Evidence map›Paper›PMID 28405874›Full record

Observational studyJournal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology2017

Systemic Inflammation during the First Postnatal Month and the Risk of Attention Deficit Hyperactivity Disorder Characteristics among 10 year-old Children Born Extremely Preterm.

Elizabeth N Allred, Olaf Dammann, Raina N Fichorova, Stephen R Hooper, Scott J Hunter, Robert M Joseph, Karl Kuban, Alan Leviton, Thomas Michael O'Shea, Megan N Scott and 1 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 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

51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Childhood Physical Health and Attention Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis of Modifiable Factors.Prevention science : the official journal of the Society for Prevention Research · 2024
    Pooled it
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  9. A head start: The relationship of placental factors to craniofacial and brain development.Developmental dynamics : an official publication of the American Association of Anatomists · 2025
    Review
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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

11 authors at 5 institutions in 1 country.

Elizabeth N AllredBoston Children's Hospital and Harvard Medical School, 300 Longwood Avenue, Boston, MA, 02115-5724, USA.
Olaf DammannTufts University School of Medicine, Boston, MA, 02111, USA.
Raina N FichorovaBrigham and Women's Hospital and Harvard Medical School, Boston, MA, 02115, USA.
Stephen R HooperUniversity of North Carolina School of Medicine, Chapel Hill, NC, USA.
Scott J HunterThe University of Chicago Medicine Comer Children's Hospital, Chicago, IL, USA.
Robert M JosephBoston University School of Medicine, Boston, MA, USA.
Karl KubanBoston Medical Center and Boston University School of Medicine, Boston, MA, USA.
Alan LevitonBoston Children's Hospital and Harvard Medical School, 300 Longwood Avenue, Boston, MA, 02115-5724, USA. alan.leviton@childrens.harvard.edu.
Thomas Michael O'SheaUniversity of North Carolina School of Medicine, Chapel Hill, NC, USA.
Megan N ScottThe University of Chicago Medicine Comer Children's Hospital, Chicago, IL, USA.
ELGAN Study ADHD symptoms writing group for the ELGAN Study Investigators
Comer Children's Hospital · USUniversity of North Carolina at Chapel Hill · USBoston University · USTufts University · USBoston Children's Hospital · 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 P30 HD018655NINDS NIH HHS U01 NS040069
6 · The paper itself

Abstract

Although multiple sources link inflammation with attention difficulties, the only human study that evaluated the relationship between systemic inflammation and attention problems assessed attention at age 2 years. Parent and/or teacher completion of the Childhood Symptom Inventory-4 (CSI-4) provided information about characteristics that screen for attention deficit hyperactive disorder (ADHD) among 793 10-year-old children born before the 28th week of gestation who had an IQ ≥ 70. The concentrations of 27 proteins in blood spots obtained during the first postnatal month were measured. 151 children with ADHD behaviors were identified by parent report, while 128 children were identified by teacher report. Top-quartile concentrations of IL-6R, TNF-α, IL-8, VEGF, VEFG-R1, and VEGF-R2 on multiple days were associated with increased risk of ADHD symptoms as assessed by a teacher. Some of this increased risk was modulated by top-quartile concentrations of IL-6R, RANTES, EPO, NT-4, BDNF, bFGF, IGF-1, PIGF, Ang-1, and Ang-2. Systemic inflammation during the first postnatal month among children born extremely preterm appears to increase the risk of teacher-identified ADHD characteristics, and high concentrations of proteins with neurotrophic properties appear capable of modulating this increased risk.

Indexed as

Attention Deficit Disorder with HyperactivityChildCytokinesFemaleHumansInfant, Extremely PrematureInfant, NewbornInflammationMaleRisk FactorsCytokinesAttention deficit hyperactivity disorderInfant, premature/bloodInflammationNeuroprotection

Identifiers

PMID28405874
PMCPMC6508968
OpenAlexW2607276741

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.