Evidence map›Paper›PMID 38082212›Full record

ArticleIndian journal of pediatrics2025

Metabolic Evaluation in Children aged 3 months to 2 years with Global Developmental Delay.

Rochelle Natasha Gomes, Ramesh Bhat Y, Sandesh Kini, Pushpa G Kini, A Shrikiran, C M Suneel

Open access · hybridAbstract read
In one paragraph

Article in Indian journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 43% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

6 authors at 2 institutions in 1 country.

Rochelle Natasha GomesDepartment of Pediatrics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.
Ramesh Bhat YDepartment of Pediatrics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India. ramesh.bhaty@manipal.edu.
Sandesh KiniDepartment of Pediatrics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.
Pushpa G KiniDepartment of Pediatrics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.
A ShrikiranDepartment of Pediatrics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.
C M SuneelDepartment of Pediatrics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.
Kasturba Medical College, Manipal · INManipal Academy of Higher Education · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo study the clinical profile and role of metabolic evaluation in children aged 3 mo to 2 y with global developmental delay (GDD) of unclear etiology.

methodsIn this prospective study, demographic and clinical data along with first line metabolic test results [blood glucose, arterial blood sample analysis, renal function tests, uric acid, serum electrolytes, liver function tests (LFTs), plasma ammonia, arterial blood lactate and pyruvate, urine ketone/ reducing substances] were documented and analyzed. Tandem Mass Spectroscopy (TMS) and Gas Chromatography and Mass Spectrometry (GC-MS) data were also analysed.

resultsOf 101 eligible children, 48 were excluded. Among 53 children included in the study, 32 (60.3%) were less than 1 y and 21 (39.7%) were more than 1 y. Four major developmental domains were almost equally affected in 16 (30.1%), three domains in 4 (7.5%) and two domains in 33 (62.4%) children. Fourteen (26.4%) children were found to have a probable metabolic disorder based on initial tests- 10 mitochondrial disorders, 3 organic-acidemias and 1 fatty-acid-oxidation defect. Further, on TMS and GC-MS tests, 11 (20.7%) had a metabolic disorder- 7 mitochondriopathies, 2 methylmalonic-aciduria, 1 each with glutaric-acidemia and ethylmalonic-aciduria.

conclusionsAmong children with GDD of unclear etiology, metabolic errors constitute a small proportion of etiology. In this group early metabolic tests could identify potentially treatable conditions.

Indexed as

Developmental DisabilitiesMetabolic DiseasesChild, PreschoolFemaleGas Chromatography-Mass SpectrometryHumansInfantLiver Function TestsMaleProspective StudiesChildrenGlobal developmental delayInborn errors of metabolism

Identifiers

PMID38082212
PMCPMC11758175
OpenAlexW4389580903

What OpenQuestion holds

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Registered trials

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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.