Evidence map›Paper›PMID 34090894›Full record

ArticleThe Journal of pediatrics2021

Neonatal Cranial Ultrasound Findings among Infants Born Extremely Preterm: Associations with Neurodevelopmental Outcomes at 10 Years of Age.

Heather Campbell, Jennifer Check, Karl C K Kuban, Alan Leviton, Robert M Joseph, Jean A Frazier, Laurie M Douglass, Kyle Roell, Elizabeth N Allred, Lynn Ansley Fordham and 8 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in The Journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  6. Neurodevelopmental forecasting in preterms: aEEG at 32 weeks vs. MRI at term in predicting 2-year outcomes.Journal of perinatology : official journal of the California Perinatal Association · 2026
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  12. Review
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  16. Observational
  17. Extreme prematurity: Risk and resiliency.Current problems in pediatric and adolescent health care · 2022
    Review
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  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 7 institutions in 1 country.

Heather CampbellDepartment of Pediatrics, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC.
Jennifer CheckDepartment of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, NC.
Karl C K KubanDepartment of Pediatrics, Division of Pediatric Neurology, Boston University Medical Center, Boston, MA.
Alan LevitonDepartment of Neurology, Boston Children's Hospital and Harvard Medical School, Boston, MA.
Robert M JosephDepartment of Anatomy and Neurobiology, Boston University School of Medicine, Boston, MA.
Jean A FrazierEunice Kennedy Shriver Center, University of Massachusetts Medical School, Worcester, MA.
Laurie M DouglassDepartment of Pediatrics, Division of Pediatric Neurology, Boston University Medical Center, Boston, MA.
Kyle RoellDepartment of Pediatrics, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC.
Elizabeth N AllredDepartment of Neurology, Boston Children's Hospital and Harvard Medical School, Boston, MA.
Lynn Ansley FordhamDepartment of Radiology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC.
Stephen R HooperDepartment of Allied Health, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC.
Hernan JaraDepartment of Radiology, Boston University Medical Center, Boston, MA.
Nigel PanethMichigan State University College of Human Medicine, East Lansing, MI.
Irina MokrovaDuke University School of Medicine, Durham, NC.
Hongyu RuDepartment of Pediatrics, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC.
Hudson P SantosBiobehavioral Laboratory, School of Nursing, University of North Carolina, Chapel Hill, NC.
Rebecca C FryDepartment of Environmental Sciences and Engineering, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC.
T Michael O'SheaDepartment of Pediatrics, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC. Electronic address: moshea52@email.unc.edu.
University of North Carolina at Chapel Hill · USBoston University · USBoston Children's Hospital · USDuke University · USMichigan State University · USUniversity of Massachusetts Chan Medical School · USWake Forest University · US

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
Neonatal Biomarkers in Extremely Preterm Babies Predict Childhood Brain DisordersU01NS040069 · NINDS · CHILDREN'S HOSPITAL BOSTON · PI KUBAN, KARL · 2001 to 2014
$34.0M
The Role of the Placenta-Brain Axis in Children's NeurodevelopmentUH3OD023348 · OD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Rebecca Fry, Michael O'SHEA · 2018 to 2026
$21.9M
Placental Epigenome and Brain Dysfunction after Preterm BirthR01HD092374 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FRY, REBECCA, O'SHEA, MICHAEL · 2017 to 2021
$3.2M
Placental DNA Methylation, Maternal Hardship and Child Neurodevelopmental OutcomesK23NR017898 · NINR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SANTOS, HUDSON · 2018 to 2020
$395k
NICHD NIH HHS R01 HD092374NIEHS NIH HHS P30 ES010126NIH HHS UH3 OD023348NINDS NIH HHS U01 NS040069NINR NIH HHS K23 NR017898
6 · The paper itself

Abstract

objectiveTo examine the association between neonatal cranial ultrasound (CUS) abnormalities among infants born extremely preterm and neurodevelopmental outcomes at 10 years of age. STUDY

designIn a multicenter birth cohort of infants born at <28 weeks of gestation, 889 of 1198 survivors were evaluated for neurologic, cognitive, and behavioral outcomes at 10 years of age. Sonographic markers of white matter damage (WMD) included echolucencies in the brain parenchyma and moderate to severe ventricular enlargement. Neonatal CUS findings were classified as intraventricular hemorrhage (IVH) without WMD, IVH with WMD, WMD without IVH, and neither IVH nor WMD.

resultsWMD without IVH was associated with an increased risk of cognitive impairment (OR 3.5, 95% CI 1.7, 7.4), cerebral palsy (OR 14.3, 95% CI 6.5, 31.5), and epilepsy (OR 6.9; 95% CI 2.9, 16.8). Similar associations were found for WMD accompanied by IVH. Isolated IVH was not significantly associated these outcomes.

conclusionsAmong children born extremely preterm, CUS abnormalities, particularly those indicative of WMD, are predictive of neurodevelopmental impairments at 10 years of age. The strongest associations were found with cerebral palsy.

Indexed as

Age FactorsCerebral Intraventricular HemorrhageChildCohort StudiesCritical CareEchoencephalographyFemaleHospitalizationHumansInfant, Extremely PrematureInfant, NewbornInfant, Premature, DiseasesLeukoencephalopathiesMaleNeurodevelopmental DisordersUnited Statesextreme prematurityintraventricular hemorrhageneurodevelopmental outcomesperinatal brain injuryultrasoundwhite matter injury

Identifiers

PMID34090894
PMCPMC8478718
OpenAlexW3172270917

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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.