Evidence map›Paper›PMID 38815750›Full record

ArticleThe Journal of pediatrics2024

Neonatal Hypoglycemia and Neurocognitive Function at School Age: A Prospective Cohort Study.

Xingyu Wei, Nike Franke, Jane M Alsweiler, Gavin T L Brown, Gregory D Gamble, Alicia McNeill, Jenny Rogers, Benjamin Thompson, Jason Turuwhenua, Trecia A Wouldes and 3 more

Abstract read
In one paragraph

Article in The Journal of pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Improving timing of early neonatal hypoglycemia screening in the well-baby nursery.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  3. Article
  4. Review
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

13 authors.

Xingyu WeiLiggins Institute, University of Auckland, Auckland, New Zealand.
Nike FrankeLiggins Institute, University of Auckland, Auckland, New Zealand.
Jane M AlsweilerDepartment of Paediatrics: Child and Youth Health, University of Auckland, Auckland, New Zealand.
Gavin T L BrownEducation and Social Work, University of Auckland, Auckland, New Zealand.
Gregory D GambleLiggins Institute, University of Auckland, Auckland, New Zealand.
Alicia McNeillLiggins Institute, University of Auckland, Auckland, New Zealand.
Jenny RogersLiggins Institute, University of Auckland, Auckland, New Zealand.
Benjamin ThompsonSchool of Optometry and Vision Science, University of Waterloo, Waterloo, ON, Canada; School of Optometry and Vision Science, University of Auckland, Auckland, New Zealand; Centre for Eye and Vision Research, Hong Kong, China.
Jason TuruwhenuaAuckland Bioengineering Institute, University of Auckland, Auckland, New Zealand.
Trecia A WouldesDepartment of Psychological Medicine, University of Auckland, Auckland, New Zealand.
Jane E HardingLiggins Institute, University of Auckland, Auckland, New Zealand.
Christopher J D McKinlayDepartment of Paediatrics: Child and Youth Health, University of Auckland, Auckland, New Zealand. Electronic address: c.mckinlay@auckland.ac.nz.
pre-hPOD Early School-age Outcomes Study Group

Funding

"Two year outcomes after dextrose gel prophylaxis for neonatal hypoglycaemia"R01HD091075 · NICHD · UNIVERSITY OF AUCKLAND · PI HARDING, JANE · 2018 to 2022
$2.0M
NICHD NIH HHS R01 HD091075
6 · The paper itself

Abstract

objectiveTo determine the relationship between transient neonatal hypoglycemia in at-risk infants and neurocognitive function at 6-7 years of corrected age. STUDY

designThe pre-hPOD Study involved children born with at least 1 risk factor for neonatal hypoglycemia. Hypoglycemia was defined as ≥1 consecutive blood glucose concentrations <47 mg/dl (2.6 mmol/L), severe as <36 mg/dl (2.0 mmol/L), mild as 36 to <47 mg/dL (2.0 to <2.6 mmol/L), brief as 1-2 episodes, and recurrent as ≥3 episodes. At 6-7 years children were assessed for cognitive and motor function (NIH-Toolbox), learning, visual perception and behavior. The primary outcome was neurocognitive impairment, defined as >1 SD below the normative mean in ≥1 Toolbox tests. The 8 secondary outcomes covered children's cognitive, motor, language, emotional-behavioral, and visual perceptual development. Primary and secondary outcomes were compared between children who did and did not experience neonatal hypoglycemia, adjusting for potential confounding by gestation, birthweight, sex and receipt of prophylactic dextrose gel (pre-hPOD intervention). Secondary analysis included assessment by severity and frequency of hypoglycemia.

resultsOf 392 eligible children, 315 (80%) were assessed at school age (primary outcome, n = 308); 47% experienced hypoglycemia. Neurocognitive impairment was similar between exposure groups (hypoglycemia 51% vs 50% no hypoglycemia; aRD -4%, 95% CI -15%, 7%). Children with severe or recurrent hypoglycemia had worse visual motion perception and increased risk of emotional-behavioral difficulty.

conclusionExposure to neonatal hypoglycemia was not associated with risk of neurocognitive impairment at school-age in at-risk infants, but severe and recurrent episodes may have adverse impacts.

trial registrationHypoglycemia Prevention in Newborns with Oral Dextrose: the Dosage Trial (pre-hPOD Study): ACTRN12613000322730.

Indexed as

HypoglycemiaBlood GlucoseChildCognitionCohort StudiesFemaleHumansInfant, NewbornMaleProspective StudiesRisk FactorsBlood Glucosecognitionhypoglycemiainfant newborn

Identifiers

PMID38815750
PMCPMC11688105

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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.