Evidence map›Paper›PMID 37759034›Full record

Observational studyJournal of perinatology : official journal of the California Perinatal Association2024

Risk factors and epidemiology of spontaneous intestinal perforation among infants born at 22-24 weeks' gestational age.

Pavan V Thakkar, Kent F Sutton, Chloe-Ann B Detwiler, Julia G Henegar, Jai R Narayan, Melanie Perez-Romero, Ciara M Strausser, Reese H Clark, Daniel K Benjamin, Kanecia O Zimmerman and 6 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of perinatology : official journal of the California Perinatal Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.1field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Bowel habits in preterm infants: Observations from the first 2 weeks of life.Journal of pediatric gastroenterology and nutrition · 2025
    Observational
  3. Meconium obstruction of prematurity in tiny babies - towards developing an international consensus.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
  4. Article
  5. Article
  6. Editorial: Reviews in neonatology 2024.Frontiers in pediatrics · 2025
    Article
  7. Review
  8. Article
  9. Review
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

16 authors at 2 institutions in 1 country.

Pavan V ThakkarDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.ORCID 0009-0005-4521-6934
Kent F SuttonDuke University School of Medicine, Durham, NC, USA.ORCID 0000-0003-3087-828X
Chloe-Ann B DetwilerDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Julia G HenegarDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Jai R NarayanDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Melanie Perez-RomeroDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Ciara M StrausserDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Reese H ClarkPediatrix Center for Research Education, Quality, and Safety, Sunrise, FL, USA.ORCID 0000-0002-7363-4640
Daniel K BenjaminDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Kanecia O ZimmermanDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Ronald N GoldbergDepartment of Pediatrics, Duke University Medical Center, Durham, NC, USA.
Noelle YoungeDepartment of Pediatrics, Duke University Medical Center, Durham, NC, USA.
David TanakaDepartment of Pediatrics, Duke University Medical Center, Durham, NC, USA.ORCID 0000-0002-0169-6172
P Brian SmithDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Rachel G GreenbergDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA. rachel.greenberg@duke.edu.ORCID 0000-0003-4156-8543
Ryan KilpatrickDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0003-1059-2401
Duke University · USDuke Medical Center · US

Funding

NIH Summer Research Experience Programs (R25)R25HD076475 · NICHD · DUKE UNIVERSITY · PI BENJAMIN, DANIEL K. · 2013 to 2023
$1.1M
NICHD NIH HHS HHSN275201000003CNICHD NIH HHS HHSN275201000003INICHD NIH HHS R25 HD076475
6 · The paper itself

Abstract

objectiveTo describe the epidemiology, risk factors, and timing of spontaneous intestinal perforation (SIP) among infants born at 22-24 weeks' gestational age (GA). STUDY

designObservational cohort study among infants born at 22-24 weeks' GA in 446 neonatal intensive care units.

resultsWe identified 9712 infants, of whom 379 (3.9%) developed SIP. SIP incidence increased with decreasing GA (P < 0.001). Antenatal magnesium (odds ratio (OR) 1.42; 95% confidence interval (CI), 1.09-1.85), antenatal indomethacin (OR 1.40; 95% CI, 1.06-1.85), postnatal indomethacin (OR 1.61; 95% CI, 1.23-2.11), and postnatal hydrocortisone exposure (OR 2.02; 95% CI 1.50-2.73) were associated with SIP. Infants who lost 15-20% (OR 1.77; 95% CI, 1.28-2.44) or >20% (OR 2.04; 95% CI, 1.46-2.85) of birth weight had higher odds of SIP than infants with weight loss <10%.

conclusionsAntenatal magnesium exposure, antenatal indomethacin exposure, postnatal hydrocortisone exposure, postnatal indomethacin exposure, and weight loss ≥15% were associated with SIP.

Indexed as

Intestinal PerforationFemaleGestational AgeHumansHydrocortisoneIndomethacinInfantInfant, NewbornMagnesiumPregnancyRetrospective StudiesRisk FactorsWeight LossHydrocortisoneIndomethacinMagnesium

Identifiers

PMID37759034
PMCPMC11465378
OpenAlexW4387106779

What Socratic holds

Textmetadata
LicenceTDM
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.