Evidence map›Paper›PMID 37876522›Full record

ArticleFrontiers in pediatrics2023

The role of blood pressure variability indicators combined with cerebral blood flow parameters in predicting intraventricular hemorrhage in very low birth weight preterm infants.

Lijun Jiang, Qian Yu, Fudong Wang, Mingfu Wu, Feng Liu, Mingfeng Fu, Junyan Gao, Xing Feng, Longfeng Zhang, Zhenxing Xu

Open access · goldAbstract read
In one paragraph

Article in Frontiers in pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
9.3field-weighted citation impact, top 2% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Lijun JiangDepartment of Neonatology, Affiliated Hospital of Yangzhou University, Yangzhou, China.
Qian YuDepartment of Neonatology, Affiliated Hospital of Yangzhou University, Yangzhou, China.
Fudong WangDepartment of Neonatology, Affiliated Hospital of Yangzhou University, Yangzhou, China.
Mingfu WuDepartment of Neonatology, Affiliated Hospital of Yangzhou University, Yangzhou, China.
Feng LiuDepartment of Neonatology, Affiliated Hospital of Yangzhou University, Yangzhou, China.
Mingfeng FuDepartment of Neonatology, Affiliated Hospital of Yangzhou University, Yangzhou, China.
Junyan GaoDepartment of Neonatology, Affiliated Hospital of Yangzhou University, Yangzhou, China.
Xing FengDepartment of Neonatology, Affiliated Children's Hospital of Soochow University, Suzhou, China.
Longfeng ZhangDepartment of Clinical Laboratory, Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Zhenxing XuDepartment of Neonatology, Affiliated Hospital of Yangzhou University, Yangzhou, China.
Yangzhou University · CNAffiliated Hospital of Jiangsu University · CNSoochow University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hemodynamic instability is the main factor responsible for the development of intraventricular hemorrhage (IVH) in premature newborns. Herein, we evaluated the predictive ability of blood pressure variability (BPV) and anterior cerebral artery (ACA) blood flow parameters in IVH in premature infants with gestational age (GA) ≤32 weeks and birth weight (BW) ≤ 1,500 g. Methods: Preterm infants with GA ≤32 weeks and BW ≤ 1,500 g admitted to the neonatal intensive care unit (NICU) of the hospital affiliated to Yangzhou University from January 2020 to January 2023 were selected as the research subjects. All preterm infants were admitted within 1 h after birth, and systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial blood pressure (MABP) were monitored at 1-h intervals. The difference between maximum and minimum values (max-min), standard deviation (SD), coefficient of variation (CV), and successive variation (SV) were used as BPV indicators. On the 1st, 3rd, and 7th day after birth, transcranial ultrasound examination was performed to screen for the occurrence of IVH. On the 24 ± 1 h after birth, systolic velocity (Vs), diastolic velocity (Vd), and resistance index (RI) of the ACA were measured simultaneously. Preterm infants were divided into the IVH group and non-IVH group based on the results of transcranial ultrasound examination, and the correlation between BPV indicators, ACA blood flow parameters, and development of IVH was analyzed. Results: A total of 92 premature infants were enrolled, including 49 in the IVH group and 43 in the non-IVH group. There was no statistically significant difference in baseline characteristics such as BW, GA, sex, and perinatal medical history between the two groups of preterm infants ( Conclusion: High BPV and ACA-RI are related to IVH in premature infants with GA ≤32 w and BW ≤1,500 g. Combined detection of SBP SD and ACA-RI has a certain predictive effect on early identification of IVH.

Indexed as

ACA resistance indexblood pressureblood pressure variabilityintraventricular hemorrhagepreterm infanttranscranial Doppler

Identifiers

PMID37876522
PMCPMC10590921
OpenAlexW4387454559

What Socratic holds

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LicenceCC BY
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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 Socratic graph.