Evidence map›Paper›PMID 38734804›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2025

A practical gestational age-based algorithm for timely detection of hypothyroidism in premature infants.

Avni N Shah, Wen Li, Denise Zheng, Sana Lalani, Dinushan C Kaluarachchi, Tina O Findley

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Article in Journal of perinatology : official journal of the California Perinatal Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Avni N ShahDivision of Pediatric Endocrinology, Department of Pediatrics, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX, USA. Avni.R.Shah@uth.tmc.edu.ORCID http://orcid.org/0009-0004-8911-1424
Wen LiDivision of Clinical and Translational Sciences, Department of Internal Medicine, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX, USA.
Denise ZhengDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX, USA.ORCID http://orcid.org/0000-0002-9680-6257
Sana LalaniDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX, USA.ORCID http://orcid.org/0009-0004-9477-9488
Dinushan C KaluarachchiDepartment of Pediatrics, University of Wisconsin - Madison, Madison, WI, USA.ORCID http://orcid.org/0000-0001-8334-6282
Tina O FindleyDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess utility and accuracy of a gestational age-based screening targeting premature infants to detect congenital hypothyroidism. STUDY

designA prospective cohort study was conducted in infants <35 weeks' gestational age with clinical outcomes at 2-3 years of age. Patients received newborn screenings at 24 hours and 10-14 days of life. Free T4 (FT4) and thyroid-stimulating hormone (TSH) levels were measured at one month of life and repeated based on algorithm by corrected gestational age.

resultsAmong infants <35 weeks gestation (n = 938), the incidence of hypothyroidism requiring treatment was 1:58. TSH levels at one month of age was predictive of treatment (AUC 0.96, 95% CI 0.88-1). The optimal TSH threshold of 8 mIU/L (8 µU/ml) increased the specificity to 0.97 and sensitivity to 0.88. Following initiation of treatment for hypothyroidism during NICU hospitalization, 43.8% (n = 7) were diagnosed with permanent congenital hypothyroidism.

conclusionsOur study supports a gestational age-based screening algorithm for early detection of hypothyroidism in premature infants.

Indexed as

AlgorithmsCongenital HypothyroidismGestational AgeInfant, Premature, DiseasesNeonatal ScreeningThyrotropinChild, PreschoolEarly DiagnosisFemaleHumansInfant, NewbornInfant, PrematureMaleProspective StudiesSensitivity and SpecificityThyroxineThyrotropinThyroxine

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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.