Evidence map›Paper›PMID 34815239›Full record

ArticleArchives of disease in childhood. Fetal and neonatal edition2022

Parental perspective on important health outcomes of extremely preterm infants.

Magdalena Jaworski, Annie Janvier, Claude Julie Bourque, Thuy-An Mai-Vo, Rebecca Pearce, Anne R Synnes, Thuy Mai Luu

Open access · hybridAbstract read
In one paragraph

Article in Archives of disease in childhood. Fetal and neonatal edition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  10. Integrating parent voices into research at the extremes of prematurity: what are we doing and where should we go?Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
  11. Balancing survival and suffering: factors influencing parental decision making after periviable consultation.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
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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

7 authors at 2 institutions in 1 country.

Magdalena JaworskiDepartment of pediatrics, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Québec, Canada.
Annie JanvierDepartment of pediatrics, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Québec, Canada.
Claude Julie BourqueClinical Ethics Unit, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Québec, Canada.
Thuy-An Mai-VoCentre Hospitalier Universitaire Sainte-Justine Research Center, Montreal, Québec, Canada.
Rebecca PearceBureau du partenariat patients-familles-soignants, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Québec, Canada.
Anne R SynnesBritish Columbia Children's Hospital Research Institute, Vancouver, British Columbia, Canada.ORCID http://orcid.org/0000-0002-6917-0978
Thuy Mai LuuDepartment of pediatrics, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Québec, Canada thuy.mai.luu@umontreal.ca.ORCID http://orcid.org/0000-0003-2222-186X
Centre Hospitalier Universitaire Sainte-Justine · CABC Children's Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveNeonatal outcome research and clinical follow-up principally focus on neurodevelopmental impairment (NDI) after extremely preterm birth, as defined by the scientific community, without parental input. This survey aimed to investigate parental perspectives about the health and development of their preterm children.

methodsParents of children aged 18 months to 7 years born <29 weeks' gestational age presenting at a neonatal follow-up clinic over a 1-year period were asked to evaluate their children's health and development. They were also asked the following question: 'if you could improve two things about your child, what would they be?' Responses were analysed using mixed methods. Logistic regressions were done to compare parental responses.

results248 parents of 213 children (mean gestational age 26.6±1.6 weeks, 20% with severe NDI) were recruited. Parents evaluated their children's health at a median of 9/10. Parental priorities for health improvements were (1) development, mainly behaviour, emotional health and language/communication (55%); (2) respiratory heath and overall medical fragility (25%); and (3) feeding/growth issues (14%). Nineteen per cent explicitly mentioned 'no improvements'. Parents were more likely to state 'no improvements' if child had no versus severe NDI OR 4.33 (95% CI 1.47 to 12.75)) or if parents had no versus at least a high school diploma (OR 4.01 (95% 1.99 to 8.10)).

conclusionsParents evaluate the health of their preterm children as being very good, with positive perspectives. Parental concerns outside the developmental sphere should also be addressed both in clinical follow-up and research.

Indexed as

Infant, Extremely PrematurePremature BirthChildFemaleGestational AgeHumansInfantInfant, NewbornOutcome Assessment, Health CareParentschild developmentethicsneonatologypaediatrics

Identifiers

PMID34815239
PMCPMC9411910
OpenAlexW3216530423

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.