Evidence map›Paper›PMID 36446920›Full record

ArticlePediatric research2023

Preschool neurodevelopment in Zika virus-exposed children without congenital Zika syndrome.

Sarah B Mulkey, Colleen Peyton, Emily Ansusinha, Elizabeth Corn, Margarita Arroyave-Wessel, Anqing Zhang, Cara Biddle, Corina Gutierrez, Andrea Sorkar, Andres Cure and 5 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Pediatric research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04398901 (Developmental Outcome After In Utero ZIKV Exposure in Children Without Congenital Zika Syndrome), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.6field-weighted citation impact, top 7% 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.

NCT04398901 enrolling by invitationnot on this map

Developmental Outcome After In Utero ZIKV Exposure in Children Without Congenital Zika Syndrome

TypeobservationalSponsorChildren's National Research InstituteRan2020 to 2025Enrolled204ConditionsZika Virus, Congenital Zika Syndrome, Congenital Infection, Child DevelopmentArmsNeurodevelopmental assessments
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Academic and social-behavioral assessment in a prospective cohort of normocephalic school-aged children with antenatal Zika virus exposure.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2025
    Article
  4. Article
  5. Review
  6. Flaviviruses-Induced Neurological Sequelae.Pathogens (Basel, Switzerland) · 2024
    Review
  7. The mechanisms of Zika virus-induced neuropathogenesis.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2024
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
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

15 authors at 3 institutions in 1 country.

Sarah B MulkeyChildren's National Hospital, Washington, DC, USA. SBMULKEY@childrensnational.org.ORCID 0000-0002-8084-526X
Colleen PeytonDepartment of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL, USA.
Emily AnsusinhaChildren's National Hospital, Washington, DC, USA.
Elizabeth CornChildren's National Hospital, Washington, DC, USA.
Margarita Arroyave-WesselChildren's National Hospital, Washington, DC, USA.
Anqing ZhangChildren's National Hospital, Washington, DC, USA.
Cara BiddleChildren's National Hospital, Washington, DC, USA.
Corina GutierrezBIOMELab, Barranquilla, Colombia.
Andrea SorkarBIOMELab, Barranquilla, Colombia.
Andres CureBIOMELab, Barranquilla, Colombia.
Daniela CureBIOMELab, Barranquilla, Colombia.
Adre J du PlessisChildren's National Hospital, Washington, DC, USA.
Roberta L DeBiasiChildren's National Hospital, Washington, DC, USA.
Michael E MsallUniversity of Chicago Medicine Kennedy Research Center on Intellectual and Neurodevelopmental Disabilities, Chicago, IL, USA.
Carlos CureBIOMELab, Barranquilla, Colombia.
Children's National · USNorthwestern University · USUniversity of Chicago · US

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)KL2TR001424 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SHARMA, LEENA · 2015 to 2023
$8.1M
Childhood Outcome After In Utero ZIKV ExposureR01HD102445 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI MULKEY, SARAH BETH · 2020 to 2024
$3.6M
NCATS NIH HHS KL2 TR001424NICHD NIH HHS R01 HD102445
6 · The paper itself

Abstract

backgroundChildren with in utero Zika virus (ZIKV) exposure without congenital Zika syndrome (CZS) are at risk for abnormal neurodevelopment. Preschool-age outcomes for children with antenatal ZIKV exposure have not yet been established.

methodsChildren with in utero ZIKV exposure and non-exposed controls had neurodevelopmental evaluations at age 3-5 years in Sabanalarga, Colombia. Cases did not have CZS and were previously evaluated prenatally through age 18 months. Controls were born before ZIKV arrival to Colombia. Neurodevelopmental assessments included Pediatric Evaluation of Disability Inventory (PEDI-CAT), Behavior Rating Inventory of Executive Function (BRIEF-P), Bracken School Readiness Assessment (BSRA), and Movement Assessment Battery for Children (MABC). Family demographics and child medical history were recorded.

resultsFifty-five ZIKV-exposed children were evaluated at mean age 3.6 years and 70 controls were evaluated at 5.2 years. Family demographics were similar between groups. BRIEF-P t-scores were higher for cases than controls in shift and flexibility domains. Cases had lower PEDI-CAT mobility t-scores compared to controls. There was no difference in MABC between groups. In 11% of cases and 1% of controls, parents reported child mood problems.

conclusionsChildren with in utero ZIKV exposure without CZS may demonstrate emerging differences in executive function, mood, and adaptive mobility that require continued evaluation. IMPACT: Preschool neurodevelopmental outcome in children with in utero Zika virus exposure is not yet known, since the Zika virus epidemic occurred in 2015-2017 and these children are only now entering school age. This study finds that Colombian children with in utero Zika virus exposure without congenital Zika syndrome are overall developing well but may have emerging differences in executive function, behavior and mood, and adaptive mobility compared to children without in utero Zika virus exposure. Children with in utero Zika virus exposure require continued multi-domain longitudinal neurodevelopmental evaluation through school age.

Indexed as

MicrocephalyPregnancy Complications, InfectiousZika VirusZika Virus InfectionEducational StatusFemaleHumansPregnancySchools

Identifiers

PMID36446920
PMCPMC10227180
OpenAlexW4310459307

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.