Evidence map›Paper›PMID 31199836›Full record

Trial reportPloS one2019

Which growth parameters can affect mortality in cerebral palsy?

Hyun Jung Kim, Tae Uk Kang, Kyu Yong Park, Jihyun Kim, Hyeong Sik Ahn, Shin-Young Yim

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 35% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

6 authors at 4 institutions in 1 country.

Hyun Jung KimDepartment of Preventive Medicine, College of Medicine, Korea University, Seoul, Republic of Korea.
Tae Uk KangHealth Insurance Policy Research Institute, National Health Insurance Service, Wonju, Republic of Korea.
Kyu Yong ParkDepartment of Physical Medicine and Rehabilitation, Ajou University School of Medicine, Suwon, Republic of Korea.
Jihyun KimResearch Institute, National Cancer Center, Goyang, Republic of Korea.
Hyeong Sik AhnDepartment of Preventive Medicine, College of Medicine, Korea University, Seoul, Republic of Korea.
Shin-Young YimDepartment of Physical Medicine and Rehabilitation, Ajou University School of Medicine, Suwon, Republic of Korea.ORCID 0000-0002-8521-6331
Ajou University · KRKorea University · KRNational Cancer Center · KRNational Health Insurance Service · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study was to identify growth parameters that can affect mortality of cerebral palsy (CP).

methodThis was a birth cohort study based on the National Health Screening Program for Infants and Children database along with the National Health Insurance Service, which were linked using a personal identifier number. The birth cohort consisted of 2 191 956 subjects, representing 93.5% of live births from 2007-2011, with maximal 10-year follow-up (range, 5-10 years) until October 2016. Subjects with CP were identified. Growth parameters in terms of birth weight, underweight (weight-for-age below the 3rd percentile), rate of body weight gain were collected, along with all-cause mortality after the age of 1 year.

resultPrevalence of CP was 2.0 per 1000 live births (95% CI, 1.94-2.06). All-cause mortality after the age of 1 year was 0.09 deaths/1000 person-years (95% CI, 0.08-0.09) in the general population (GP) and 2.85 deaths/1000 person-years (95% CI, 2.32-3.50) in subjects with CP during the follow-up. Therefore, the incidence rate ratio for all-cause mortality was 32.15 (95% CI, 25.72-39.76) in subjects with CP compared to GP. Presence of underweight was significantly associated with higher mortality in both subjects with CP and GP, where the adjusted hazard ratio of death was 2.60 (95% CI, 1.93-3.50) at the age of 18-24 months, 3.12 at 30-36 months, 4.37 at 42-48 months, 5.12 at 54-60 months, and 4.17 at 66-71 months. Birth weight did not affect mortality in both subjects with CP and GP after the age of 1 year (p > 0.05).

conclusionWhile subjects with CP shows higher mortality, underweight is an important growth parameter that affects all-cause mortality of both subjects with CP and GP. This study urges increased awareness that subjects with CP who are underweight require special care.

Indexed as

Birth WeightCerebral PalsyDatabases, FactualChildChild, PreschoolFemaleFollow-Up StudiesHumansInfantInfant, NewbornMalePrevalence

Identifiers

PMID31199836
PMCPMC6568421
OpenAlexW2949165682

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Registered trials

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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.