Evidence map›Paper›PMID 35298855›Full record

ArticleActa paediatrica (Oslo, Norway : 1992)2022

Validation of central nervous system-induced seizures and other neurological variables in the Swedish Neonatal Quality Register.

Hanna Westergren, Helena Marell Hesla, Maria Altman, Ronny Wickström

Abstract read
In one paragraph

Article in Acta paediatrica (Oslo, Norway : 1992), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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

4 authors.

Hanna WestergrenNeuropaediatric Unit, Department of Women´s and Children´s Health, Karolinska Institute, Solna, Sweden.ORCID 0000-0002-7658-5004
Helena Marell HeslaNeuropaediatric Unit, Department of Women´s and Children´s Health, Karolinska Institute, Solna, Sweden.
Maria AltmanPaediatric Rheumatology Unit, Department of Clinical Epidemiology Unit, Department of Medicine, Karolinska Institute, Solna, Sweden.ORCID 0000-0001-8316-0154
Ronny WickströmNeuropaediatric Unit, Department of Women´s and Children´s Health, Karolinska Institute, Solna, Sweden.

Funding

DAMP-fundKommunfullmäktige, Stockholms StadPO3, Astrid Lindgren´s Children´s Hospital
6 · The paper itself

Abstract

aimWe sought to validate neurological variables and relevant International Classification of Diseases, Tenth Revision (ICD-10) codes in the Swedish Neonatal Quality (SNQ) Register.

methodsRegister data were collected for 351 neonates, born between January 2009 and December 2016, who were treated at a neonatal unit in the Stockholm region on 385 occasions. They were eligible if the check-box for central nervous system (CNS)-induced seizures was ticked. The Register data, including relevant ICD-10 codes, were validated by checking the patients' electronic medical charts.

resultsMost of the neonates were born at term (76%) and weighed >2500 g (80%). The variable CNS-induced seizures had a positive predictive value of 46%. The ICD-10 diagnosis P90.9A had a positive predictive value of 90%. This comprises seizures validated with electroencephalography, amplitude-integrated electroencephalography or continuous function monitoring. The majority of the associated neurological variables in the Register had positive predictive values above 85%.

conclusionWhen the check-box was ticked for central nervous system-induced seizures, most of the neurological variables in the Register had high validity. However, the CNS-induced seizures variable per se had a lower positive predictive value. Future SNQ Register-based studies of such neonatal seizures should also include ICD-10 P90.9A.

Indexed as

ElectroencephalographySeizuresCentral Nervous SystemHumansInfant, NewbornPredictive Value of TestsSwedeninternational classification of diseasesneonatalseizuresSwedish Neonatal Quality Registervalidation

Identifiers

PMID35298855
PMCPMC9314797

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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.