Evidence map›Paper›PMID 28189301›Full record

ArticleThe Journal of pediatrics2017

Auditory Exposure in the Neonatal Intensive Care Unit: Room Type and Other Predictors.

Roberta Pineda, Polly Durant, Amit Mathur, Terrie Inder, Michael Wallendorf, Bradley L Schlaggar

Open access · greenAbstract readComparative Study
In one paragraph

Article in The Journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
14.6field-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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Language and sound exposure across neonatal intensive care hospitalization and relationships with early outcome.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  5. Language environments of infants in the NICU improve after a brief parent education intervention.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. The road to sensory deprivation in the NICU is paved with good intentions: defining an optimal environment of care.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  13. Article
  14. Review
  15. Article
  16. Effect of music-based interventions on physiologic stability of hospitalized preterm infants. A pilot study.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  17. Article
  18. Article
  19. 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

6 authors at 2 institutions in 1 country.

Roberta PinedaProgram in Occupational Therapy, Washington University School of Medicine, St. Louis, MO; Department of Pediatrics, Washington University School of Medicine, St. Louis, MO. Electronic address: pineda_r@kids.wustl.edu.
Polly DurantProgram in Occupational Therapy, Washington University School of Medicine, St. Louis, MO.
Amit MathurDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO.
Terrie InderDepartment of Pediatric Newborn Medicine, Brigham and Women's Hospital, Boston, MA.
Michael WallendorfDivision of Biostatistics, Washington University, St. Louis, MO.
Bradley L SchlaggarDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO; Department of Neurology, Washington University School of Medicine, St. Louis, MO; Department of Psychiatry, Washington University School of Medicine, St. Louis, MO; Department of Radiology, Washington University School of Medicine, St. Louis, MO; Department of Neuroscience, Washington University School of Medicine, St. Louis, MO.
Washington University in St. Louis · USBrigham and Women's Hospital · US

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
MULTICENTER CAREER DEVELOPMENT PROGRAM FOR PHYSICAL AND OCCUPATIONAL THERAPYK12HD055931 · NICHD · WASHINGTON UNIVERSITY · PI HAYES, MARCIE HARRIS · 2007 to 2021
$12.7M
Washington University Intellectual and Developmental Disabilities Research Center-Administrative Down Syndrome SupplementU54HD087011 · NICHD · WASHINGTON UNIVERSITY · PI CONSTANTINO, JOHN N. · 2015 to 2019
$7.1M
NCATS NIH HHS UL1 TR000448NICHD NIH HHS K12 HD055931NICHD NIH HHS U54 HD087011
6 · The paper itself

Abstract

objectiveTo quantify early auditory exposures in the neonatal intensive care unit (NICU) and evaluate how these are related to medical and environmental factors. We hypothesized that there would be less auditory exposure in the NICU private room, compared with the open ward. STUDY

designPreterm infants born at ≤ 28 weeks gestation (33 in the open ward, 25 in private rooms) had auditory exposure quantified at birth, 30 and 34 weeks postmenstrual age (PMA), and term equivalent age using the Language Environmental Acquisition device.

resultsMeaningful language (P < .0001), the number of adult words (P < .0001), and electronic noise (P < .0001) increased across PMA. Silence increased (P = .0007) and noise decreased (P < .0001) across PMA. There was more silence in the private room (P = .02) than the open ward, with an average of 1.9 hours more silence in a 16-hour period. There was an interaction between PMA and room type for distant words (P = .01) and average decibels (P = .04), indicating that changes in auditory exposure across PMA were different for infants in private rooms compared with infants in the open ward. Medical interventions were related to more noise in the environment, although parent presence (P = .009) and engagement (P  = .002) were related to greater language exposure. Average sound levels in the NICU were 58.9 ± 3.6 decibels, with an average peak level of 86.9 ± 1.4 decibels.

conclusionsUnderstanding the NICU auditory environment paves the way for interventions that reduce high levels of adverse sound and enhance positive forms of auditory exposure, such as language.

Indexed as

Infant, PrematureLanguage DevelopmentCohort StudiesEnvironmental ExposureFemaleFollow-Up StudiesGestational AgeHospital UnitsHumansInfant, NewbornIntensive Care Units, NeonatalLength of StayMaleNoiseRisk Assessmentenvironmentlanguagepretermsenses

Identifiers

PMID28189301
PMCPMC5378448
OpenAlexW2586400761

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.