Evidence map›Paper›PMID 31805885›Full record

ArticleBMC pediatrics2019

Analyses of pathological cranial ultrasound findings in neonates that fall outside recent indication guidelines: results of a population-based birth cohort: survey of neonates in Pommerania (SNiP-study).

Judith Weise, Matthias Heckmann, Hagen Bahlmann, Till Ittermann, Heike Allenberg, Grzegorz Domanski, Anja Erika Lange

Abstract read
In one paragraph

Article in BMC pediatrics, 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
–field-weighted citation impact
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.

  1. Article
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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.

Judith WeiseDept. of Neonatology & Paediatric Intensive Care Medicine, University Greifswald, F.-Sauerbruchstr, 17475, Greifswald, Germany.
Matthias HeckmannDept. of Neonatology & Paediatric Intensive Care Medicine, University Greifswald, F.-Sauerbruchstr, 17475, Greifswald, Germany.
Hagen BahlmannDept. of Neonatology & Paediatric Intensive Care Medicine, University Greifswald, F.-Sauerbruchstr, 17475, Greifswald, Germany.
Till IttermannInstitute of Community Medicine, Div. of Health Care Epidemiology and Community Health, University Greifswald, Greifswald, Germany.
Heike AllenbergDept. of Neonatology & Paediatric Intensive Care Medicine, University Greifswald, F.-Sauerbruchstr, 17475, Greifswald, Germany.
Grzegorz DomanskiDept. of Neonatology & Paediatric Intensive Care Medicine, University Greifswald, F.-Sauerbruchstr, 17475, Greifswald, Germany.
Anja Erika LangeDept. of Neonatology & Paediatric Intensive Care Medicine, University Greifswald, F.-Sauerbruchstr, 17475, Greifswald, Germany. anja.lange@uni-greifswald.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent guidelines recommend a cranial ultrasound (CU) in neonates born at < 30 weeks gestation, admitted to the neonatal intensive care unit (NICU), or with a CU indication. Here, we addressed the need to extend these recommendations.

methodsWe retrospectively reviewed 5107 CUs acquired in the population-based Survey of Neonates in Pomerania, conducted in 2002 to 2008. Neonates with conspicuous CUs that were ≥ 30 weeks gestation without recent indications for CU were identified and assigned to the following groups: with (I) or without (II) admission to neonatal care. We designated CU conspicuities as mild (MC) or significant (SC), and we investigated related neurodevelopment during follow-up.

resultsOf 5107 neonates, 5064 were born at ≥30 weeks gestation and of those, 4306 received CUs without any indication for this examination. We found conspicuities in 7.7% (n = 47/610) of group I (n = 30 MC, n = 17 SC), and 3.2% (n = 117/3696) of group II (n = 100 MC, n = 17 SC). In group II, SC comprised, e.g., bilateral cysts, partial agenesis of the corpus callosum, and periventricular leukomalacia. Follow-up was available in 75% of infants in group II with MCs and SCs; of these, 12.8% had an abnormal neurological follow-up.

conclusionsWe detected a high number of conspicuities in neonates without a CU indication. However, we could not demonstrate that ultrasound findings were associated with the neurological follow-up or any advantage to an earlier diagnosis. Our data did not support extending current guidelines or a general CU screening policy for all neonates.

Indexed as

Neonatal ScreeningPractice Guidelines as TopicUltrasonographyBrainCohort StudiesGermanyHumansInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalIntracranial HemorrhagesLeukomalacia, PeriventricularRetrospective StudiesSurveys and Questionnaires

Identifiers

PMID31805885
PMCPMC6894314

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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.