Category Archives: Neonatal Research

How frequent is Acute Kidney Injury in the NICU? Not as frequent as some publications would have you believe.

One recent publication states that 30% of all their babies under 30 weeks gestation had Acute Kidney Injury (AKI from now on). Another from a couple of years ago reports 40% of all their babies under 1500g had AKI. Both … Continue reading

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All results must be published, and all data available.

Support for the All trials campaign has been growing, but progress seems to be slow. There are still many trials that are not published, and the impacts on science based medicine are substantial. Recently, two articles by former participants in … Continue reading

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Medium Term outcomes after neonatal hypoglycemia

A new publication from the CHYLD program that I blogged about previously: Harris DL, et al. Outcome at 2 Years after Dextrose Gel Treatment for Neonatal Hypoglycemia: Follow-Up of a Randomized Trial. The Journal of pediatrics. 2015. In this paper … Continue reading

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Back to Blogging, and publishing!

A prolonged break, which occurred for various reasons, is at an end. I have a few posts lined up for the next few days, but will start with news about a new publication, an editorial I wrote with one of … Continue reading

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Proud to be a Canadian, again.

As a lifelong socialist, I couldn’t bring myself to vote Liberal in our last election. I would have been severely tempted, but I was fortunate to live in the constituency of Tom Mulcair, my primary motivation was “anybody but Harper”. Justin … Continue reading

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The best outcome variable for very preterm newborns?

Death or ‘neurodevelopmental impairment’ (NDI) as a combined outcome has become a sort of de facto standard as the primary outcome for neonatal clinical trials. Because many very preterm infants have developmental delay, intellectual and learning difficulties, and some have … Continue reading

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An Oldie but a Goodie

I discovered several months ago that one of my older presentations is very difficult to get on-line. It seems that at some point, when this article, Barrington K, Finer N. The natural history of the appearance of apnea of prematurity. Pediatr … Continue reading

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The last nail in the coffin of permissive hypercapnia?

Thome UH, et al. Permissive hypercapnia in extremely low birthweight infants (PHELBI): a randomised controlled multicentre trial. Lancet Respir Med. 2015;3(7):534-43. This German multi-center trial randomized infants 400 to 1000 g birth weight to 2 different CO2 target ranges. The … Continue reading

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Diaphragmatic Hernia Updates

There have been many publications recently for this group of our patients: Hagadorn JI, et al. Trends in treatment and in-hospital mortality for neonates with congenital diaphragmatic hernia. J Perinatol. 2015;35(9):748-54. This multi-center cohort study shows, in term babies, that … Continue reading

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Conflicts of interest are not all financial, but they are conflicts none the less. Name change not required.

Another poorly argued article trying to minimize the reality of conflicts of interest in medical research. Cappola AR, FitzGerald GA. Confluence, not conflict of interest: Name change necessary. JAMA. 2015;314(17):1791-2. If someone stands to have a personal advantage as a result … Continue reading

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