Evidence map›Paper›PMID 23765047›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2014

Neonatal hypocalcemia, neonatal seizures, and intellectual disability in 22q11.2 deletion syndrome.

Evelyn Ning Man Cheung, Susan R George, Danielle M Andrade, Eva W C Chow, Candice K Silversides, Anne S Bassett

Open access · bronzeAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

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  16. Performance of a targeted cell-free DNA prenatal test for 22q11.2 deletion in a large clinical cohort.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2021
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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

6 authors at 3 institutions in 1 country.

Evelyn Ning Man CheungClinical Genetics Research Program, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Susan R George1] Neuroscience Department, Centre for Addiction and Mental Health, Toronto, Ontario, Canada [2] Department of Medicine, University of Toronto, Toronto, Ontario, Canada [3] Department of Pharmacology, University of Toronto, Toronto, Ontario, Canada [4] Dalglish Family Hearts and Minds Clinic, University Health Network, Toronto, Ontario, Canada.
Danielle M Andrade1] Dalglish Family Hearts and Minds Clinic, University Health Network, Toronto, Ontario, Canada [2] Division of Neurology, Krembil Neuroscience Centre, Epilepsy Genetics Program, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada.
Eva W C Chow1] Clinical Genetics Research Program, Centre for Addiction and Mental Health, Toronto, Ontario, Canada [2] Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Candice K Silversides1] Department of Medicine, University of Toronto, Toronto, Ontario, Canada [2] Dalglish Family Hearts and Minds Clinic, University Health Network, Toronto, Ontario, Canada [3] Division of Cardiology, Department of Medicine, University Health Network, Toronto, Ontario, Canada [4] Toronto Congenital Cardiac Centre for Adults, Toronto General Hospital, Toronto, Ontario, Canada [5] Obstetric Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada.
Anne S Bassett1] Clinical Genetics Research Program, Centre for Addiction and Mental Health, Toronto, Ontario, Canada [2] Dalglish Family Hearts and Minds Clinic, University Health Network, Toronto, Ontario, Canada [3] Division of Neurology, Krembil Neuroscience Centre, Epilepsy Genetics Program, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada [4] Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada [5] Division of Cardiology, Department of Medicine, University Health Network, Toronto, Ontario, Canada [6] Toronto Congenital Cardiac Centre for Adults, Toronto General Hospital, Toronto, Ontario, Canada [7] Obstetric Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada [8] Department of Psychiatry, University Health Network, Toronto, Ontario, Canada.
University Health Network · CACentre for Addiction and Mental Health · CAMount Sinai Hospital · CA

Funding

CIHR 107520-1CIHR MOP-79518CIHR MOP-89066CIHR MOP-97800
6 · The paper itself

Abstract

purposeHypocalcemia is a common endocrinological condition in 22q11.2 deletion syndrome. Neonatal hypocalcemia may affect neurodevelopment. We hypothesized that neonatal hypocalcemia would be associated with rare, more severe forms of intellectual disability in 22q11.2 deletion syndrome.

methodsWe used a logistic regression model to investigate potential predictors of intellectual disability severity, including neonatal hypocalcemia, neonatal seizures, and complex congenital heart disease, e.g., interrupted aortic arch, in 149 adults with 22q11.2 deletion syndrome. Ten subjects had moderate-to-severe intellectual disability.

resultsThe model was highly significant (P < 0.0001), showing neonatal seizures (P = 0.0018) and neonatal hypocalcemia (P = 0.047) to be significant predictors of a more severe level of intellectual disability. Neonatal seizures were significantly associated with neonatal hypocalcemia in the entire sample (P < 0.0001), regardless of intellectual level. There was no evidence for the association of moderate-to-severe intellectual disability with other factors such as major structural brain malformations in this sample.

conclusionThe results suggest that neonatal seizures may increase the risk for more severe intellectual deficits in 22q11.2 deletion syndrome, likely mediated by neonatal hypocalcemia. Neonatal hypocalcemia often remains unrecognized until the postseizure period, when damage to neurons may already have occurred. These findings support the importance of early recognition and treatment of neonatal hypocalcemia and potentially neonatal screening for 22q11.2 deletions.

Indexed as

DiGeorge SyndromeFemaleHumansHypocalcemiaInfant, NewbornIntellectual DisabilityLogistic ModelsMaleNeonatal ScreeningRisk FactorsSeizuresYoung Adult

Identifiers

PMID23765047
PMCPMC4459858
OpenAlexW2033314910

What OpenQuestion holds

Textmetadata
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.