Evidence map›Paper›PMID 33718981›Full record

ArticleClinical autonomic research : official journal of the Clinical Autonomic Research Society2021

Cerebral cortical autonomic connectivity in low-risk term newborns.

Sarah B Mulkey, Laura Hitchings, Reva Persaud, Srinivas Kota, G Larry Maxwell, Robin Baker, Adre du Plessis, Rathinaswamy Govindan

Abstract read
In one paragraph

Article in Clinical autonomic research : official journal of the Clinical Autonomic Research Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Development of the Ontogenetic Self-Regulation Clock.International journal of molecular sciences · 2022
    Review
  8. Cerebral cortical-autonomic connectivity in newborns: a first step to determine the autonomic signatures with advancing age?Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Sarah B MulkeyChildren's National Hospital, Prenatal Pediatrics Institute, 111 Michigan Ave., NW, Washington, DC, 20010, USA. sbmulkey@childrensnational.org.ORCID 0000-0002-8084-526X
Laura HitchingsChildren's National Hospital, Prenatal Pediatrics Institute, 111 Michigan Ave., NW, Washington, DC, 20010, USA.
Reva PersaudChildren's National Hospital, Prenatal Pediatrics Institute, 111 Michigan Ave., NW, Washington, DC, 20010, USA.
Srinivas KotaChildren's National Hospital, Prenatal Pediatrics Institute, 111 Michigan Ave., NW, Washington, DC, 20010, USA.
G Larry MaxwellInova Women's and Children's Hospital, Falls Church, VA, USA.
Robin BakerInova Women's and Children's Hospital, Falls Church, VA, USA.
Adre du PlessisChildren's National Hospital, Prenatal Pediatrics Institute, 111 Michigan Ave., NW, Washington, DC, 20010, USA.
Rathinaswamy GovindanChildren's National Hospital, Prenatal Pediatrics Institute, 111 Michigan Ave., NW, Washington, DC, 20010, USA.

Funding

Clinical and Translational Science Institute at Childrens NationalUL1TR001876 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI BELL, MICHAEL J · 2016 to 2021
$25.6M
Impaired Brain Development in a Premature Ex-utero EnvironmentR01HD099393 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI DU PLESSIS, ADRE JACQUES, LIMPEROPOULOS, CATHERINE · 2020 to 2024
$3.4M
Clinical and Translational Science Institute at Childrens National-Mentored Career Development CoreKL2TR001877 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI LUBAN, NAOMI L · 2016 to 2020
$2.0M
NCATS NIH HHS KL2 TR001877NCATS NIH HHS UL1 TR001876NICHD NIH HHS R01 HD099393
6 · The paper itself

Abstract

purposeThe mature central autonomic network includes connectivity between autonomic nervous system brainstem centers and the cerebral cortex. The study objective was to evaluate the regional connectivity between the cerebral cortex and brainstem autonomic centers in term newborns by measuring coherence between high-density electroencephalography and heart rate variability as measured by electrocardiography.

methodsLow-risk term newborns with birth gestational age of 39-40 weeks were prospectively enrolled and studied using time-synced electroencephalography and electrocardiography for up to 60 min before discharge from the birth hospital. The ccortical autonomicc nervous system association was analyzed using coherence between electroencephalography-delta power and heart rate variability. Heart rate variability measured the parasympathetic tone (root mean square of successive differences of heart rate) and sympathetic tone (standard deviation of heart rate).

resultsOne hundred and twenty-nine low-risk term infants were included. High coherence delta-root mean square of successive differences was found in central, bitemporal, and occipital brain regions, with less robust coherence delta-standard deviation in the central region and bitemporal areas.

conclusionsOur findings describe a topography of ccortical autonomicc connectivity present at term in low-risk newborns, which was more robust to parasympathetic than sympathetic brainstem centers and was independent of newborn state.

Indexed as

Autonomic Nervous SystemElectrocardiographyCerebral CortexElectroencephalographyHeart RateHumansInfantInfant, NewbornAutonomic nervous systemCoherenceCortical connectivityHeart rate variabilityTerm newborn

Identifiers

PMID33718981
PMCPMC8603422

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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.