Evidence map›Paper›PMID 34558605›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2022

South Indian Children's Neurodevelopmental Outcomes After Group B Streptococcus Invasive Disease: A Matched-Cohort Study.

Hima B John, Asha Arumugam, Mohana Priya, Nandhini Murugesan, Nandhini Rajendraprasad, Grace Rebekah, Proma Paul, Jaya Chandna, Joy E Lawn, Sridhar Santhanam

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Group BLancet regional health. Americas · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. South African Children: A Matched Cohort Study of Neurodevelopmental Impairment in Survivors of Invasive Group B Streptococcus Disease Aged 5 to 8 Years.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  8. Every Country, Every Family: Time to Act for Group B Streptococcal Disease Worldwide.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  9. 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

10 authors.

Hima B JohnDepartment of Neonatology, Christian Medical College, Vellore, India.
Asha ArumugamDepartment of Neonatology, Christian Medical College, Vellore, India.
Mohana PriyaDepartment of Neonatology, Christian Medical College, Vellore, India.
Nandhini MurugesanDepartment of Neonatology, Christian Medical College, Vellore, India.
Nandhini RajendraprasadDepartment of Neonatology, Christian Medical College, Vellore, India.
Grace RebekahDepartment of Biostatistics, Christian Medical College, Vellore, India.
Proma PaulMaternal, Adolescent, Reproductive & Child Health (MARCH) Centre, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Jaya ChandnaMaternal, Adolescent, Reproductive & Child Health (MARCH) Centre, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Joy E LawnMaternal, Adolescent, Reproductive & Child Health (MARCH) Centre, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Sridhar SanthanamDepartment of Neonatology, Christian Medical College, Vellore, India.

Funding

Bill and Melinda Gates FoundationLondon School of Hygiene and Tropical Medicine
6 · The paper itself

Abstract

backgroundThis study is part of a multicountry matched-cohort study designed to estimate the risk of long-term neurodevelopmental impairment (NDI) of children exposed to invasive group B Streptococcus (iGBS). The specific objective of this paper is to compare NDI across domains of iGBS survivors with a matched non iGBS group in our population.

methodsSurvivors of iGBS in a South Indian hospital were identified and recruited between January 2020 and April 2021. Cases were compared with age- and gender-matched non iGBS children. Participants were assessed using Bayley Scales of Infant and Toddler Development-3rd edition (BSID-III), Wechsler Preschool and Primary Scale of Intelligence-4th edition (WPPSI-IV), Wechsler Intelligence Scale for Children-5th edition (WISC-V), Child Behavior Checklist (CBCL), and Bruininks-Oseretsky Test of Motor Proficiency, 2nd edition (BOT-2), depending on age.

resultsOur cohort comprised 35 GBS-exposed and 65 matched non iGBS children, aged 1-14 years. The iGBS-exposed group had 17 (48.6%) children with impairment in ≥1 domain compared to 25 (38%) in the non iGBS group (unadjusted OR, 1.51; 95% CI, .65-3.46), 9 (26%) children with "multi-domain impairment" compared to 10 (15.4%) in the non iGBS group (unadjusted OR, 1.90; 95% CI, .69-5.24), and 1 (2.9%) child with moderate to severe impairment compared to 3 (4.6%) in the non iGBS group (unadjusted OR, .60; 95% CI, .06-6.07). In the iGBS group, more children had motor impairments compared with the non iGBS group (unadjusted OR, 10.7; 95% CI, 1.19-95.69; P = .034).

conclusionsChildren with iGBS seem at higher risk of developing motor impairments compared with a non iGBS group.

Indexed as

Child DevelopmentStreptococcus agalactiaeAdolescentChildChild, PreschoolCohort StudiesHumansInfantgroup B Streptococcus invasive diseaseIndianeurodevelopmental impairmentneurodevelopmental outcomes

Identifiers

PMID34558605
PMCPMC8775645

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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.