Evidence map›Paper›PMID 19168819›Full record

ArticleJournal of child neurology2009

Cranial ultrasound lesions in the NICU predict cerebral palsy at age 2 years in children born at extremely low gestational age.

Karl C K Kuban, Elizabeth N Allred, T Michael O'Shea, Nigel Paneth, Marcello Pagano, Olaf Dammann, Alan Leviton, Adré Du Plessis, Sjirk J Westra, Cindy R Miller and 12 more

Open access · greenAbstract read
In one paragraph

Article in Journal of child neurology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 2 pooled it
13.4field-weighted citation impact, top 1% of its field
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

64 citing papers in PubMed, 2 syntheses or guidelines pooled it, 129 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Article
  11. Review
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Extreme prematurity: Risk and resiliency.Current problems in pediatric and adolescent health care · 2022
    Review
  18. Article
  19. Article
  20. Article

4 more citing papers are in PubMed but not listed here.

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

22 authors at 14 institutions in 1 country.

Karl C K KubanDivision of Pediatric Neurology, Department of Pediatrics, Boston Medical Center, Boston University, Boston, Massachusetts, USA. karl.kuban@bmc.org
Elizabeth N Allred
T Michael O'Shea
Nigel Paneth
Marcello Pagano
Olaf Dammann
Alan Leviton
Adré Du Plessis
Sjirk J Westra
Cindy R Miller
Haim Bassan
Kalpathy Krishnamoorthy
Joseph Junewick
Nicholas Olomu
Elaine Romano
Joanna Seibert
Steve Engelke
Padmani Karna
Daniel Batton
Sunila E O'Connor
Cecelia E Keller
ELGAN study investigators
Harvard University · USMichigan State University · USBoston Children's Hospital · USYale University · USArkansas Children's Hospital · USBeaumont Hospital, Royal Oak · USBoston Medical Center · USEast Carolina University · USMassachusetts General Hospital · USMedical College of Wisconsin · USSpectrum Health · USTufts Children's Hospital · USTufts Medical Center · USWake Forest University · US

Funding

Neonatal Biomarkers in Extremely Preterm Babies Predict Childhood Brain DisordersU01NS040069 · NINDS · CHILDREN'S HOSPITAL BOSTON · PI KUBAN, KARL · 2001 to 2014
$34.0M
NINDS NIH HHS U01 NS040069
6 · The paper itself

Abstract

Our prospective cohort study of extremely low gestational age newborns evaluated the association of neonatal head ultrasound abnormalities with cerebral palsy at age 2 years. Cranial ultrasounds in 1053 infants were read with respect to intraventricular hemorrhage, ventriculomegaly, and echolucency, by multiple sonologists. Standardized neurological examinations classified cerebral palsy, and functional impairment was assessed. Forty-four percent with ventriculomegaly and 52% with echolucency developed cerebral palsy. Compared with no ultrasound abnormalities, children with echolucency were 24 times more likely to have quadriparesis and 29 times more likely to have hemiparesis. Children with ventriculomegaly were 17 times more likely to have quadriparesis or hemiparesis. Forty-three percent of children with cerebral palsy had normal head ultrasound. Focal white matter damage (echolucency) and diffuse damage (late ventriculomegaly) are associated with a high probability of cerebral palsy, especially quadriparesis. Nearly half the cerebral palsy identified at 2 years is not preceded by a neonatal brain ultrasound abnormality.

Indexed as

Infant, Extremely Low Birth WeightCerebral HemorrhageCerebral PalsyChild, PreschoolCohort StudiesConfidence IntervalsDevelopmental DisabilitiesFemaleHeadHumansInfant, NewbornIntensive Care Units, NeonatalMagnetic Resonance ImagingMaleMotor ActivityNeurologic Examination

Identifiers

PMID19168819
PMCPMC2814246
OpenAlexW2096475811

What OpenQuestion 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 OpenQuestion graph.