Care, Hannover Medical School, Hannover, Germany. georg.hansmann@gmail.com.
Hannes SallmonDepartment of Pediatric Cardiology, Charité University Medical Center, Berlin, Germany.
Charles C RoehrNewborn Services, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Stella KourembanasDivision of Newborn Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Eric D AustinDivision of Pediatric Pulmonary Medicine, Vanderbilt University, Nashville, TN, USA.
Martin KoestenbergerDivision of Pediatric Cardiology, Medical University of Graz, Graz, Austria.
European Pediatric Pulmonary Vascular Disease Network (EPPVDN)
Charité - Universitätsmedizin Berlin · DEHarvard University · USMedical University of Graz · ATMedizinische Hochschule Hannover · DENuffield Orthopaedic Centre · GBVanderbilt University · US

Funding

HYPOXIC RESPONSES OF VASCULAR SMOOTH MUSCLER01HL055454 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI KOUREMBANAS, STELLA · 1996 to 2018
$6.7M
MSC Exosome Treatment for BPD: Impact on Immunity and Lung DevelopmentR01HL146128 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI Stella Kourembanas · 2019 to 2026
$6.6M
NHLBI NIH HHS R01 HL055454NHLBI NIH HHS R01 HL146128
6 · The paper itself

Abstract

Bronchopulmonary dysplasia (BPD) is a major complication in prematurely born infants. Pulmonary hypertension (PH) associated with BPD (BPD-PH) is characterized by alveolar diffusion impairment, abnormal vascular remodeling, and rarefication of pulmonary vessels (vascular growth arrest), which lead to increased pulmonary vascular resistance and right heart failure. About 25% of infants with moderate to severe BPD develop BPD-PH that is associated with high morbidity and mortality. The recent evolution of broader PH-targeted pharmacotherapy in adults has opened up new treatment options for infants with BPD-PH. Sildenafil became the mainstay of contemporary BPD-PH therapy. Additional medications, such as endothelin receptor antagonists and prostacyclin analogs/mimetics, are increasingly being investigated in infants with PH. However, pediatric data from prospective or randomized controlled trials are still sparse. We discuss comprehensive diagnostic and therapeutic strategies for BPD-PH and briefly review the relevant differential diagnoses of parenchymal and interstitial developmental lung diseases. In addition, we provide a practical framework for the management of children with BPD-PH, incorporating the modified definition and classification of pediatric PH from the 2018 World Symposium on Pulmonary Hypertension, and the 2019 EPPVDN consensus recommendations on established and newly developed therapeutic strategies. Finally, current gaps of knowledge and future research directions are discussed. IMPACT: PH in BPD substantially increases mortality. Treatment of BPD-PH should be conducted by an interdisciplinary team and follow our new treatment algorithm while still kept tailored to the individual patient. We discuss recent developments in BPD-PH, make recommendations on diagnosis, monitoring and treatment of PH in BPD, and address current gaps of knowledge and potential research directions. We provide a practical framework, including a new treatment algorithm, for the management of children with BPD-PH, incorporating the modified definition and classification of pediatric PH (2018 WSPH) and the 2019 EPPVDN consensus recommendations on established and newly developed therapeutic strategies for BPD-PH.

Indexed as

BiomarkersBronchopulmonary DysplasiaCardiac CatheterizationCardiac Surgical ProceduresEchocardiographyEndothelin Receptor AntagonistsHeart FailureHumansHypertension, PulmonaryInfant, NewbornInfant, PrematureInfant, Premature, DiseasesMagnetic Resonance ImagingNitric OxideOxygen Inhalation TherapyProstaglandins IBiomarkersEndothelin Receptor AntagonistsNitric OxideProstaglandins ISildenafil CitrateVasodilator Agents

Identifiers

PMID32521539
PMCPMC7979539
OpenAlexW3033966078

What Socratic 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 Socratic graph.