PMID- 25425651
OWN - NLM
STAT- MEDLINE
DCOM- 20150526
LR  - 20220125
IS  - 1468-2052 (Electronic)
IS  - 1359-2998 (Print)
IS  - 1359-2998 (Linking)
VI  - 100
IP  - 2
DP  - 2015 Mar
TI  - PaCO2 in surfactant, positive pressure, and oxygenation randomised trial 
      (SUPPORT).
PG  - F145-9
LID - 10.1136/archdischild-2014-306802 [doi]
AB  - OBJECTIVE: To determine the association of arterial partial pressure of carbon 
      dioxide PaCO2 with severe intraventricular haemorrhage (sIVH), bronchopulmonary 
      dysplasia (BPD), and neurodevelopmental impairment (NDI) at 18-22 months in 
      premature infants. DESIGN: Secondary exploratory data analysis of Surfactant, 
      Positive Pressure, and Oxygenation Randomised Trial (SUPPORT). SETTING: Multiple 
      referral neonatal intensive care units. PATIENTS: 1316 infants 24 0/7 to 27 
      6/7 weeks gestation randomised to different oxygenation (SpO2 target 85-89% vs 
      91-95%) and ventilation strategies. MAIN OUTCOME MEASURES: Blood gases from 
      postnatal day 0 to day14 were analysed. Five PaCO2 variables were defined: 
      minimum (Min), maximum (Max), SD, average (time-weighted), and a four level 
      categorical variable (hypercapnic (highest quartile of Max PaCO2), hypocapnic 
      (lowest quartile of Min PaCO2), fluctuators (hypercapnia and hypocapnia), and 
      normocapnic (middle two quartiles of Max and Min PaCO2)). PaCO2 variables were 
      compared for infants with and without sIVH, BPD and NDI (+/-death). Multivariable 
      logistic regression models were developed for adjusted results. RESULTS: sIVH, 
      BPD and NDI (+/-death) were associated with hypercapnic infants and fluctuators. 
      Association of Max PaCO2 and outcomes persisted after adjustment (per 10 mm Hg 
      increase: sIVH/death: OR 1.27 (1.13 to 1.41); BPD/death: OR 1.27 (1.12 to 1.44); 
      NDI/death: OR 1.23 (1.10 to 1.38), death: OR 1.27 (1.12 to 1.44), all p<0.001). 
      No interaction was found between PaCO2 category and SpO2 treatment group for 
      sIVH/death, NDI/death or death. Max PaCO2 was positively correlated with maximum 
      FiO2 (rs0.55, p<0.0001) and ventilator days (rs0.61, p<0.0001). CONCLUSIONS: 
      Higher PaCO2 was an independent predictor of sIVH/death, BPD/death and NDI/death. 
      Further trials are needed to evaluate optimal PaCO2 targets for high-risk 
      infants.
CI  - Published by the BMJ Publishing Group Limited. For permission to use (where not 
      already granted under a licence) please go to 
      http://group.bmj.com/group/rights-licensing/permissions.
FAU - Ambalavanan, Namasivayam
AU  - Ambalavanan N
AD  - Department of Pediatrics, University of Alabama at Birmingham, Birmingham, 
      Alabama, USA.
FAU - Carlo, Waldemar A
AU  - Carlo WA
AD  - Department of Pediatrics, University of Alabama at Birmingham, Birmingham, 
      Alabama, USA.
FAU - Wrage, Lisa A
AU  - Wrage LA
AD  - Social, Statistical and Environmental Sciences Unit, RTI International, Research 
      Triangle Park, North Carolina, USA.
FAU - Das, Abhik
AU  - Das A
AD  - Social, Statistical and Environmental Sciences Unit, RTI International, 
      Rockville, Maryland, USA.
FAU - Laughon, Matthew
AU  - Laughon M
AD  - Department of Pediatrics, University of North Carolina, Chapel Hill, North 
      Carolina, USA.
FAU - Cotten, C Michael
AU  - Cotten CM
AD  - Department of Pediatrics, Duke University, Durham, North Carolina, USA.
FAU - Kennedy, Kathleen A
AU  - Kennedy KA
AD  - Department of Pediatrics, University of Texas Medical School at Houston, Houston, 
      Texas, USA.
FAU - Laptook, Abbot R
AU  - Laptook AR
AD  - Department of Pediatrics, Women and Infants Hospital, Providence, Rhode Island, 
      USA.
FAU - Shankaran, Seetha
AU  - Shankaran S
AD  - Department of Pediatrics, Wayne State University, Detroit, Michigan, USA.
FAU - Walsh, Michele C
AU  - Walsh MC
AD  - Department of Pediatrics, Rainbow Babies & Children's Hospital, Case Western 
      Reserve University, Cleveland, Ohio, USA.
FAU - Higgins, Rosemary D
AU  - Higgins RD
AD  - Eunice Kennedy Shriver National Institute of Child Health and Human Development, 
      National Institutes of Health, Bethesda, Maryland, USA.
CN  - SUPPORT Study Group of the NICHD Neonatal Research Network
LA  - eng
GR  - UL1 TR142/TR/NCATS NIH HHS/United States
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GR  - U10 HD40498/HD/NICHD NIH HHS/United States
GR  - M01 RR016587/RR/NCRR NIH HHS/United States
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GR  - U10 HD27853/HD/NICHD NIH HHS/United States
GR  - M01 RR39/RR/NCRR NIH HHS/United States
GR  - M01 RR30/RR/NCRR NIH HHS/United States
GR  - U10 HD40461/HD/NICHD NIH HHS/United States
GR  - UG1 HD034216/HD/NICHD NIH HHS/United States
GR  - UL1 TR000454/TR/NCATS NIH HHS/United States
GR  - U10 HD027871/HD/NICHD NIH HHS/United States
GR  - UL1 TR001085/TR/NCATS NIH HHS/United States
GR  - M01 RR007122/RR/NCRR NIH HHS/United States
GR  - U10 HD027851/HD/NICHD NIH HHS/United States
GR  - UG1 HD040492/HD/NICHD NIH HHS/United States
GR  - UG1 HD021364/HD/NICHD NIH HHS/United States
GR  - UG1 HD027880/HD/NICHD NIH HHS/United States
GR  - M01 RR80/RR/NCRR NIH HHS/United States
GR  - M01 RR16587/RR/NCRR NIH HHS/United States
GR  - M01 RR8084/RR/NCRR NIH HHS/United States
GR  - M01 RR54/RR/NCRR NIH HHS/United States
GR  - M01 RR997/RR/NCRR NIH HHS/United States
GR  - U10 HD21373/HD/NICHD NIH HHS/United States
GR  - UG1 HD053109/HD/NICHD NIH HHS/United States
GR  - M01 RR750/RR/NCRR NIH HHS/United States
GR  - M01 RR000070/RR/NCRR NIH HHS/United States
GR  - U10 HD21385/HD/NICHD NIH HHS/United States
GR  - UL1 TR454/TR/NCATS NIH HHS/United States
GR  - M01 RR32/RR/NCRR NIH HHS/United States
GR  - U10 HD034216/HD/NICHD NIH HHS/United States
GR  - U10 HD036790/HD/NICHD NIH HHS/United States
GR  - U10 HD040498/HD/NICHD NIH HHS/United States
GR  - UG1 HD068278/HD/NICHD NIH HHS/United States
GR  - U10 HD053089/HD/NICHD NIH HHS/United States
GR  - UL1 TR000371/TR/NCATS NIH HHS/United States
PT  - Journal Article
PT  - Multicenter Study
PT  - Randomized Controlled Trial
PT  - Research Support, N.I.H., Extramural
DEP - 20141125
PL  - England
TA  - Arch Dis Child Fetal Neonatal Ed
JT  - Archives of disease in childhood. Fetal and neonatal edition
JID - 9501297
RN  - 0 (Biomarkers)
RN  - 0 (Pulmonary Surfactants)
RN  - 142M471B3J (Carbon Dioxide)
SB  - IM
MH  - Biomarkers/blood
MH  - Bronchopulmonary Dysplasia/epidemiology/etiology
MH  - Carbon Dioxide/*blood
MH  - Cerebral Hemorrhage/epidemiology/etiology
MH  - Developmental Disabilities/epidemiology/etiology
MH  - Female
MH  - Humans
MH  - Hypercapnia/complications/epidemiology
MH  - Infant, Extremely Premature
MH  - Infant, Newborn
MH  - Infant, Premature, Diseases/blood/*therapy
MH  - Intensive Care Units, Neonatal
MH  - Male
MH  - Oxygen Inhalation Therapy/*methods
MH  - Partial Pressure
MH  - Positive-Pressure Respiration/*methods
MH  - Prognosis
MH  - Pulmonary Surfactants/*therapeutic use
MH  - United States/epidemiology
PMC - PMC4336211
MID - NIHMS658992
OTO - NOTNLM
OT  - Intensive Care
OT  - Mortality
OT  - Neonatology
OT  - Neurodisability
OT  - Respiratory
COIS- Conflicts of interest: The authors have no conflicts of interest relevant to this 
      article to disclose.
FIR - Jobe, Alan H
IR  - Jobe AH
FIR - Caplan, Michael S
IR  - Caplan MS
FIR - Laptook, Abbot R
IR  - Laptook AR
FIR - Oh, William
IR  - Oh W
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IR  - Vohr BR
FIR - Hensman, Angelita M
IR  - Hensman AM
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IR  - Stephens BE
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FIR - Fanaroff, Avroy A
IR  - Fanaroff AA
FIR - Wilson-Costello, Deanne E
IR  - Wilson-Costello DE
FIR - Newman, Nancy S
IR  - Newman NS
FIR - Siner, Bonnie S
IR  - Siner BS
FIR - Zadell, Arlene
IR  - Zadell A
FIR - Di Fiore, Juliann
IR  - Di Fiore J
FIR - Bhola, Monika
IR  - Bhola M
FIR - Friedman, Harriet G
IR  - Friedman HG
FIR - Yalcinkaya, Gulgun
IR  - Yalcinkaya G
FIR - Schibler, Kurt
IR  - Schibler K
FIR - Donovan, Edward F
IR  - Donovan EF
FIR - Yolton, Kimberly
IR  - Yolton K
FIR - Bridges, Kate
IR  - Bridges K
FIR - Alexander, Barbara
IR  - Alexander B
FIR - Grisby, Cathy
IR  - Grisby C
FIR - Mersmann, Marcia Worley
IR  - Mersmann MW
FIR - Mincey, Holly L
IR  - Mincey HL
FIR - Hessling, Jody
IR  - Hessling J
FIR - Gratton, Teresa L
IR  - Gratton TL
FIR - Goldberg, Ronald N
IR  - Goldberg RN
FIR - Cotten, C Michael
IR  - Cotten CM
FIR - Goldstein, Ricki F
IR  - Goldstein RF
FIR - Ashley, Patricia L
IR  - Ashley PL
FIR - Auten, Kathy J
IR  - Auten KJ
FIR - Fisher, Kimberley A
IR  - Fisher KA
FIR - Foy, Katherine A
IR  - Foy KA
FIR - Freedman, Sharon Fridovich
IR  - Freedman SF
FIR - Gustafson, Kathryn E
IR  - Gustafson KE
FIR - Lohmeyer, Melody B
IR  - Lohmeyer MB
FIR - Malcolm, William F
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FIR - Wallace, David K
IR  - Wallace DK
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IR  - Stoll BJ
FIR - Buchter, Susie
IR  - Buchter S
FIR - Piazza, Anthony J
IR  - Piazza AJ
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IR  - Carlton DP
FIR - Adams-Chapman, Ira
IR  - Adams-Chapman I
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IR  - Carter SL
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IR  - Hale EC
FIR - Hutchinson, Amy K
IR  - Hutchinson AK
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IR  - LaRossa MM
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FIR - Dusick, Anna M
IR  - Dusick AM
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IR  - Lemons JA
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IR  - Hamer F
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IR  - Cook AB
FIR - Herron, Dianne E
IR  - Herron DE
FIR - Lytle, Carolyn
IR  - Lytle C
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IR  - Minnich HM
FIR - Das, Abhik
IR  - Das A
FIR - Poole, W Kenneth
IR  - Poole WK
FIR - Gantz, Marie G
IR  - Gantz MG
FIR - Newman, Jamie E
IR  - Newman JE
FIR - Hastings, Betty K
IR  - Hastings BK
FIR - Auman, Jeanette O'Donnell
IR  - Auman JO
FIR - Huitema, Carolyn Petrie
IR  - Huitema CP
FIR - Pickett, James W 2nd
IR  - Pickett JW 2nd
FIR - Wallace, Dennis
IR  - Wallace D
FIR - Zaterka-Baxter, Kristin M
IR  - Zaterka-Baxter KM
FIR - Van Meurs, Krisa P
IR  - Van Meurs KP
FIR - Stevenson, David K
IR  - Stevenson DK
FIR - Hintz, Susan R
IR  - Hintz SR
FIR - Ball, M Bethany
IR  - Ball MB
FIR - Bentley, Barbara
IR  - Bentley B
FIR - Bruno, Elizabeth F
IR  - Bruno EF
FIR - Davis, Alexis S
IR  - Davis AS
FIR - DeAnda, Maria Elena
IR  - DeAnda ME
FIR - DeBattista, Anne M
IR  - DeBattista AM
FIR - Kohn, Jean G
IR  - Kohn JG
FIR - Proud, Melinda S
IR  - Proud MS
FIR - Pyle, Renee P
IR  - Pyle RP
FIR - St John, Nicholas H
IR  - St John NH
FIR - Weiss, Hali E
IR  - Weiss HE
FIR - Frantz, Ivan D
IR  - Frantz ID
FIR - Fiascone, John M
IR  - Fiascone JM
FIR - McGowan, Elisabeth C
IR  - McGowan EC
FIR - Furey, Anne
IR  - Furey A
FIR - MacKinnon, Brenda L
IR  - MacKinnon BL
FIR - Nylen, Ellen
IR  - Nylen E
FIR - Brussa, Ana
IR  - Brussa A
FIR - Sibley, Cecelia
IR  - Sibley C
FIR - Carlo, Waldemar A
IR  - Carlo WA
FIR - Ambalavanan, Namasivayam
IR  - Ambalavanan N
FIR - Peralta-Carcelen, Myriam
IR  - Peralta-Carcelen M
FIR - Collins, Monica V
IR  - Collins MV
FIR - Cosby, Shirley S
IR  - Cosby SS
FIR - Phillips, Vivien A
IR  - Phillips VA
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IR  - Nelson KG
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IR  - Rodrigues L
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IR  - Soong AD
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IR  - Whitley S
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IR  - York SC
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IR  - Finer NN
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IR  - Rasmussen MR
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IR  - Wozniak PR
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IR  - Vaucher YE
FIR - Rich, Wade
IR  - Rich W
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IR  - Arnell K
FIR - Bridge, Renee
IR  - Bridge R
FIR - Demetrio, Clarence
IR  - Demetrio C
FIR - Fuller, Martha G
IR  - Fuller MG
FIR - Zlotnik, Paul
IR  - Zlotnik P
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FIR - Widness, John A
IR  - Widness JA
FIR - Klein, Jonathan M
IR  - Klein JM
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IR  - Colaizy TT
FIR - Johnson, Karen J
IR  - Johnson KJ
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IR  - Eastman DL
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IR  - Duara S
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IR  - Bauer CR
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IR  - Everett-Thomas R
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IR  - Calejo M
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IR  - Diaz AN
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IR  - Garcia A
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IR  - Hamlin-Smith K
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IR  - Berkowits MH
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IR  - Fajardo-Hiriart S
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IR  - Mathews EE
FIR - Pierre, Helina
IR  - Pierre H
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IR  - Riguard A
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IR  - Stroerger A
FIR - Watterberg, Kristi L
IR  - Watterberg KL
FIR - Ohls, Robin K
IR  - Ohls RK
FIR - Fuller, Janell
IR  - Fuller J
FIR - Lacy, Conra Backstrom
IR  - Lacy CB
FIR - Lowe, Jean
IR  - Lowe J
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FIR - Phelps, Dale L
IR  - Phelps DL
FIR - Myers, Gary J
IR  - Myers GJ
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IR  - Markowitz GD
FIR - Reubens, Linda J
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FIR - Johnson, Julie Babish
IR  - Johnson JB
FIR - Burnell, Erica
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IR  - Jensen RL
FIR - Kushner, Emily
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FIR - Merzbach, Joan
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FIR - Yost, Kelley
IR  - Yost K
FIR - Sanchez, Pablo J
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FIR - Rosenfeld, Charles R
IR  - Rosenfeld CR
FIR - Salhab, Walid A
IR  - Salhab WA
FIR - Heyne, Roy J
IR  - Heyne RJ
FIR - Brion, Luc P
IR  - Brion LP
FIR - Adams, Sally S
IR  - Adams SS
FIR - Allen, James
IR  - Allen J
FIR - Grau, Laura
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FIR - Guzman, Alicia
IR  - Guzman A
FIR - Hensley, Gaynelle
IR  - Hensley G
FIR - Heyne, Elizabeth T
IR  - Heyne ET
FIR - Leps, Melissa H
IR  - Leps MH
FIR - Madden, Linda A
IR  - Madden LA
FIR - Martin, Melissa Swensen
IR  - Martin MS
FIR - Miller, Nancy A
IR  - Miller NA
FIR - Morgan, Janet S
IR  - Morgan JS
FIR - Solis, Araceli
IR  - Solis A
FIR - Torres, Lizette E
IR  - Torres LE
FIR - Boatman, Catherine Twell
IR  - Boatman CT
FIR - Vasil, Diana M
IR  - Vasil DM
FIR - Kennedy, Kathleen A
IR  - Kennedy KA
FIR - Tyson, Jon E
IR  - Tyson JE
FIR - Alaniz, Nora I
IR  - Alaniz NI
FIR - Evans, Patricia W
IR  - Evans PW
FIR - Harris, Beverly Foley
IR  - Harris BF
FIR - Green, Charles
IR  - Green C
FIR - Jiminez, Margarita
IR  - Jiminez M
FIR - Lis, Anna E
IR  - Lis AE
FIR - Martin, Sarah
IR  - Martin S
FIR - McDavid, Georgia E
IR  - McDavid GE
FIR - Morris, Brenda H
IR  - Morris BH
FIR - Poundstone, Margaret L
IR  - Poundstone ML
FIR - Reddoch, Stacy
IR  - Reddoch S
FIR - Siddiki, Saba
IR  - Siddiki S
FIR - Tate, Patti L Pierce
IR  - Tate PL
FIR - Whitely, Laura L
IR  - Whitely LL
FIR - Wright, Sharon L
IR  - Wright SL
FIR - Faix, Roger G
IR  - Faix RG
FIR - Yoder, Bradley A
IR  - Yoder BA
FIR - Baker, Shawna
IR  - Baker S
FIR - Bird, Karie
IR  - Bird K
FIR - Burnett, Jill
IR  - Burnett J
FIR - Osborne, Karen A
IR  - Osborne KA
FIR - Spencer, Cynthia
IR  - Spencer C
FIR - Steffen, Michael
IR  - Steffen M
FIR - Weaver-Lewis, Kimberlee
IR  - Weaver-Lewis K
FIR - O'Shea, T Michael
IR  - O'Shea TM
FIR - Dillard, Robert G
IR  - Dillard RG
FIR - Washburn, Lisa K
IR  - Washburn LK
FIR - Peters, Nancy J
IR  - Peters NJ
FIR - Jackson, Barbara G
IR  - Jackson BG
FIR - Chiu, Korinne
IR  - Chiu K
FIR - Allred, Deborah Evans
IR  - Allred DE
FIR - Goldstein, Donald J
IR  - Goldstein DJ
FIR - Halfond, Raquel
IR  - Halfond R
FIR - Peterson, Carroll
IR  - Peterson C
FIR - Waldrep, Ellen L
IR  - Waldrep EL
FIR - Welch, Cherrie D
IR  - Welch CD
FIR - Morris, Melissa Whalen
IR  - Morris MW
FIR - Hounshell, Gail Wiley
IR  - Hounshell GW
FIR - Shankaran, Seetha
IR  - Shankaran S
FIR - Sood, Beena G
IR  - Sood BG
FIR - Pappas, Athina
IR  - Pappas A
FIR - Bara, Rebecca
IR  - Bara R
FIR - Goldston, Laura A
IR  - Goldston LA
FIR - Johnson, Mary E
IR  - Johnson ME
FIR - Ehrenkranz, Richard A
IR  - Ehrenkranz RA
FIR - Bhandari, Vineet
IR  - Bhandari V
FIR - Jacobs, Harris C
IR  - Jacobs HC
FIR - Cervone, Pat
IR  - Cervone P
FIR - Gettner, Patricia
IR  - Gettner P
FIR - Konstantino, Monica
IR  - Konstantino M
FIR - Poulsen, JoAnn
IR  - Poulsen J
FIR - Taft, Janet
IR  - Taft J
FIR - Butler, Christine G
IR  - Butler CG
FIR - Close, Nancy
IR  - Close N
FIR - Gilliam, Walter
IR  - Gilliam W
FIR - Greisman, Sheila
IR  - Greisman S
FIR - Romano, Elaine
IR  - Romano E
FIR - Williams, Joanne
IR  - Williams J
EDAT- 2014/11/27 06:00
MHDA- 2015/05/27 06:00
PMCR- 2016/03/01
CRDT- 2014/11/27 06:00
PHST- 2014/11/27 06:00 [entrez]
PHST- 2014/11/27 06:00 [pubmed]
PHST- 2015/05/27 06:00 [medline]
PHST- 2016/03/01 00:00 [pmc-release]
AID - archdischild-2014-306802 [pii]
AID - 10.1136/archdischild-2014-306802 [doi]
PST - ppublish
SO  - Arch Dis Child Fetal Neonatal Ed. 2015 Mar;100(2):F145-9. doi: 
      10.1136/archdischild-2014-306802. Epub 2014 Nov 25.