Evidence map›Paper›PMID 39112966›Full record

SynthesisBMC pediatrics2024

Impact of neonatal sepsis on neurocognitive outcomes: a systematic review and meta-analysis.

Wei Jie Ong, Jun Jie Benjamin Seng, Beijun Yap, George He, Nooriyah Aliasgar Moochhala, Chen Lin Ng, Rehena Ganguly, Jan Hau Lee, Shu-Ling Chong

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
–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

22 citing papers in PubMed, 3 syntheses or guidelines 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.

Wei Jie Ong *MOH Holdings, Singapore, 1 Maritime Square, Singapore, 099253, Singapore.ORCID http://orcid.org/0000-0001-8244-2977
Jun Jie Benjamin Seng *MOH Holdings, Singapore, 1 Maritime Square, Singapore, 099253, Singapore. benjamin.seng@mohh.com.sg.ORCID http://orcid.org/0000-0002-3039-3816
Beijun YapMOH Holdings, Singapore, 1 Maritime Square, Singapore, 099253, Singapore.
George HeYong Loo Lin School of Medicine, 10 Medical Dr, Yong Loo Lin School of Medicine, Singapore, Singapore.
Nooriyah Aliasgar MoochhalaYong Loo Lin School of Medicine, 10 Medical Dr, Yong Loo Lin School of Medicine, Singapore, Singapore.
Chen Lin NgMOH Holdings, Singapore, 1 Maritime Square, Singapore, 099253, Singapore.
Rehena GangulyCentre for Quantitative Medicine, Duke-NUS Medical School, Singapore, Singapore.ORCID http://orcid.org/0000-0001-9347-5571
Jan Hau LeeChildren's Intensive Care Unit, KK Women's and Children's Hospital, SingHealth Paediatrics Academic Clinical Programme, 100 Bukit Timah Rd, Singapore, 229899, Singapore.ORCID http://orcid.org/0000-0002-8430-4217
Shu-Ling ChongDepartment of Emergency Medicine, KK Women's and Children's Hospital, SingHealth Paediatrics Academic Clinical Programme, SingHealth Emergency Medicine Academic Clinical Programme, 100 Bukit Timah Rd, Singapore, 229899, Singapore.ORCID http://orcid.org/0000-0003-4647-0019

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSepsis is associated with neurocognitive impairment among preterm neonates but less is known about term neonates with sepsis. This systematic review and meta-analysis aims to provide an update of neurocognitive outcomes including cognitive delay, visual impairment, auditory impairment, and cerebral palsy, among neonates with sepsis.

methodsWe performed a systematic review of PubMed, Embase, CENTRAL and Web of Science for eligible studies published between January 2011 and March 2023. We included case-control, cohort studies and cross-sectional studies. Case reports and articles not in English language were excluded. Using the adjusted estimates, we performed random effects model meta-analysis to evaluate the risk of developing neurocognitive impairment among neonates with sepsis.

resultsOf 7,909 studies, 24 studies (n = 121,645) were included. Majority of studies were conducted in the United States (n = 7, 29.2%), and all studies were performed among neonates. 17 (70.8%) studies provided follow-up till 30 months. Sepsis was associated with increased risk of cognitive delay [adjusted odds ratio, aOR 1.14 (95% CI: 1.01-1.28)], visual impairment [aOR 2.57 (95%CI: 1.14- 5.82)], hearing impairment [aOR 1.70 (95% CI: 1.02-2.81)] and cerebral palsy [aOR 2.48 (95% CI: 1.03-5.99)].

conclusionNeonates surviving sepsis are at a higher risk of poorer neurodevelopment. Current evidence is limited by significant heterogeneity across studies, lack of data related to long-term neurodevelopmental outcomes and term infants.

Indexed as

Neonatal SepsisCerebral PalsyHumansInfant, NewbornVision DisordersInfantile sepsisNeonatal sepsisNeurocognitive outcomesSepsisSystematic review

Identifiers

PMID39112966
PMCPMC11304789

What OpenQuestion holds

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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.