Evidence map›Paper›PMID 23856349›Full record

ArticleEarly human development2013

Early prediction of cerebral palsy after neonatal intensive care using motor development trajectories in infancy.

Nathalie L Maitre, James C Slaughter, Judy L Aschner

Abstract read
In one paragraph

Article in Early human development, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

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  10. Prediction of Perinatal and Neurodevelopmental Outcomes in Newborns with a Birth Weight below the 3rd Percentile: Performance of Two International Curves - Prospective Cohort from a Brazilian City.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2023
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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

3 authors at 2 institutions in 1 country.

Nathalie L MaitreDepartment of Pediatrics, Monroe Carell Children's Hospital at Vanderbilt, Nashville, TN, USA. nathalie.maitre@vanderbilt.edu
James C Slaughter
Judy L Aschner
Monroe Carell Jr. Children's Hospital · USVanderbilt University · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
NCRR NIH HHS UL1 RR024975
6 · The paper itself

Abstract

unlabelledNeonatal intensive care unit (NICU) patients are at high risk for developmental disabilities such as cerebral palsy (CP). Early identification of CP is essential to effective rehabilitation, but diagnosis is often delayed, especially in preterm infants. We hypothesized that through the longitudinal evaluation of motor trajectories in the NICU follow-up clinic, we could distinguish infants who develop CP by 3 years of age. STUDY DESIGN AND SUBJECTS: This was a retrospective study of 606 patients in the NICU Follow-up Clinic at Vanderbilt University with birth weight < 1500g or a diagnosis of hypoxic ischemic encephalopathy. OUTCOMES MEASURES: Assessments included neurologic exams, the Developmental Assessment of Young Children (DAYC), the Bayley Scales of Infant Development (BSID) and the Gross Motor Function Classification Scale.

resultsA decrease in DAYC scores between 6 and 12 months was present in preterm and term infants later diagnosed with CP, but not in children without CP (-23 vs. +1.5, p<0.001). DAYC score decreases in infancy were highly predictive of later CP (p<0.001). BSID scores quantified severe motor delays but did not add to prediction of CP diagnosis.

conclusionStandardized assessments of motor milestones quantitatively predict the risk of CP in former NICU patients by 12 months, allowing for timely diagnosis, counseling and therapy in high-risk infants.

Indexed as

Neurologic ExaminationCerebral PalsyChild DevelopmentChild, PreschoolDevelopmental DisabilitiesEarly DiagnosisHumansHypoxia-Ischemia, BrainInfantInfant, Low Birth WeightInfant, NewbornInfant, Premature, DiseasesIntensive Care, NeonatalMotor SkillsPrognosisRetrospective StudiesBayley Scales of Infant DevelopmentBSIDCerebral palsyCPDAYCDevelopmental Assessment of Young ChildrenDevelopmental follow-up clinicDFCGMFCSGross Motor Function Classification SystemIntraventricular hemorrhageIVHMotor developmentNeonatal intensive care unitNeurodevelopmentNICUPCPPeriventricular leukomalaciaPredictive testingPrimary care providerPVL

Identifiers

PMID23856349
PMCPMC3759619
OpenAlexW2038392306

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Registered trials

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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.