Evidence map›Paper›PMID 27906195›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2017

Congenital hypothyroidism with delayed thyroid-stimulating hormone elevation in premature infants born at less than 30 weeks gestation.

D C Kaluarachchi, T T Colaizy, L M Pesce, M Tansey, J M Klein

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04208503 (Ultrasound and Functional Thyroid Evaluation in Preterm Infants Born Between 24 and 32 Weeks of Gestation), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.4field-weighted citation impact, top 4% 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.

NCT04208503 unknown statusnot on this mapstarted 2019, after this paper: background citation

Ultrasound and Functional Thyroid Evaluation in Preterm Infants Born Between 24 and 32 Weeks of Gestation

Typeobservational_patient_registrySponsorPrincess Anna Mazowiecka Hospital, Warsaw, PolandRan2019 to 2021Enrolled200ConditionsThyroid, Gland, Functional DisturbanceArmsthyroid ultrasound
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 49 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Guideline for the Treatment of Hypothyroidism in Prematurity.International journal of preventive medicine · 2021
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. The value of serial newborn screening for congenital hypothyroidism using thyroxine (T4) in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  15. Article
  16. Article
  17. Antenatal steroids and thyroid hormone function in preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2018
    Article
  18. Thyroid gland volumes in premature infants using serial ultrasounds.Journal of perinatology : official journal of the California Perinatal Association · 2018
    Observational
  19. The complex aetiology of cerebral palsy.Nature reviews. Neurology · 2018
    Review
  20. Article
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

5 authors at 1 institution in 1 country.

D C KaluarachchiDivision of Neonatology, Department of Pediatrics, University of Iowa, Iowa City, IA, USA.
T T ColaizyDivision of Neonatology, Department of Pediatrics, University of Iowa, Iowa City, IA, USA.
L M PesceDivision of Endocrinology, Department of Pediatrics, University of Iowa, Iowa City, IA, USA.
M TanseyDivision of Endocrinology, Department of Pediatrics, University of Iowa, Iowa City, IA, USA.
J M KleinDivision of Neonatology, Department of Pediatrics, University of Iowa, Iowa City, IA, USA.
University of Iowa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCongenital hypothyroidism (CH) with delayed thyroid-stimulating hormone (TSH) elevation is a common form of thyroid dysfunction among premature infants. Routine newborn screening (NBS) may miss infants with CH with delayed TSH elevation. The objective of the study is to determine the prevalence of CH with delayed TSH elevation in premature infants and to identify associated risk factors. STUDY

designRetrospective analysis of serum thyroid function screening (TFS) at day of life 30 in premature infants <30 weeks gestation, admitted to University of Iowa Neonatal Intensive Care Unit between 1 July 2012 to 30 June 2015. Serum free thyroxine and TSH levels were obtained in premature infants <30 weeks gestation on day of life 30. Follow-up testing and pediatric endocrinology consultation were done according to the institutional protocol.

resultIn total, 286 infants were included. All infants underwent routine NBS and 280 patients underwent TFS. Twenty-six patients (9.1%) were diagnosed with thyroid dysfunction. NBS identified only three patients. CH with delayed TSH elevation was diagnosed in 20 patients (6.9%) and was significantly associated with multiple gestation, lower birth weight, higher gestational age and lower 5 min APGAR score.

conclusionThyroid dysfunction is common among premature infants born before 30 weeks gestation. The majority of cases with thyroid dysfunction had CH with delayed TSH elevation, which was not detected by NBS. We recommend measurement of serum TSH and free T4 levels on day of life 30 in premature infants born at <30 weeks gestation to identify patients with CH with delayed TSH elevation.

Indexed as

Birth WeightCongenital HypothyroidismFemaleGestational AgeHumansInfantInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalIowaLogistic ModelsMaleNeonatal ScreeningRetrospective StudiesThyrotropinThyroxineThyrotropinThyroxine

Identifiers

PMID27906195
OpenAlexW2557886413

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.