Evidence map›Paper›PMID 33112194›Full record

ArticleJournal of child neurology2021

Seizures Are Associated With Brain Injury in Infants Undergoing Extracorporeal Membrane Oxygenation.

Sarah L Bauer Huang, Ahmed S Said, Christopher D Smyser, John C Lin, Kristin P Guilliams, Réjean M Guerriero

Open access · greenAbstract read
In one paragraph

Article in Journal of child neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
1.0field-weighted citation impact, top 27% 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Brain development in newborns and infants after ECMO.World journal of pediatrics : WJP · 2024
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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 1 institution in 1 country.

Sarah L Bauer HuangDepartment of Neurology, Division of Pediatric and Developmental Neurology, 7548Washington University in St Louis, MO, USA.ORCID 0000-0001-5663-2494
Ahmed S SaidDepartment of Pediatrics, Division of Critical Care Medicine, 7548Washington University in St Louis, MO, USA.
Christopher D SmyserDepartment of Neurology, Division of Pediatric and Developmental Neurology, 7548Washington University in St Louis, MO, USA.
John C LinDepartment of Pediatrics, Division of Critical Care Medicine, 7548Washington University in St Louis, MO, USA.
Kristin P GuilliamsDepartment of Neurology, Division of Pediatric and Developmental Neurology, 7548Washington University in St Louis, MO, USA.
Réjean M GuerrieroDepartment of Neurology, Division of Pediatric and Developmental Neurology, 7548Washington University in St Louis, MO, USA.
Washington University in St. Louis · US

Funding

WUIDDRC Supplement-Supporting the health and well-being of children with intellectual and developmental disability during COVID-19 pandemicP50HD103525 · NICHD · WASHINGTON UNIVERSITY · PI JOSEPH D DOUGHERTY, Natasha Marrus · 2020 to 2026
$15.5M
Age-Dependence of Cerebral Oxygen Metabolism and Stroke Risk in Pediatric Sickle Cell DiseaseK23NS099472 · NINDS · WASHINGTON UNIVERSITY · PI GUILLIAMS, KRISTIN · 2017 to 2021
$951k
PREDICTING CHILDHOOD OUTCOMES IN PRETERM INFANTS USING CEREBRAL CONNECTIVITYK02NS089852 · NINDS · WASHINGTON UNIVERSITY · PI SMYSER, CHRISTOPHER DANIEL · 2014 to 2018
$848k
NICHD NIH HHS P50 HD103525NINDS NIH HHS K02 NS089852NINDS NIH HHS K23 NS099472
6 · The paper itself

Abstract

objectiveDetermine seizure frequency and association with neurologic outcomes in infants undergoing extracorporeal membrane oxygenation. Identify patient or clinical factors associated with seizures or brain injury on imaging.

methodsRetrospective, single-center study including infants less than 1 year of age, who underwent extracorporeal membrane oxygenation between 2012 and 2017.

resultsA total of 104 infants met study criteria including 45 patients with continuous electroencephalographic (EEG) monitoring during their extracorporeal membrane oxygenation run and 59 infants without EEG. Seizures (electrographic-only or electro-clinical) were identified in 18 of the 45 (40%). Among the 18 infants with seizures, 14 (78%) had moderate to severe brain injury, whereas only 44% of those without seizures (12 of 27) on EEG had moderate to severe brain injury (

conclusionsElectrographic seizures were common in patients undergoing extracorporeal membrane oxygenation and higher than previously reported. Seizures were associated with moderate to severe abnormalities on imaging, after adjusting for ECPR and congenital heart disease. This study adds to recent literature describing the risk of seizures in patients on extracorporeal membrane oxygenation and highlights the presence of brain injuries that may be identified by routine EEG surveillance.

Indexed as

Brain InjuriesElectroencephalographyExtracorporeal Membrane OxygenationFemaleHumansInfantInfant, NewbornMaleRetrospective StudiesSeizurescongenital heart diseaseelectroencephalographyextracorporeal membrane oxygenationneonatalneurologic outcomes

Identifiers

PMID33112194
PMCPMC8086759
OpenAlexW3095534157

What OpenQuestion holds

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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.