Evidence map›Paper›PMID 30170570›Full record

ArticleBMC pediatrics2018

Post hemorrhagic hydrocephalus and neurodevelopmental outcomes in a context of neonatal intraventricular hemorrhage: an institutional experience in 122 preterm children.

Vianney Gilard, Alexandra Chadie, François-Xavier Ferracci, Marie Brasseur-Daudruy, François Proust, Stéphane Marret, Sophie Curey

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
7.3field-weighted citation impact, top 3% 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

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Pathophysiologic mechanisms and strategies for the treatment of post-hemorrhagic hydrocephalus of prematurity.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022
    Pooled it
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  8. The significance and utility of ventricular access devices in children with proximal CSF shunt malfunction.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
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  20. Neurodevelopmental outcomes of neonatal posthemorrhagic hydrocephalus and psychological effects on the parents.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
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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

7 authors at 3 institutions in 1 country.

Vianney GilardNeurosurgery Department, Rouen University Hospital, 1 rue de Germont, 76000, Rouen, France. vianney.gilard@chu-rouen.fr.ORCID 0000-0001-6040-665X
Alexandra ChadiePaediatrics Department, Rouen University Hospital, 76000, Rouen, France.
François-Xavier FerracciNeurosurgery Department, Rouen University Hospital, 1 rue de Germont, 76000, Rouen, France.
Marie Brasseur-DaudruyDepartment of Radiology, Rouen University Hospital, 76000, Rouen, France.
François ProustNeurosurgery Department, Strasbourg University Hospital, 67000, Strasbourg, France.
Stéphane MarretPaediatrics Department, Rouen University Hospital, 76000, Rouen, France.
Sophie CureyNeurosurgery Department, Rouen University Hospital, 1 rue de Germont, 76000, Rouen, France.
Centre Hospitalier Universitaire de Rouen · FRInserm · FRUniversité de Rouen Normandie · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntraventricular hemorrhage (IVH) is a frequent complication in extreme and very preterm births. Despite a high risk of death and impaired neurodevelopment, the precise prognosis of infants with IVH remains unclear. The objective of this study was to evaluate the rate and predictive factors of evolution to post hemorrhagic hydrocephalus (PHH) requiring a shunt, in newborns with IVH and to report their neurodevelopmental outcomes at 2 years of age.

methodsAmong all preterm newborns admitted to the department of neonatalogy at Rouen University Hospital, France between January 2000 and December 2013, 122 had an IVH and were included in the study. Newborns with grade 1 IVH according to the Papile classification were excluded.

resultsAt 2-year, 18% (n = 22) of our IVH cohort required permanent cerebro spinal fluid (CSF) derivation. High IVH grade, low gestational age at birth and increased head circumference were risk factors for PHH. The rate of death of IVH was 36.9% (n = 45). The rate of cerebral palsy was 55.9% (n = 43) in the 77 surviving patients (49.4%). Risk factors for impaired neurodevelopment were high grade IVH and increased head circumference.

conclusionHigh IVH grade was strongly correlated with death and neurodevelopmental outcome. The impact of an increased head circumference highlights the need for early management. CSF biomarkers and new medical treatments such as antenatal magnesium sulfate have emerged and could predict and improve the prognosis of these newborns with PHH.

Indexed as

Cerebral HemorrhageCerebral PalsyCerebrospinal Fluid ShuntsChild, PreschoolEpilepsyFemaleFollow-Up StudiesFranceGestational AgeHeadHearing DisordersHospital MortalityHumansHydrocephalusInfantInfant, NewbornHydrocephalusIntraventricular hemorrhageNeonatalNeurodevelopmental outcomes

Identifiers

PMID30170570
PMCPMC6119335
OpenAlexW2889358629

What OpenQuestion holds

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LicenceCC BY
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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.