Evidence map›Paper›PMID 36801212›Full record

ArticleThe Journal of pediatrics2023

Variable Association of Physiologic Changes With Electrographic Seizure-Like Events in Infants Born Preterm.

Stephanie S Lee, Nathalie El Ters, Zachary A Vesoulis, John M Zempel, Amit M Mathur

Abstract read
In one paragraph

Article in The Journal of pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Fetal Pain Perception:Annals of the Child Neurology Society · 2026
    Review
  2. Observational
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

5 authors.

Stephanie S LeeDivision of Neonatology, Department of Pediatrics, University of Iowa Stead Family Children's Hospital, Iowa City, IA.
Nathalie El TersDivision of Newborn Medicine, Department of Pediatrics, Washington University School of Medicine in St Louis, St Louis, MO. Electronic address: nathalie.elters@wustl.edu.
Zachary A VesoulisDivision of Newborn Medicine, Department of Pediatrics, Washington University School of Medicine in St Louis, St Louis, MO.
John M ZempelDepartment of Neurology, Washington University School of Medicine in St Louis, St Louis, MO.
Amit M MathurSaint Louis University School of Medicine, St Louis, MO.

Funding

Racial Disparities in Preterm Brain Injury Are Driven by Differences in Cerebral AutoregulationK23NS111086 · NINDS · WASHINGTON UNIVERSITY · PI VESOULIS, ZACHARY ANDREW · 2019 to 2022
$736k
NINDS NIH HHS K23 NS111086
6 · The paper itself

Abstract

objectivesTo determine the incidence of seizure-like events in a cohort of infants born preterm as well as the prevalence of associated vital sign changes (heart rate [HR], respiratory rate, and pulse oximetry [SpO STUDY

designWe performed prospective conventional video electroencephalogram monitoring on infants born at 23-30 weeks of gestational age during the first 4 postnatal days. For detected seizure-like events, simultaneously captured vital sign data were analyzed during the pre-event baseline and during the event. Significant vital sign changes were defined as HR or respiratory rate >±2 SD from the infant's own baseline physiologic mean, derived from a 10-minute interval before the seizure-like event. Significant change in SpO

resultsOur sample included 48 infants with median gestational age of 28 weeks (IQR 26-29) and birth weight of 1125 g (IQR 963-1265). Twelve (25%) infants had seizure-like discharges with a total of 201 events; 83% (10/12) of infants had vital sign changes during these events, and 50% (6/12) had significant vital sign changes during the majority of the seizure-like events. Concurrent HR changes occurred the most frequently.

conclusionsIndividual infant variability was observed in the prevalence of concurrent vital sign changes with electroencephalographic seizure-like events. Physiologic changes associated with preterm electrographic seizure-like events should be investigated further as a potential biomarker to assess the clinical significance of such events in the preterm population.

Indexed as

OximetrySeizuresBirth WeightGestational AgeHumansInfantInfant, NewbornOxygenProspective StudiesOxygenprematurevideo EEGvital signs

Identifiers

PMID36801212
PMCPMC10575679

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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.