Evidence map›Paper›PMID 31791046›Full record

Observational studyPediatric research2020

Postnatal steroid therapy is associated with autism spectrum disorder in children and adolescents of very low birth weight infants.

Michael Davidovitch, Jacob Kuint, Liat Lerner-Geva, Inna Zaslavsky-Paltiel, Ran Shmuel Rotem, Gabriel Chodick, Varda Shalev, Brian Reichman, Israel Neonatal Network

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Pediatric research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Article
  8. Maternal risk factors vary between subpopulations of children with autism spectrum disorder.Autism research : official journal of the International Society for Autism Research · 2022
    Article
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  11. 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

9 authors at 4 institutions in 2 countries.

Michael DavidovitchChild Development, Medical Division, Maccabi Healthcare Services, Tel Aviv, Israel. davidom@netvision.net.il.
Jacob KuintMaccabitech, Maccabi Healthcare Services, Tel Aviv, Israel.
Liat Lerner-GevaSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Inna Zaslavsky-PaltielWomen and Children's Health Research Unit, Gertner Institute for Epidemiology and Health Policy Research, Tel Hashomer, Israel.
Ran Shmuel RotemMaccabitech, Maccabi Healthcare Services, Tel Aviv, Israel.
Gabriel ChodickMaccabitech, Maccabi Healthcare Services, Tel Aviv, Israel.
Varda ShalevMaccabitech, Maccabi Healthcare Services, Tel Aviv, Israel.
Brian ReichmanSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Israel Neonatal Network
Maccabi Health Care Services · ILTel Aviv University · ILHarvard University · USIsrael National Institute for Health Policy Research · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study evaluates the association between major neonatal morbidities and autism spectrum disorder (ASD) in children and adolescents born of very low birth weight (VLBW).

methodsHistorical cohort study using the Israel national VLBW infant database linked with the Maccabi Healthcare Services (MHS) medical records. The study cohort comprised 4963 VLBW subjects born from 1999 to 2012, >1 year of age. Multivariable logistic regression analyses were used to assess factors associated with ASD.

resultsThe diagnosis of ASD was confirmed in 113 children (2.3%). Infants with major neonatal morbidities had higher rates of ASD; however, in the multivariable analyses these were not significantly associated with ASD: severe intraventricular hemorrhage (OR 1.21 [95% CI 0.60-2.45]), post-hemorrhagic hydrocephalus (OR 1.77 [0.73-4.29]), periventricular leukomalacia (OR 1.02 [0.42-2.51]), severe retinopathy of prematurity (OR 1.91 [0.995-3.67]), and bronchopulmonary dysplasia (OR 1.44 [0.84-2.45]). Postnatal steroid therapy when included separately was associated with an OR of 1.97 [1.18-3.29] for ASD. This association remained significant when postnatal steroid therapy was included with each of the neonatal morbidities (ORs ranging from 1.91 to 2.11).

conclusionsThis study suggests a significant association between postnatal steroid therapy and ASD in VLBW infants. This possible association should be considered in future studies evaluating potential risk factors for ASD in preterm infants.

Indexed as

Infant, Extremely PrematureInfant, Very Low Birth WeightAdolescentAdrenal Cortex HormonesAge FactorsAutism Spectrum DisorderBirth WeightBronchopulmonary DysplasiaChildComorbidityDatabases, FactualFemaleGestational AgeHumansIncidenceInfant, NewbornAdrenal Cortex Hormones

Identifiers

PMID31791046
OpenAlexW2991631219

What OpenQuestion holds

Textmetadata
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.