Evidence map›Paper›PMID 36731229›Full record

ArticlePediatric neurology2023

Neurological and Neuroradiological Manifestations in Neonates Born to Mothers With Coronavirus Disease 2019.

Mariko Kurokawa, Ryo Kurokawa, Ava Yun Lin, Aristides A Capizzano, Akira Baba, John Kim, Timothy D Johnson, Ashok Srinivasan, Toshio Moritani

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 1 institution in 1 country.

Mariko KurokawaDivision of Neuroradiology, Department of Radiology, University of Michigan, Ann Arbor, Michigan.
Ryo KurokawaDivision of Neuroradiology, Department of Radiology, University of Michigan, Ann Arbor, Michigan. Electronic address: kuroro63@gmail.com.
Ava Yun LinDivision of Neurology, University of Michigan, Ann Arbor, Michigan.
Aristides A CapizzanoDivision of Neuroradiology, Department of Radiology, University of Michigan, Ann Arbor, Michigan.
Akira BabaDivision of Neuroradiology, Department of Radiology, University of Michigan, Ann Arbor, Michigan.
John KimDivision of Neuroradiology, Department of Radiology, University of Michigan, Ann Arbor, Michigan.
Timothy D JohnsonDepartment of Biostatistics, University of Michigan School of Public Health, Ann Arbor, Michigan.
Ashok SrinivasanDivision of Neuroradiology, Department of Radiology, University of Michigan, Ann Arbor, Michigan.
Toshio MoritaniDivision of Neuroradiology, Department of Radiology, University of Michigan, Ann Arbor, Michigan.
University of Michigan · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate the complications that occurred in neonates born to mothers with coronavirus disease 2019 (COVID-19), focusing on neurological and neuroradiological findings, and to compare differences associated with the presence of maternal symptoms.

methodsNinety neonates from 88 mothers diagnosed with coronavirus disease 2019 (COVID-19) during pregnancy were retrospectively reviewed. Neonates were divided into two groups: symptomatic (Sym-M-N, n = 34) and asymptomatic mothers (Asym-M-N, n = 56). The results of neurological physical examinations were compared between the groups. Data on electroencephalography, brain ultrasound, and magnetic resonance imaging abnormalities were collected for neonates with neurological abnormalities.

resultsNeurological abnormalities at birth were found in nine neonates (Sym-M-N, seven of 34, 20.6%). Decreased tone was the most common physical abnormality (n = 7). Preterm and very preterm birth (P < 0.01), very low birth weight (P < 0.01), or at least one neurological abnormality on physical examination (P = 0.049) was more frequent in Sym-M-N neonates. All infants with abnormalities on physical examination showed neuroradiological abnormalities. The most common neuroradiological abnormalities were intracranial hemorrhage (n = 5; germinal matrix, n = 2; parenchymal, n = 2; intraventricular, n = 1) and hypoxic brain injury (n = 3).

conclusionsNeonates born to mothers with symptomatic COVID-19 showed an increased incidence of neurological abnormalities. Most of the mothers (96.4%) were unvaccinated before the COVID-19 diagnosis. Our results highlight the importance of neurological and neuroradiological management in infants born to mothers with COVID-19 and the prevention of maternal COVID-19 infection.

Indexed as

COVID-19Pregnancy Complications, InfectiousPremature BirthCOVID-19 TestingFemaleHumansInfantInfant, NewbornInfant, Very Low Birth WeightMothersPregnancyRetrospective StudiesCOVID-19Neuroradiologic manifestationsNewbornPregnancy

Identifiers

PMID36731229
PMCPMC9741496
OpenAlexW4311256928

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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.