Evidence map›Paper›PMID 34217769›Full record

Trial reportThe Journal of pediatrics2021

Intracranial Hemorrhage and 2-Year Neurodevelopmental Outcomes in Infants Born Extremely Preterm.

Janessa B Law, Thomas R Wood, Semsa Gogcu, Bryan A Comstock, Manjiri Dighe, Krystle Perez, Mihai Puia-Dumitrescu, Dennis E Mayock, Patrick J Heagerty, Sandra E Juul

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
8.3field-weighted citation impact, top 2% 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, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  3. Time to regain birthweight and association with neurodevelopmental outcomes among extremely preterm newborns.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Trial
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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

10 authors at 2 institutions in 1 country.

Janessa B LawDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA.
Thomas R WoodDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA. Electronic address: tommyrw@uw.edu.
Semsa GogcuDivision of Neonatology, Department of Pediatrics, Wake Forest School of Medicine, NC.
Bryan A ComstockDepartment of Biostatistics, University of Washington, Seattle, WA.
Manjiri DigheDepartment of Radiology, University of Washington, Seattle, WA.
Krystle PerezDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA.
Mihai Puia-DumitrescuDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA.
Dennis E MayockDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA.
Patrick J HeagertyDepartment of Biostatistics, University of Washington, Seattle, WA.
Sandra E JuulDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA.
University of Washington · USWake Forest University · US

Funding

Preterm Epo Neuroprotection Trial (PENUT Trial) CCCU01NS077953 · NINDS · UNIVERSITY OF WASHINGTON · PI JUUL, SANDRA E · 2013 to 2018
$10.7M
Preterm Epo Neuroprotection Trial (PENUT Trial) DCCU01NS077955 · NINDS · UNIVERSITY OF WASHINGTON · PI HEAGERTY, PATRICK J · 2013 to 2018
$1.5M
NINDS NIH HHS U01 NS077953NINDS NIH HHS U01 NS077955
6 · The paper itself

Abstract

objectivesTo determine the incidence, timing, progression, and risk factors for intracranial hemorrhage (ICH) in infants 24 STUDY

designInfants enrolled in the Preterm Erythropoietin Neuroprotection Trial had serial cranial ultrasound scans performed on day 1, day 7-9, and 36 weeks of postmenstrual age to evaluate ICH. Potential risk factors for development of ICH were examined. Outcomes included death or severe NDI as well as Bayley Scales of Infant and Toddler Development, 3rd Edition, at 2 years of corrected age.

resultsICH was identified in 38% (n = 339) of 883 enrolled infants. Multiple gestation and cesarean delivery reduced the risk of any ICH on day 1. Risk factors for development of bilateral Grade 2, Grade 3, or Grade 4 ICH at day 7-9 included any ICH at day 1; 2 or more doses of prenatal steroids decreased risk. Bilateral Grade 2, Grade 3, or Grade 4 ICH at 36 weeks were associated with previous ICH at day 7-9. Bilateral Grade 2, any Grade 3, and any Grade 4 ICH at 7-9 days or 36 weeks of postmenstrual age were associated with increased risk of death or severe NDI and lower Bayley Scales of Infant and Toddler Development, 3rd Edition, scores.

conclusionsRisk factors for ICH varied by timing of bleed. Bilateral and increasing grade of ICH were associated with death or NDI in infants born extremely preterm.

Indexed as

Child, PreschoolFemaleHumansInfantInfant, Extremely PrematureInfant, NewbornInfant, Premature, DiseasesIntracranial HemorrhagesMaleNeurodevelopmental DisordersPrevalenceRisk FactorsSeverity of Illness IndexUltrasonographyELGANinterventricular hemorrhageneurodevelopmentprematureVLBW

Identifiers

PMID34217769
PMCPMC8551011
OpenAlexW3180997087

What OpenQuestion holds

Textmetadata
LicenceTDM
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.