Effects of inhaled nitric oxide (iNO) in pulmonary hypertension secondary to arteriovenous malformations: a retrospective cohort study from the European iNO registry
<p>This study aims to assess the effects of inhaled nitric oxide (iNO) on oxygenation in the management of pulmonary hypertension (PH) secondary to arteriovenous malformations (AVMs) in neonates. This is a matched retrospective cohort study from January 1, 2013, to December 31, 2017. The Europ...
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| مؤلفون آخرون: | , , , , |
| منشور في: |
2022
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إضافة وسم
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| _version_ | 1864513568274120704 |
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| author | Aravanan Anbu Chakkarapani (14158815) |
| author2 | Samir Gupta (584529) Asma Jamil (14146755) Santosh Kumar Yadav (2286601) Nim Subhedar (14146758) Helmut D. Hummler (7105463) |
| author2_role | author author author author author |
| author_facet | Aravanan Anbu Chakkarapani (14158815) Samir Gupta (584529) Asma Jamil (14146755) Santosh Kumar Yadav (2286601) Nim Subhedar (14146758) Helmut D. Hummler (7105463) |
| author_role | author |
| dc.creator.none.fl_str_mv | Aravanan Anbu Chakkarapani (14158815) Samir Gupta (584529) Asma Jamil (14146755) Santosh Kumar Yadav (2286601) Nim Subhedar (14146758) Helmut D. Hummler (7105463) |
| dc.date.none.fl_str_mv | 2022-09-06T03:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s00431-022-04602-9 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Effects_of_inhaled_nitric_oxide_iNO_in_pulmonary_hypertension_secondary_to_arteriovenous_malformations_a_retrospective_cohort_study_from_the_European_iNO_registry/21590985 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Paediatrics Nitric oxide Pulmonary hypertension Arteriovenous malformations Oxygenation index Hemodynamics Neonates |
| dc.title.none.fl_str_mv | Effects of inhaled nitric oxide (iNO) in pulmonary hypertension secondary to arteriovenous malformations: a retrospective cohort study from the European iNO registry |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <p>This study aims to assess the effects of inhaled nitric oxide (iNO) on oxygenation in the management of pulmonary hypertension (PH) secondary to arteriovenous malformations (AVMs) in neonates. This is a matched retrospective cohort study from January 1, 2013, to December 31, 2017. The European inhaled nitric oxide registry from 43 neonatal and pediatric ICUs in 13 countries across Europe was used to extract data. The target population was neonates treated with iNO for the management of PH. The cases (PH secondary to AVMs treated with iNO) were matched (1:4 ratio) to controls (PH without AVMs treated with iNO). The main outcome measure was the absolute change of oxygenation index (OI) from baseline to 60 min after starting iNO in cases and controls. The primary outcome of our study was that the mean absolute change in OI from baseline to after 60 min was higher among cases 10.7 (14), than in controls 6 (22.5), and was not statistically different between the groups. The secondary outcome variable — death before discharge — was found to be significantly higher in cases (55%) than in controls (8%). All the other variables for secondary outcome measures remained statistically insignificant.</p> <h3>Conclusion</h3> <p>Infants with PH secondary to AVMs treated with iNO did not respond differently compared to those presented with PH without AVMs treated with iNO. Right ventricular dysfunction on echocardiography was higher in cases than controls (cases: 66.7% and controls: 28.6%) but was not statistically significant. What is Known:• Arterioenous malformation (AVM) is a well-known cause of persistent pulmonary hypertension in newborns. Inhaled nitric oxide (iNO) is most commonly used as first-line therapy for pulmonary hypertension in newborns.• Around 40–50% of vein of Galen malformations (VOGMs) are found to have congestive heart failure in the neonatal period. What is New:• Neonates may present with an isolated PH of the newborn as the main feature of the VOGMs. A large proportion of cases with AVMs have been associated with right ventricular cardiac dysfunction. • Results from one of the largest database registries in the world for iNO have been used to answer our research question.</p> <h2>Other Information</h2> <p>Published in: European Journal of Pediatrics<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br> See article on publisher's website: <a href="http://dx.doi.org/10.1007/s00431-022-04602-9" target="_blank">http://dx.doi.org/10.1007/s00431-022-04602-9</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_ce238a4d40623f867b0fba6ad226e542 |
| identifier_str_mv | 10.1007/s00431-022-04602-9 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/21590985 |
| publishDate | 2022 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Effects of inhaled nitric oxide (iNO) in pulmonary hypertension secondary to arteriovenous malformations: a retrospective cohort study from the European iNO registryAravanan Anbu Chakkarapani (14158815)Samir Gupta (584529)Asma Jamil (14146755)Santosh Kumar Yadav (2286601)Nim Subhedar (14146758)Helmut D. Hummler (7105463)Biomedical and clinical sciencesPaediatricsNitric oxidePulmonary hypertensionArteriovenous malformationsOxygenation indexHemodynamicsNeonates<p>This study aims to assess the effects of inhaled nitric oxide (iNO) on oxygenation in the management of pulmonary hypertension (PH) secondary to arteriovenous malformations (AVMs) in neonates. This is a matched retrospective cohort study from January 1, 2013, to December 31, 2017. The European inhaled nitric oxide registry from 43 neonatal and pediatric ICUs in 13 countries across Europe was used to extract data. The target population was neonates treated with iNO for the management of PH. The cases (PH secondary to AVMs treated with iNO) were matched (1:4 ratio) to controls (PH without AVMs treated with iNO). The main outcome measure was the absolute change of oxygenation index (OI) from baseline to 60 min after starting iNO in cases and controls. The primary outcome of our study was that the mean absolute change in OI from baseline to after 60 min was higher among cases 10.7 (14), than in controls 6 (22.5), and was not statistically different between the groups. The secondary outcome variable — death before discharge — was found to be significantly higher in cases (55%) than in controls (8%). All the other variables for secondary outcome measures remained statistically insignificant.</p> <h3>Conclusion</h3> <p>Infants with PH secondary to AVMs treated with iNO did not respond differently compared to those presented with PH without AVMs treated with iNO. Right ventricular dysfunction on echocardiography was higher in cases than controls (cases: 66.7% and controls: 28.6%) but was not statistically significant. What is Known:• Arterioenous malformation (AVM) is a well-known cause of persistent pulmonary hypertension in newborns. Inhaled nitric oxide (iNO) is most commonly used as first-line therapy for pulmonary hypertension in newborns.• Around 40–50% of vein of Galen malformations (VOGMs) are found to have congestive heart failure in the neonatal period. What is New:• Neonates may present with an isolated PH of the newborn as the main feature of the VOGMs. A large proportion of cases with AVMs have been associated with right ventricular cardiac dysfunction. • Results from one of the largest database registries in the world for iNO have been used to answer our research question.</p> <h2>Other Information</h2> <p>Published in: European Journal of Pediatrics<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br> See article on publisher's website: <a href="http://dx.doi.org/10.1007/s00431-022-04602-9" target="_blank">http://dx.doi.org/10.1007/s00431-022-04602-9</a></p>2022-09-06T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00431-022-04602-9https://figshare.com/articles/journal_contribution/Effects_of_inhaled_nitric_oxide_iNO_in_pulmonary_hypertension_secondary_to_arteriovenous_malformations_a_retrospective_cohort_study_from_the_European_iNO_registry/21590985CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215909852022-09-06T03:00:00Z |
| spellingShingle | Effects of inhaled nitric oxide (iNO) in pulmonary hypertension secondary to arteriovenous malformations: a retrospective cohort study from the European iNO registry Aravanan Anbu Chakkarapani (14158815) Biomedical and clinical sciences Paediatrics Nitric oxide Pulmonary hypertension Arteriovenous malformations Oxygenation index Hemodynamics Neonates |
| status_str | publishedVersion |
| title | Effects of inhaled nitric oxide (iNO) in pulmonary hypertension secondary to arteriovenous malformations: a retrospective cohort study from the European iNO registry |
| title_full | Effects of inhaled nitric oxide (iNO) in pulmonary hypertension secondary to arteriovenous malformations: a retrospective cohort study from the European iNO registry |
| title_fullStr | Effects of inhaled nitric oxide (iNO) in pulmonary hypertension secondary to arteriovenous malformations: a retrospective cohort study from the European iNO registry |
| title_full_unstemmed | Effects of inhaled nitric oxide (iNO) in pulmonary hypertension secondary to arteriovenous malformations: a retrospective cohort study from the European iNO registry |
| title_short | Effects of inhaled nitric oxide (iNO) in pulmonary hypertension secondary to arteriovenous malformations: a retrospective cohort study from the European iNO registry |
| title_sort | Effects of inhaled nitric oxide (iNO) in pulmonary hypertension secondary to arteriovenous malformations: a retrospective cohort study from the European iNO registry |
| topic | Biomedical and clinical sciences Paediatrics Nitric oxide Pulmonary hypertension Arteriovenous malformations Oxygenation index Hemodynamics Neonates |