Evidence map›Paper›PMID 31075555›Full record

ArticleNeuroImage. Clinical2019

White matter microstructure and cognitive outcomes in relation to neonatal inflammation in 6-year-old children born preterm.

Sarah E Dubner, Cory K Dodson, Virginia A Marchman, Michal Ben-Shachar, Heidi M Feldman, Katherine E Travis

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
8.0field-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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

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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

6 authors at 3 institutions in 2 countries.

Sarah E DubnerDivision of Developmental-Behavioral Pediatrics, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
Cory K DodsonDivision of Developmental-Behavioral Pediatrics, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
Virginia A MarchmanDepartment of Psychology, Stanford University, Stanford, CA, USA.
Michal Ben-ShacharThe Gonda Multidisciplinary Brain Research Center, Bar Ilan University, Ramat Gan, Israel; Department of English Literature and Linguistics, Bar Ilan University, Ramat Gan, Israel.
Heidi M FeldmanDivision of Developmental-Behavioral Pediatrics, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
Katherine E TravisDivision of Developmental-Behavioral Pediatrics, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: ktravis1@stanford.edu.
Stanford University · USBar-Ilan University · ILStanford Medicine · US

Funding

Poor Reading in Preterms: Neural Basis, Prediction, & Response to InterventionR01HD069162 · NICHD · STANFORD UNIVERSITY · PI FELDMAN, HEIDI M. · 2012 to 2016
$1.8M
Listening to Mom in the NICU: Neural, Clinical and Language OutcomesR00HD084749 · NICHD · STANFORD UNIVERSITY · PI TRAVIS, KATHERINE ELIZABETH · 2019 to 2021
$724k
Listening to Mom in the NICU: Neural, Clinical and Language OutcomesK99HD084749 · NICHD · STANFORD UNIVERSITY · PI TRAVIS, KATHERINE ELIZABETH · 2016 to 2017
$255k
NICHD NIH HHS K99 HD084749NICHD NIH HHS L40 HD096623NICHD NIH HHS R00 HD084749
6 · The paper itself

Abstract

backgroundCognitive outcomes in preterm (PT) children have been associated with microstructural properties of white matter. PT children who experienced neonatal inflammatory conditions have poorer cognitive outcomes than those who did not. The goal of this study was to contrast white matter microstructure and cognitive outcomes after preterm birth in relation to the presence or absence of severe inflammatory conditions in the neonatal period.

methodsPT children (n = 35), born at gestational age 22-32 weeks, were classified as either PT+ (n = 12) based on a neonatal history of inflammatory conditions, including bronchopulmonary dysplasia, necrotizing enterocolitis or culture positive sepsis, or PT- (n = 23) based on the absence of the three inflammatory conditions. Full term (FT) children (n = 43) served as controls. Participants underwent diffusion MRI and cognitive testing (intelligence, reading, and executive function) at age 6 years. The corpus callosum was segmented into 7 regions using deterministic tractography and based on the cortical projection zones of the callosal fibers. Mean fractional anisotropy (FA) and mean diffusivity (MD) were calculated for each segment. General linear models with planned contrasts assessed group differences in FA, MD and cognitive outcomes. Pearson correlations assessed associations of white matter metrics and cognitive outcome measures.

resultsFA was significantly lower and MD was significantly higher in PT+ compared to PT- or FT groups in multiple callosal segments, even after adjusting for gestational age. Executive function scores, but not intelligence or reading scores, were less favorable in PT+ than in PT- groups. Among the entire sample, occipital FA was significantly correlated with IQ (r = 0.25, p < 0.05), reading (r = 0.32, p < 0.01), and executive function (r = -0.28, p < 0.05) measures. Anterior frontal FA and superior parietal FA were significantly correlated with executive function (r = -0.25, r = 0.23, respectively, p < 0.05).

conclusionsWe observed differences in the white matter microstructure of the corpus callosum and in the cognitive skills of 6-year-old PT children based on their history of neonatal inflammation. Neonatal inflammation is one medical factor that may contribute to variation in long-term neurobiological and neuropsychological outcomes in PT samples.

Indexed as

CognitionMental Status and Dementia TestsChildCorpus CallosumDiffusion Tensor ImagingExecutive FunctionFemaleHumansInfant, NewbornInfant, PrematureInflammationLongitudinal StudiesMaleWhite MatterCorpus callosumDiffusion MRIExecutive functionInflammationNeurodevelopmental outcomesPrematurityTractographyWhite matter

Identifiers

PMID31075555
PMCPMC6603335
OpenAlexW2941086236

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.