Evidence map›Paper›PMID 29730660›Full record

ArticleFetal diagnosis and therapy2019

Perinatal Outcome and Long-Term Neurodevelopment after Intracranial Haemorrhage due to Fetal and Neonatal Alloimmune Thrombocytopenia.

Dian Winkelhorst, Marije M Kamphuis, Sylke J Steggerda, Monique Rijken, Dick Oepkes, Enrico Lopriore, Jeanine M M van Klink

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Fetal diagnosis and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04529382 (Neurodevelopmental Outcome After Fetal Neonatal AlloImmune Thrombocytopenia), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.3field-weighted citation impact, top 12% 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.

NCT04529382 unknown statusnot on this map

Neurodevelopmental Outcome After Fetal Neonatal AlloImmune Thrombocytopenia

TypeobservationalSponsorLeiden University Medical CenterRan2019 to 2021Enrolled78ConditionsFetal and Neonatal Alloimmune Thrombocytopenia, Long Term Adverse Effects, Neurodevelopmental Abnormality, Intravenous Immunoglobulin Adverse ReactionArmsCognitive testing (Bayley III, WPPSI III and WISC V)
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Review
  3. Observational
  4. Diagnosis and Management of Fetal and Neonatal Alloimmune Thrombocytopenia: An Update 2025.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Fetal intracranial hemorrhage: prenatal sonographic diagnosis criteria and postnatal outcomesJournal of the Turkish German Gynecological Association · 2022
    Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. 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

7 authors at 2 institutions in 1 country.

Dian WinkelhorstDepartment of Obstetrics, Leiden University Medical Centre, Leiden, The Netherlandsd.winkelhorst@lumc.nl.
Marije M KamphuisDepartment of Obstetrics, Leiden University Medical Centre, Leiden, The Netherlands.
Sylke J SteggerdaDivision of Neonatology, Department of Paediatrics, Leiden University Medical Centre, Leiden, The Netherlands.
Monique RijkenDivision of Neonatology, Department of Paediatrics, Leiden University Medical Centre, Leiden, The Netherlands.
Dick OepkesDepartment of Obstetrics, Leiden University Medical Centre, Leiden, The Netherlands.
Enrico LoprioreDivision of Neonatology, Department of Paediatrics, Leiden University Medical Centre, Leiden, The Netherlands.
Jeanine M M van KlinkDivision of Neonatology, Department of Paediatrics, Leiden University Medical Centre, Leiden, The Netherlands.
Leiden University · NLLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the perinatal and long-term neurodevelopmental outcome in a cohort of children with intracranial haemorrhage (ICH) due to fetal and neonatal alloimmune thrombocytopenia (FNAIT) and to clearly outline the burden of this disease. SUBJECTS AND

methodsWe performed an observational cohort study and included all consecutive cases of ICH caused by FNAIT from 1993 to 2015 at Leiden University Medical Centre. Neurological, motor, and cognitive development were assessed at a minimum age of 1 year. The primary outcome was adverse outcome, defined as perinatal death or severe neurodevelopmental impairment (NDI). Severe NDI was defined as any of the following: cerebral palsy (Gross Motor Function Classification System [GMFCS] level ≥II), bilateral deafness, blindness, or severe motor and/or cognitive developmental delay (<-2 SD).

resultsIn total, 21 cases of ICH due to FNAIT were included in the study. The perinatal mortality rate was 10/21 (48%). Long-term outcome was assessed in 10 children (n = 1 lost to follow-up). Severe and moderate NDI were diagnosed in 6/10 (60%) and 1/10 (10%) of the surviving children. The overall adverse outcome, including perinatal mortality or severe NDI, was 16/20 (80%).

conclusionsThe risk of perinatal death or severe NDI in children with ICH due to FNAIT is high. Only screening and effective preventive treatment can avoid this burden.

Indexed as

AdolescentAdultBlindnessCerebral PalsyChildChild, PreschoolDeafnessDevelopmental DisabilitiesFemaleHumansInfantInfant, NewbornIntracranial HemorrhagesMalePregnancyThrombocytopenia, Neonatal AlloimmuneFetal and neonatal alloimmune thrombocytopeniaIntracranial haemorrhageLong-term outcomeNeurodevelopment

Identifiers

PMID29730660
PMCPMC6482979
OpenAlexW2802031057

What OpenQuestion holds

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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.