Evidence map›Paper›PMID 24614800›Full record

Observational studyPediatric research2014

Elevated blood levels of inflammation-related proteins are associated with an attention problem at age 24 mo in extremely preterm infants.

T Michael O'Shea, Robert M Joseph, Karl C K Kuban, Elizabeth N Allred, Janice Ware, Taryn Coster, Raina N Fichorova, Olaf Dammann, Alan Leviton, ELGAN Study Investigators

Open access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Pediatric research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 1 pooled it
15.2field-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

74 citing papers in PubMed, 1 synthesis or guideline pooled it, 124 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Perinatal Factors and Emotional, Cognitive, and Behavioral Dysregulation in Childhood and Adolescence.Journal of the American Academy of Child and Adolescent Psychiatry · 2023
    Article
  15. Review
  16. Inflammation, Dopaminergic Brain and Bilirubin.International journal of molecular sciences · 2023
    Review
  17. Review
  18. Article
  19. Article
  20. Article

14 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

10 authors at 6 institutions in 2 countries.

T Michael O'SheaDepartment of Pediatrics, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Robert M JosephDepartment of Anatomy and Neurobiology, Boston University School of Medicine, Boston, Massachusetts.
Karl C K KubanDepartment of Pediatrics, Boston Medical Center, Boston, Massachusetts.
Elizabeth N AllredDepartment of Neurology, Boston Children's Hospital, and Harvard Medical School, Boston, Massachusetts.
Janice WareDepartment of Medicine, Boston Children's Hospital, Boston, Massachusetts.
Taryn CosterDepartment of Medicine, Boston Children's Hospital, Boston, Massachusetts.
Raina N FichorovaDepartment of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts.
Olaf Dammann1] Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, Massachusetts [2] Perinatal Neuroepidemiology Unit, Hannover Medical School, Hannover, Germany.
Alan LevitonDepartment of Neurology, Boston Children's Hospital, and Harvard Medical School, Boston, Massachusetts.
ELGAN Study Investigators
Boston Children's Hospital · USBoston University · USBoston Medical Center · USBrigham and Women's Hospital · USTufts University · 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
SYNAPTIC MECHANISMS IN HIPPOCAMPAL EPILEPTOGENESISP30HD018655 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI POMEROY, SCOTT LOREN · 1985 to 2015
$26.2M
Circulating Immune Biomarkers and Retinopathy of PrematurityR01EY021820 · NEI · TUFTS UNIVERSITY BOSTON · PI DAMMANN, OLAF · 2013 to 2016
$1.7M
NEI NIH HHS R01 EY021820NICHD NIH HHS 5P30HD018655-28NICHD NIH HHS P30 HD018655NINDS NIH HHS 2R01NS040069 - 06A2NINDS NIH HHS 5U01NS040069-05NINDS NIH HHS U01 NS040069
6 · The paper itself

Abstract

backgroundExtremely preterm birth is associated with subsequent behavioral problems. We hypothesized that perinatal systemic inflammation, a risk factor for cerebral white matter injury and cognitive impairment, is associated with behavior problems observed at 2 y.

methodsIn a cohort of 600 children born before 28 wk gestation, we measured 25 inflammation-related proteins in blood collected on postnatal days 1, 7, and 14, and identified behavior problems using parent responses to the Child Behavior Checklist for Ages 1.5-5 (CBCL/1.5-5) at 2 y of age. A persistent or recurrent protein elevation was defined as a concentration in the highest quartile (for gestational age and postnatal age) on at least 2 d ~1 wk apart. Behavior problems were defined by CBCL/1.5-5 subscale scores at or above the 93 rd percentile.

resultsA single-day elevation of intercellular adhesion molecule-3 was associated with an increased risk of an attention problem, as were persistent or recurrent elevations of myeloperoxidase, interleukin-6, tumor necrosis factor-RI, interleukin-8, intercellular adhesion molecule-3, vascular endothelial growth factor-R1, and vascular endothelial growth factor-R2. These associations persisted among infants without white matter injury and cognitive impairment.

conclusionAmong children born extremely prematurely, recurrent, or persistent elevations of inflammation-related proteins in blood during in the first two postnatal weeks are associated with an attention problem at age 2 y.

Indexed as

Antigens, CDAttention Deficit Disorder with HyperactivityBirth WeightBlood ProteinsCell Adhesion MoleculesChild BehaviorChild, PreschoolCohort StudiesGestational AgeHumansInfant, Extremely PrematureInfant, NewbornInflammationInterleukin-6Interleukin-8Luminescent MeasurementsAntigens, CDBlood ProteinsCell Adhesion MoleculesICAM3 protein, humanInterleukin-6Interleukin-8PeroxidaseTumor Necrosis FactorsVascular Endothelial Growth Factor Receptor-1Vascular Endothelial Growth Factor Receptor-2

Identifiers

PMID24614800
PMCPMC4429865
OpenAlexW2027665953

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.