Evidence map›Paper›PMID 34454953›Full record

Trial reportThe Journal of pediatrics2021

Association between Term Equivalent Brain Magnetic Resonance Imaging and 2-Year Outcomes in Extremely Preterm Infants: A Report from the Preterm Erythropoietin Neuroprotection Trial Cohort.

Dennis E Mayock, Semsa Gogcu, Mihai Puia-Dumitrescu, Dennis W W Shaw, Jason N Wright, Bryan A Comstock, Patrick J Heagerty, Sandra E Juul, Preterm Erythropoietin Neuroprotection (PENUT) Trial Consortium

Abstract readClinical Trial, Phase IIIRandomized 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Observational
  5. Article
  6. Review
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

9 authors.

Dennis E MayockDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA. Electronic address: mayock@uw.edu.
Semsa GogcuDivision of Neonatology, Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC.
Mihai Puia-DumitrescuDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA.
Dennis W W ShawDepartment of Radiology, University of Washington, Seattle, WA.
Jason N WrightDepartment of Radiology, University of Washington, Seattle, WA.
Bryan A ComstockDepartment of Biostatistics, 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.
Preterm Erythropoietin Neuroprotection (PENUT) Trial Consortium

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 compare the term equivalent brain magnetic resonance imaging (MRI) findings between erythropoietin (Epo) treated and placebo control groups in infants 24 STUDY

designThe association between brain abnormality scores and Bayley Scales of Infant Development, Third Edition at 2 years corrected age was explored in a subset of infants enrolled in the Preterm Erythropoietin Neuroprotection Trial. Potential risk factors for neurodevelopmental outcomes such as treatment assignment, recruitment site, gestational age, inpatient complications, and treatments were examined using generalized estimating equation models.

resultsOne hundred ten infants were assigned to Epo and 110 to placebo groups. 27% of MRI scans were rated as normal, and 60%, 10%, and 2% were rated as having mild, moderate, or severe abnormality. Brain abnormality scores did not significantly differ between the treatment groups. Factors that increased the risk of higher brain injury scores included intubation; bronchopulmonary dysplasia; retinopathy of prematurity; opioid, benzodiazepine, or antibiotic treatment >7 days; and periventricular leukomalacia or severe intraventricular hemorrhage diagnosed on cranial ultrasound. Increased global brain abnormality and white matter injury scores at term equivalent were associated with reductions in cognitive, motor, and language abilities at 2 years of corrected age.

conclusionsEvidence of brain injury on brain MRIs obtained at term equivalent correlated with adverse neurodevelopmental outcomes as assessed by the Bayley Scales of Infant and Toddler Development, Third Edition at 2 years corrected age. Early Epo treatment had no effect on the MRI brain injury scores compared with the placebo group.

Indexed as

NeuroprotectionBrainChild, PreschoolDouble-Blind MethodErythropoietinFemaleHumansInfantInfant, Extremely PrematureInfant, NewbornMaleNeurodevelopmental DisordersEPO protein, humanErythropoietinMRIneurodevelopmental outcomespreterm

Identifiers

PMID34454953
PMCPMC9052881

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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.