Evidence map›Paper›PMID 33727240›Full record

ArticleArchives of disease in childhood2021

Risk factors for intellectual disability in children with spastic cerebral palsy.

David Cummins, Claire Kerr, Karen McConnell, Oliver Perra

Open access · hybridAbstract read
In one paragraph

Article in Archives of disease in childhood, 2021. 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
1.2field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 12 citations in OpenAlex.

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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

4 authors at 2 institutions in 1 country.

David CumminsRoyal Jubilee Maternity Service, Belfast, UK.
Claire KerrSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, UK c.kerr@qub.ac.uk.ORCID 0000-0003-2067-5091
Karen McConnellSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.
Oliver PerraSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.
Queen's University Belfast · GBRoyal Jubilee Maternity Services · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCerebral palsy (CP) is a non-progressive disorder of posture and movement caused by prenatal or perinatal lesions of the brain. Children with CP are also at increased risk of other disabilities, for example, intellectual disability. Previous studies suggest the risk of intellectual disability varies in complex ways according to the type of motor impairment and perinatal factors such as gestational age.

objectiveTo determine the patterns of risk of intellectual disability in children with spastic CP.

designCross-sectional, population-based study using the Northern Ireland Cerebral Palsy Register.

participantsPersons born in 1981-2008 with congenital bilateral or unilateral spastic CP (N=1452). OUTCOME MEASURE: The outcome measure was severe intellectual disability (IQ <50), as reported by clinicians known to the child. Data pertaining to CP subtype, sex, gestational age, birth weight and functional level were included in analyses.

resultsSevere intellectual disability was significantly more prevalent in children with bilateral spastic CP (BSCP) compared with children with unilateral spastic CP (χ² (2)=162.60, p<0.001). Compared with very preterm infants with BSCP, the risk of intellectual disability increased in moderately preterm (OR=3.97, 95% CI 1.04 to 15.23) and at-term (OR=2.51, 95% CI 1.16 to 5.44) children with BSCP.

conclusionsChildren with BSCP are at increased risk of intellectual disability, with those born at term at the highest risk. The findings highlight the importance of early screening, particularly for children with BSCP born at term.

Indexed as

Birth WeightTerm BirthCerebral PalsyChild, PreschoolCross-Sectional StudiesFemaleGestational AgeHumansInfantInfant, NewbornInfant, Small for Gestational AgeIntellectual DisabilityMaleNorthern IrelandPremature BirthRegistriesepidemiologyneurology

Identifiers

PMID33727240
PMCPMC8461399
OpenAlexW3135209637

What OpenQuestion holds

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LicenceCC BY-NC
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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.