Evidence map›Paper›PMID 34473781›Full record

Trial reportPloS one2021

Consequences of using chronological age versus corrected age when testing cognitive and motor development in infancy and intelligence quotient at school age for children born preterm.

Jacqueline F Gould, Belinda G Fuss, Rachel M Roberts, Carmel T Collins, Maria Makrides

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Preterm growth assessment: the latest findings on age correction.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  5. Article
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  10. [Neurodevelopmental catch-up status and correction termination age in preterm infants of different gestational ages].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
    Article
  11. Article
  12. Mathematics abilities associated with adaptive functioning in preschool children born preterm.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2024
    Article
  13. Article
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  15. Article
  16. Sleep and 24-hour rhythm characteristics in preschool children born very preterm and full term.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
    Article
  17. Article
  18. Article
  19. Characteristics of Speech Sound Development in Preterm-Born Children: A Scoping Review.International journal of language & communication disorders
    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

5 authors.

Jacqueline F GouldWomen and Kids, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.ORCID 0000-0003-2810-6870
Belinda G FussSchool of Psychology, The University of Adelaide, Adelaide, South Australia, Australia.ORCID 0000-0002-7766-533X
Rachel M RobertsSchool of Psychology, The University of Adelaide, Adelaide, South Australia, Australia.
Carmel T CollinsWomen and Kids, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Maria MakridesWomen and Kids, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildren born preterm (<37 weeks' gestation) have an increased risk of poor neurodevelopment, including lower intelligence quotient (IQ) scores compared with their term-born counterparts.

objectiveTo explore the differences in psychometric scores for cognition and motor skills when they are age-standardized according to chronological age instead of corrected age for children born preterm.

methodsWe assessed = 554 children born <33 weeks' gestation with the Bayley Scales of Infant Development, 2nd edition (mental and motor scores) at 18 months and the Weschler Abbreviated Scale of Intelligence (IQ score) at seven years of age. Scores were standardized according to chronological age and corrected age and differences between mean chronological and corrected scores were compared, along with the proportion of children whose scores could be classified as impaired.

resultsWhen scores were standardized according to chronological age instead of corrected age there was a large significant difference of 17.3 points on the mental scale (79.5 vs. 96.8, respectively) and 11.8 points on the motor scale (84.8 vs. 96.6, respectively) at 18 months. By seven years, the difference in IQ scores remained, although of a smaller magnitude at 1.9 points between mean chronological and corrected age scoring (97.2 vs. 99.1, respectively).

conclusionConsistent with previous literature, outcome assessments for preterm infants consistently differed according to use of chronological or corrected age to standardized scores. Cognitive scores were impacted more severely than motor scores, and differences were more substantial in early childhood than later in childhood. For clinical purposes, correction for preterm birth is only likely to have an impact during early childhood, however assessments for research purposes should continue to correct into childhood to account for the persistent bias due to preterm birth.

Indexed as

Premature BirthAustraliaChildChild DevelopmentCognitionFemaleFollow-Up StudiesGestational AgeHumansInfantInfant, NewbornInfant, PrematureIntelligenceMaleMotor SkillsPregnancy

Identifiers

PMID34473781
PMCPMC8412365

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LicenceCC BY
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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.