Evidence map›Paper›PMID 27549417›Full record

ArticleAnnals of African medicine

Epidemiology of congenital anomalies of the central nervous system in children in Enugu, Nigeria: A retrospective study.

Christopher Bismarck Eke, Enoch Ogbonnaya Uche, Josephat Maduabuchi Chinawa, Ikechukwu Emmanuel Obi, Herbert Anayo Obu, Roland Chidi Ibekwe

Open access · greenAbstract read
In one paragraph

Article in Annals of African medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
5.2field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Prevalence of neural tube defects and their associated factors in Sub-Saharan Africa: a systematic review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
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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 1 institution in 1 country.

Christopher Bismarck EkeDepartment of Paediatrics, University of Nigeria/University of Nigeria Teaching Hospital, Enugu, Nigeria.
Enoch Ogbonnaya UcheDepartment of Surgery, Neurosurgical Unit, University of Nigeria/University of Nigeria Teaching Hospital, Enugu, Nigeria.
Josephat Maduabuchi ChinawaDepartment of Paediatrics, University of Nigeria/University of Nigeria Teaching Hospital, Enugu, Nigeria.
Ikechukwu Emmanuel ObiDepartment of Community Medicine, College of Medicine, University of Nigeria/University of Nigeria Teaching Hospital, Enugu, Nigeria.
Herbert Anayo ObuDepartment of Paediatrics, University of Nigeria/University of Nigeria Teaching Hospital, Enugu, Nigeria.
Roland Chidi IbekweDepartment of Paediatrics, University of Nigeria/University of Nigeria Teaching Hospital, Enugu, Nigeria.
University of Nigeria Teaching Hospital · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCongenital anomalies, including those of the central nervous system (CNS), are among the leading causes of morbidity, mortality, and fetal loss.

objectiveTo determine the prevalence and associated factors of CNS congenital anomalies in children.

methodsA cross-sectional retrospective study of children managed with CNS anomalies was undertaken. Relevant clinical data of identified cases based on standard case definitions were retrieved from their case record files. Data were analyzed using SPSS 20.0 while the level of statistical significance was set at P < 0.05.

resultsSeventy-two cases of CNS anomalies were identified over the period under review; out of 7329 total pediatric admissions giving a prevalence of 0.98%. Spina bifida cystica, 49 (68.0%) was the most common of the five anomalies seen followed by congenital hydrocephalus 11 (15.3%). Fifty-seven (79.2%) of the mothers did not take periconceptional folic acid supplementation (P < 0.05) whereas 25 (34.7%), 6 (8.3%), and 1 (1.4%) reported history of febrile illness in the first trimester of pregnancy, alcohol use, and diabetes mellitus in pregnancy, respectively. Majority of the cases of spina bifida cystica (30 [61.2%]) seen had corrective surgeries while the overall case fatality rate was 1 (1.4%).

conclusionsSpina bifida cystica was the most common anomaly of the CNS seen in this study and majority of the mothers of affected children did not take periconceptional folic acid supplementation (P < 0.05). Efforts should be made to create awareness and apply adequate preventive health education models including the use of periconceptional folic acid supplementation as well as the provision of access to standard prenatal care to at risk mothers.

Indexed as

Cross-Sectional StudiesFemaleHumansHydrocephalusInfantInfant, NewbornMaleMaternal AgeNervous System MalformationsNigeriaPrevalenceRetrospective StudiesSocioeconomic FactorsSpina Bifida Cystica

Identifiers

PMID27549417
PMCPMC5402814
OpenAlexW2510165965

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.