Evidence map›Paper›PMID 30918341›Full record

Observational studyJournal of perinatology : official journal of the California Perinatal Association2019

Antecedents of epilepsy and seizures among children born at extremely low gestational age.

Rachana Singh, Laurie M Douglass, T Michael O'Shea, Carl E Stafstrom, Elizabeth N Allred, Stephen Engelke, Bhavesh Shah, Alan Leviton, Timothy C Hereen, Karl C K Kuban and 1 more

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of perinatology : official journal of the California Perinatal Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Extreme prematurity: Risk and resiliency.Current problems in pediatric and adolescent health care · 2022
    Review
  3. Review
  4. Review
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 4 institutions in 1 country.

Rachana SinghBaystate Children's Hospital, Springfield, MA, USA. Rachana.singhmd@baystatehealth.org.
Laurie M DouglassDepartment of Pediatrics, Division of Pediatric Neurology, Boston Medical Center and Boston University School of Medicine, Boston, MA, USA.
T Michael O'SheaUniversity of North Carolina, Chapel Hill, NC, USA.
Carl E StafstromDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Elizabeth N AllredNeuroepidemiology Unit, Department of Neurology, Boston Children's Hospital, Boston, MA, USA.
Stephen EngelkeDepartment of Pediatrics, East Carolina University Brody School of Medicine, Greenville, NC, USA.
Bhavesh ShahBaystate Children's Hospital, Springfield, MA, USA.
Alan LevitonNeuroepidemiology Unit, Department of Neurology, Boston Children's Hospital, Boston, MA, USA.
Timothy C HereenDepartment of Pediatrics, Division of Pediatric Neurology, Boston Medical Center and Boston University School of Medicine, Boston, MA, USA.
Karl C K KubanDepartment of Pediatrics, Division of Pediatric Neurology, Boston Medical Center and Boston University School of Medicine, Boston, MA, USA.
ELGAN Study Group
Boston University · USBoston Children's Hospital · USBaystate Medical Center · USUniversity of North Carolina at Chapel Hill · 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
The Role of the Placenta-Brain Axis in Children's NeurodevelopmentUH3OD023348 · OD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Rebecca Fry, Michael O'SHEA · 2018 to 2026
$21.9M
Environment, Epigenetics, Neurodevelopment & Health of Extremely Preterm ChildrenUG3OD023348 · OD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FRY, REBECCA, O'SHEA, MICHAEL · 2016 to 2024
$7.4M
NICHD NIH HHS P30 HD018655NIH HHS UG3 OD023348NIH HHS UH3 OD023348NINDS NIH HHS U01 NS040069
6 · The paper itself

Abstract

objectiveTo identify specific risk factors for epilepsy for individuals born extremely preterm. STUDY

designIn a prospective cohort study, at 10-year follow-up, children were classified as having epilepsy or seizures not associated with epilepsy. We evaluated for association of perinatal factors using time-oriented, multinomial logistic regression models.

resultsOf the 888 children included in the study, 66 had epilepsy and 39 had seizures not associated with epilepsy. Epilepsy was associated with an indicator of low socioeconomic status, maternal gestational fever, early physiologic instability, postnatal exposure to hydrocortisone, cerebral white matter disease and severe bronchopulmonary dysplasia. Seizure without epilepsy was associated with indicators of placental infection and inflammation, and hypoxemia during the first 24 postnatal hours.

conclusionsIn children born extremely preterm, epilepsy and seizures not associated with epilepsy have different risk profiles. Though both profiles included indicators of infection and inflammation, the profile of risk factors for epilepsy included multiple indicators of endogenous vulnerability.

Indexed as

Chronic Disease IndicatorsInfant, Extremely PrematureChildEpilepsyFemaleFollow-Up StudiesHumansInfant, NewbornInfant, Newborn, DiseasesMothersPlacentaPregnancyPrevalenceProspective StudiesRisk FactorsSeverity of Illness Index

Identifiers

PMID30918341
PMCPMC7216413
OpenAlexW2922823654

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.