Evidence map›Paper›PMID 40829654›Full record

ReviewAmerican journal of perinatology2026

Clinical Impact of the PDA and Its Management on Outcomes of Preterm Infants with NEC: A Review.

Vignesh Gunasekaran, Ricardo J Rodriguez, Peter Porcelli, Nilima Jawale, Jeffrey Shenberger, Parvesh M Garg

Abstract readReview
In one paragraph

Review in American journal of perinatology, 2026. 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

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

2 citing papers in PubMed.

  1. Review
  2. 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

6 authors.

Vignesh GunasekaranDepartment of Pediatrics/Neonatology, West Virginia University School of Medicine, Martinsburg, West Virginia, United States.
Ricardo J RodriguezDepartment of Pediatrics/Neonatology, Atrium Health Wake Forest Baptist, Wake Forest School of Medicine, Winston Salem, North Carolina, United States.
Peter PorcelliDepartment of Pediatrics/Neonatology, Atrium Health Wake Forest Baptist, Wake Forest School of Medicine, Winston Salem, North Carolina, United States.
Nilima JawaleDepartment of Pediatrics/Neonatology, SUNY Upstate Medical University, Syracuse, New York, United States.ORCID 0000-0001-5430-848X
Jeffrey ShenbergerDepartment of Pediatrics/Neonatology, Connecticut Children's, Hartford, Connecticut, United States.
Parvesh M GargDepartment of Pediatrics/Neonatology, Atrium Health Wake Forest Baptist, Wake Forest School of Medicine, Winston Salem, North Carolina, United States.

Funding

Tracking and Evaluation CoreU54GM115428 · NIGMS · UNIVERSITY OF MISSISSIPPI MED CTR · PI GOMEZ-SANCHEZ, CELSO ENRIQUE · 2016 to 2025
$38.2M
NIGMS NIH HHS U54 GM115428NIGMS NIH HHS U54GM115428
6 · The paper itself

Abstract

Necrotizing enterocolitis (NEC) is one of the most common gastrointestinal emergencies in preterm infants. The pathogenesis of NEC is not clearly established and multifactorial. Preterm infants are at increased risk for NEC because of intestinal immaturity, resulting in potential mucosal injury. Circulatory instability has been proposed as a key indicator for ischemic insult to the gut, leading to NEC. With the increased incidence of patent ductus arteriosus (PDA) in preterm infants less than 32 weeks and in babies with birth weight less than 1,500 g, several studies propose an association of NEC with a hemodynamically significant PDA. This review provides an extensive literature search for NEC and PDA in the PUBMED database. In this study, we will review the pathogenesis of NEC and the relationship between PDA and NEC. We will also explore the different treatment options for PDA and their relationship to the incidence of NEC. While earlier diagnosis and aggressive treatment of NEC have improved the outcomes, the disease still accounts for 10% of deaths in infants in the neonatal intensive care unit. With resuscitation of increasingly earlier gestational age infants, the incidence of both hemodynamically significant PDA and NEC is rising, denoting the importance of understanding the inter-relationship of these two pathophysiological processes. · The relationship between PDA and NEC is studied.. · The pathophysiology of NEC is described.. · Propose future directions for the use of advanced technologies to identify at-risk preterm infants..

Indexed as

Ductus Arteriosus, PatentEnterocolitis, NecrotizingInfant, Premature, DiseasesGestational AgeHumansInfant, NewbornInfant, Premature

Identifiers

PMID40829654
PMCPMC12423785

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.