Uthaya Kumaran Kanagaraj

MD, GDCE

Investigator, BC Children's Hospital
Neonatologist, BC Women's Hospital + Health Centre

My research focuses on improving heart and lung health in premature babies. I study how blood flow and blood pressure affect their recovery and long-term development, especially in those with breathing problems. By using heart ultrasound and bedside monitoring, my goal is to find problems early and guide treatments that help these babies grow stronger and healthier.

Academic Affiliations

  • Clinical Instructor, Division of Neonatology, Department of Pediatrics, Faculty of Medicine, University of British Columbia
  • Research Theme: Evidence to Innovation
  • Research Group(s): Clinical Pharmacology; Clinical Practice, Outcomes and Innovation; Clinical and Community Data, Analytics and Informatics

Contact Information

Location

4500 Oak Street, Vancouver, British Columbia, Canada, V6H 3N1

Liver herniation in congenital diaphragmatic hernia is associated with delayed resolution of pulmonary hypertension

Pediatrics & Neonatology

Uthaya Kumaran Kanagaraj and Mimi T.Y. Kuan and Michael Castaldo and Erik Skarsgard and Joseph Y. Ting

DOI: 10.1016/j.pedneo.2025.11.011

01 / 2026

Validation of the NICHD Bronchopulmonary Dysplasia Outcome Estimator 2022 in a Quaternary Canadian NICU"A Single-Center Observational Study

Journal of Clinical Medicine

UTHAYA KUMARAN and Tapas Kulkarni and Eddie Kwan and Qian Zhang and Jeffery Bone and Sandesh Shivananda

DOI: 10.3390/jcm14030696

01 / 2025

Management of Pulmonary Hypertension in Preterm Infants"A Review

Journal of Neonatology

Kumaran, U. and Shenoi, A.

DOI: 10.1177/09732179221084669

Chromosomally integrated human herpes virus 6A-associated myocarditis in a neonate treated with artesunate

Journal of Paediatrics and Child Health

Uthaya Kumaran and Seema Gaonkar and Maitri Chaudhuri and Ajmeer K Sheriff and Nilesh Rao and Malathi Raja and Arvind Shenoi

DOI: 10.1111/jpc.15391

12 / 2021

Management of Pulmonary Hypertension in Term Infants"A Review

Journal of Neonatology

Uthaya Kumaran and Arvind Shenoi

DOI: 10.1177/0973217921999383

03 / 2021

Neonatal Lupus Erythematosus Presenting as Neonatal Acute Liver Failure

Indian Journal of Pediatrics

Kartheeka, M.G. and Kumaran, U. and Rao, N.N. and Raja, M. and Shenoi, P. and Shenoi, A.

DOI: 10.1007/s12098-020-03552-0

Validation of the NICHD Bronchopulmonary Dysplasia Outcome Estimator 2022 in a Quaternary Canadian NICU " A Single Centre Observational Study

DOI: 10.20944/preprints202412.1138.v1

Validation of the NICHD Bronchopulmonary Dysplasia Outcome Estimator 2022 in a Quaternary Canadian NICU

This study evaluated the performance of the updated NICHD BPD Outcome Estimator in predicting bronchopulmonary dysplasia (BPD) or death among extremely preterm infants cared for in a Canadian quaternary NICU. By analyzing serial risk estimates at multiple time points (days 1, 3, 7, 14, and 28) in infants born before 29 weeks, we found the model demonstrated good accuracy from the end of the first week of life (AUC > 0.8). The findings support the use of this tool in clinical discussions and early intervention planning for high-risk infants, while emphasizing the importance of local validation before widespread adoption.

Reliability of Two-Dimensional versus M-Mode Echocardiography for Common Functional Indices in Extremely Preterm Infants

Accurate echocardiographic assessment is essential for understanding cardiovascular adaptation in preterm infants. In this project, we compared two echocardiographic techniques—two-dimensional (2D) and M-mode—for two key cardiac indices: the left atrium to aortic root diameter ratio (LA:Ao) and fractional shortening (FS). We found that LA:Ao showed high reliability across both methods (ICC ˜ 0.87), while FS demonstrated only moderate reproducibility (ICC ˜ 0.72–0.73). These results suggest LA:Ao may serve as a more consistent measure of cardiac loading conditions in extremely preterm infants, underscoring the need for standardized imaging protocols and training in neonatal echocardiography.

Postnatal Steroid Use for Bronchopulmonary Dysplasia in a Quaternary Care NICU

This 10-year retrospective study examined postnatal steroid (PNS) practices for BPD prevention and treatment in infants born before 33 weeks’ gestation. Among over 2,000 admissions, 8% of infants received steroids—most commonly dexamethasone—initiated around day 29 for a median of 10 days. While overall use remained stable, cumulative steroid exposure per infant increased, and nearly half of treatment courses deviated from standardized regimens. The findings highlight evolving local practices, the need for consistent adherence to evidence-based protocols, and the importance of monitoring both short- and long-term outcomes associated with PNS exposure.

Grants

Co-Principal Investigator. Reliability of Two-Dimensional versus M-Mode Echocardiography for Measurement of Left Atrium/Aortic Diameter Ratio and Fractional Shortening in Extremely Preterm Infants. Funding Source: BCCHR E2i Seed Grant

Honours & Awards

2025 - Outstanding Achievement Award, Sub-specialty Resident or Fellow, BC Children’s Hospital Research Institute

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