Evidence map›Paper›PMID 39885241›Full record

ArticlePediatric research2025

Neonatal intermittent hypoxemia events are associated with later systemic hypertension.

Stephanie Martinez, Zhengyi Chen, Juliann M Di Fiore, Christina Nguyen, Nori M Minich, Anna Maria Hibbs

Abstract read
In one paragraph

Article in Pediatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

  1. Article
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4 · The record

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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

6 authors.

Stephanie MartinezDivision of Neonatology, University Hospitals of Cleveland, Rainbow Babies & Children's Hospital, Cleveland, OH, USA. smarti71@uthsc.edu.ORCID http://orcid.org/0009-0002-8171-3442
Zhengyi ChenDepartment of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, USA.
Juliann M Di FioreDivision of Neonatology, University Hospitals of Cleveland, Rainbow Babies & Children's Hospital, Cleveland, OH, USA.
Christina NguyenDivision of Neonatology, University Hospitals of Cleveland, Rainbow Babies & Children's Hospital, Cleveland, OH, USA.
Nori M MinichDivision of Neonatology, University Hospitals of Cleveland, Rainbow Babies & Children's Hospital, Cleveland, OH, USA.
Anna Maria HibbsDivision of Neonatology, University Hospitals of Cleveland, Rainbow Babies & Children's Hospital, Cleveland, OH, USA.

Funding

Clinical and Translational Science Collaborative of Northern Ohio, Catalyzing Linkages to Equity in Health (CLE Health)UM1TR004528 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI GRACE A MCCOMSEY · 2023 to 2026
$32.1M
Patient-Oriented Research and Mentoring Program in Prematurity-Associated Pulmonary MorbidityK24HL143291 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI HIBBS, ANNA MARIA · 2018 to 2022
$598k
NCATS NIH HHS UM1 TR004528NHLBI NIH HHS K24 HL143291
6 · The paper itself

Abstract

backgroundApproximately 5% of very premature infants delivered at less than 30 weeks' gestation have systemic hypertension. In adult human and animal models, intermittent hypoxemia events are associated with systemic hypertension. In neonates, intermittent hypoxemia events are associated with adverse outcomes, but it is unknown if they are a risk factor for hypertension. We hypothesize that early intermittent hypoxemia events in very preterm neonates are associated with systemic hypertension at 34-36 weeks' postmenstrual age.

methodsSecondary analysis of a single-center cohort study of 164 infants, <31 weeks' gestational age. Intermittent hypoxemia events were continuously recorded during the first 21 days of age.

resultsThere was a significant association between the number of intermittent hypoxemia events (per 100) and systemic hypertension (OR (95% CI) = 1.08 (1.01-1.15)), and both the number of intermittent hypoxemia events (per 100 β (95% CI) = 0.22 (0.10-0.34)) and percent of time with hypoxemia (β (95% CI) = 0.10 (0.01-0.19)) and systolic blood pressure at 34-36 weeks' postmenstrual age.

conclusionThis study demonstrated a higher incidence of early intermittent hypoxemia events in preterm infants with hypertension. Decreasing intermittent hypoxemia during this critical period may reduce incidence of later vascular stress in this population. IMPACT: Intermittent hypoxemia events are very common in premature infants and increased frequency of intermittent hypoxemia events is associated with morbidity. Intermittent hypoxemia events in adult human as well as adult and neonatal animal models are associated with systemic hypertension. This study demonstrated an association between early intermittent hypoxemia events and systemic hypertension in very preterm neonates, adding to the body of literature of possible morbidities caused by intermittent hypoxemia events. This study addresses the common, though under-recognized, issue of neonatal hypertension, and suggests increased intermittent hypoxemia events may be contributory.

Indexed as

HypertensionHypoxiaBlood PressureCohort StudiesFemaleGestational AgeHumansIncidenceInfant, NewbornInfant, PrematureMaleRisk Factors

Identifiers

PMID39885241
PMCPMC12507661

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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.