Evidence map›Paper›PMID 33373013›Full record

ReviewPediatric cardiology2021

Antenatal and Perioperative Mechanisms of Global Neurological Injury in Congenital Heart Disease.

Melinda Barkhuizen, Raul Abella, J S Hans Vles, Luc J I Zimmermann, Diego Gazzolo, Antonio W D Gavilanes

Open access · hybridAbstract readReview
In one paragraph

Review in Pediatric cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. [Research progress on neurodevelopmental disorders associated with congenital heart disease].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
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 4 countries.

Melinda BarkhuizenDepartment of Pediatrics and Neonatology, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-9952-7085
Raul AbellaDepartment of Pediatric Cardiac Surgery, University of Barcelona, Vall d'Hebron, Spain.ORCID http://orcid.org/0000-0002-9209-9970
J S Hans VlesSchool for Mental Health and Neuroscience, Maastricht University, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-9707-1782
Luc J I ZimmermannDepartment of Pediatrics and Neonatology, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-1409-3821
Diego GazzoloSchool for Mental Health and Neuroscience, Maastricht University, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-0643-2555
Antonio W D GavilanesDepartment of Pediatrics and Neonatology, Maastricht University Medical Center, Maastricht, The Netherlands. danilo.gavilanes@mumc.nl.ORCID http://orcid.org/0000-0002-6670-3927
Maastricht University · NLMaastricht University Medical Centre · NLUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Congenital heart defects (CHD) is one of the most common types of birth defects. Thanks to advances in surgical techniques and intensive care, the majority of children with severe forms of CHD survive into adulthood. However, this increase in survival comes with a cost. CHD survivors have neurological functioning at the bottom of the normal range. A large spectrum of central nervous system dysmaturation leads to the deficits seen in critical CHD. The heart develops early during gestation, and CHD has a profound effect on fetal brain development for the remainder of gestation. Term infants with critical CHD are born with an immature brain, which is highly susceptible to hypoxic-ischemic injuries. Perioperative blood flow disturbances due to the CHD and the use of cardiopulmonary bypass or circulatory arrest during surgery cause additional neurological injuries. Innate patient factors, such as genetic syndromes and preterm birth, and postoperative complications play a larger role in neurological injury than perioperative factors. Strategies to reduce the disability burden in critical CHD survivors are urgently needed.

Indexed as

AdultBrainBrain DiseasesBrain InjuriesCardiopulmonary BypassChildFemaleHeart Defects, CongenitalHumansHypoxia-Ischemia, BrainInfantInfant, NewbornNeurodevelopmental DisordersPostoperative ComplicationsPregnancyPremature BirthBrain injuryCongenital heart diseaseHypoplastic left heart syndromeImmaturitySurgery

Identifiers

PMID33373013
PMCPMC7864813
OpenAlexW3113644850

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.