Evidence map›Paper›PMID 30025221›Full record

ArticleEarly human development2018

Autonomic nervous system depression at term in neurologically normal premature infants.

Sarah B Mulkey, Srinivas Kota, Christopher B Swisher, Laura Hitchings, Marina Metzler, Yunfei Wang, G Larry Maxwell, Robin Baker, Adre J du Plessis, Rathinaswamy Govindan

Abstract read
In one paragraph

Article in Early human development, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
3.6field-weighted citation impact, top 6% 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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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  16. Development of the Ontogenetic Self-Regulation Clock.International journal of molecular sciences · 2022
    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

10 authors at 3 institutions in 1 country.

Sarah B MulkeyChildren's National Health System, Fetal Medicine Institute, United States of America; The George Washington University School of Medicine and Health Sciences, Departments of Pediatrics and Neurology, United States of America. Electronic address: sbmulkey@childrensnational.org.
Srinivas KotaChildren's National Health System, Fetal Medicine Institute, United States of America.
Christopher B SwisherChildren's National Health System, Fetal Medicine Institute, United States of America.
Laura HitchingsChildren's National Health System, Fetal Medicine Institute, United States of America.
Marina MetzlerChildren's National Health System, Fetal Medicine Institute, United States of America.
Yunfei WangChildren's National Health System, Biostatistics, United States of America.
G Larry MaxwellInova Fairfax Women's Hospital, Department of Obstetrics and Gynecology, United States of America.
Robin BakerInova Children's Hospital, Department of Neonatology, United States of America; Fairfax Neonatal Associates, United States of America.
Adre J du PlessisChildren's National Health System, Fetal Medicine Institute, United States of America; The George Washington University School of Medicine and Health Sciences, Departments of Pediatrics and Neurology, United States of America.
Rathinaswamy GovindanChildren's National Health System, Fetal Medicine Institute, United States of America; The George Washington University School of Medicine and Health Sciences, Departments of Pediatrics and Neurology, United States of America.
Children's National · USInova Children's Hospital · USInova Fairfax Hospital · US

Funding

Clinical and Translational Science Institute at Childrens NationalUL1TR001876 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI BELL, MICHAEL J · 2016 to 2021
$25.6M
Research_ProjectU54HD090257 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI VITTORIO GALLO, VITTORIO GALLO VITTORIO GALLO · 2016 to 2020
$5.9M
Clinical and Translational Science Institute at Childrens National-Mentored Career Development CoreKL2TR001877 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI LUBAN, NAOMI L · 2016 to 2020
$2.0M
NCATS NIH HHS KL2 TR001877NCATS NIH HHS UL1 TR001876NICHD NIH HHS U54 HD090257
6 · The paper itself

Abstract

backgroundPremature infants are vulnerable to destructive brain injury and disturbed neurological development. Prematurity may alter maturation of the central autonomic nervous system (ANS).

aimsTo compare ANS function (using heart rate variability; HRV) between preterm infants with normal neuroimaging at term equivalent age and low-risk term controls. Study design, subjects. We performed a case-control study of preterm infants born ≤28 weeks gestational age that had normal brain imaging and archived continuous EKG data at term equivalent age. We documented other factors thought to influence ANS maturation (e.g. infection, ventilation days, and postnatal steroids). Controls were low-risk term gestational age newborns from uncomplicated pregnancies/deliveries. We characterized HRV metrics using frequency-(Welch periodogram) and time-domain (detrended fluctuation) analyses. Sympathetic tone was characterized by α

conclusionsAutonomic maturation is impaired in a premature extrauterine environment. In the absence of destructive brain injury, our data suggest an important role for disturbed programming in this impaired autonomic development.

Indexed as

Autonomic Nervous SystemBrainCase-Control StudiesFemaleHeart RateHumansInfant, NewbornInfant, PrematureMaleANSAutonomic developmentAutonomic nervous systemBrain imagingHeart rate variabilityPreterm newborn

Identifiers

PMID30025221
PMCPMC6136650
OpenAlexW2884583074

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.