Evidence map›Paper›PMID 27006473›Full record

ArticlePediatrics2016

Neurocognitive and Academic Outcomes at Age 10 Years of Extremely Preterm Newborns.

Robert M Joseph, Thomas M O'Shea, Elizabeth N Allred, Tim Heeren, Deborah Hirtz, Hernan Jara, Alan Leviton, Karl C K Kuban, ELGAN Study Investigators

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03786497 (Protecting Brains and Saving Futures - the PBSF Protocol), which is not on this map. Cited by 79 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 4 pooled it
35.3field-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.

NCT03786497 unknown statusnot on this mapstarted 2021, after this paper: background citation

Protecting Brains and Saving Futures - the PBSF Protocol: a Prospective Multicenter and Observational Study on the Use of Telemedicine for Neurocritical Care in High-risk Newborns in Brazil.

Typeobservational_patient_registrySponsorProtecting Brains Saving FuturesRan2021 to 2023Enrolled2,268ConditionsBrain Injuries, Congenital Heart Disease, Newborn Morbidity, Intraventricular Hemorrhage
3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 4 syntheses or guidelines pooled it, 139 citations in OpenAlex.

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  9. Prenatal Adversity and Neonatal Brain Connectivity Relate to Emerging Executive Function at Age 2 Years.Journal of the American Academy of Child and Adolescent Psychiatry · 2026
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19 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

9 authors at 6 institutions in 1 country.

Robert M JosephDepartments of Anatomy and Neurobiology and rmjoseph@bu.edu.
Thomas M O'SheaDepartment of Pediatrics, University of North Carolina, Chapel Hill, North Carolina;
Elizabeth N AllredDepartment of Neurology, Harvard Medical School, Boston, Massachusetts; Neuroepidemiology Unit, Department of Neurology, Boston Children's Hospital, Boston, Massachusetts;
Tim HeerenDepartment of Biostatistics, School of Public Health, Boston University, Boston, Massachusetts;
Deborah HirtzNational Institute of Neurologic Disorders and Stroke, Bethesda, Maryland; and.
Hernan JaraRadiology, School of Medicine, and.
Alan LevitonDepartment of Neurology, Harvard Medical School, Boston, Massachusetts; Neuroepidemiology Unit, Department of Neurology, Boston Children's Hospital, Boston, Massachusetts;
Karl C K KubanDepartment of Pediatrics, Boston Medical Center, Boston, Massachusetts.
ELGAN Study Investigators
Boston Children's Hospital · USBoston Medical Center · USBoston University · USHarvard University · USNational Institute of Neurological Disorders and Stroke · USUniversity of North Carolina at Chapel Hill · 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
NICHD NIH HHS P30 HD018655NINDS NIH HHS U01 NS040069
6 · The paper itself

Abstract

BACKGROUND AND

objectiveDespite reductions in mortality and morbidity among children born extremely preterm, they remain at high risk of neurocognitive deficits, with up to 40% having significant cognitive deficits at school age. We assessed the rate of neurocognitive impairment in a contemporary US cohort of 873 children aged 10 years who were born <28 weeks' gestation.

methodsThe families of 889 of 966 (92%) children enrolled from 2002 to 2004 at 14 sites in 5 states returned at age 10 years for a comprehensive assessment of IQ, language, attention, executive function, processing speed, visual perception, visual-motor function, and academic achievement.

resultsA total of 873 children were assessed with well-validated tests of cognitive and academic function. Distributions of test scores were consistently and markedly shifted below normative expectation, with one-third to two-thirds of children performing >1 SD below age expectation. The most extreme downward shifts were on measures of executive control and processing speed. Multivariate analyses, adjusted for socioeconomic status, growth restriction, and other potential confounders, revealed that the risk of poor outcome was highest at the lowest gestational age across all 18 measures.

conclusionsMore than half of our extremely preterm cohort exhibited moderate or severe neurocognitive deficits at age 10 years, with the most extensive impairments found among those born at the lowest gestational age. Children born extremely preterm continue to be at significant risk of persistent impairments in neurocognitive function and academic achievement, underscoring the need for monitoring and remediating such outcomes beginning in early childhood.

Indexed as

Cognition DisordersEducational StatusInfant, Extremely PrematureLanguage Development DisordersMotor Skills DisordersChildCohort StudiesExecutive FunctionFemaleGestational AgeHumansIntelligenceMalePsychological TestsVisual Perception

Identifiers

PMID27006473
PMCPMC4811321
OpenAlexW2319120476

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.