Evidence map›Paper›PMID 39400698›Full record

ArticlePediatric radiology2024

The prevalence of subdural blood products in extremely premature infants with no history of abusive head trauma, studied by magnetic resonance imaging around term-equivalent age.

Maria Olsen Fossmark, Hannah Bakøy, Nils Thomas Songstad, Thorsten Köhler, Derk Avenarius, Stein Magnus Aukland, Karen Rosendahl

Abstract read
In one paragraph

Article in Pediatric radiology, 2024. 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
–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

1 citing paper in PubMed.

  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

7 authors.

Maria Olsen FossmarkDepartment of Clinical Medicine, UiT The Arctic University of Norway, Post Office Box 6050 Langnes, 9037, Tromsø, Norway. Maria.o.fossmark@uit.no.ORCID 0009-0004-4381-6402
Hannah BakøyDepartment of Paediatrics, Haukeland University Hospital, Bergen, Norway.ORCID 0000-0003-1388-3466
Nils Thomas SongstadDepartment of Paediatrics and Adolescent Medicine, University Hospital of North Norway, Tromsø, Norway.ORCID 0000-0003-0343-5598
Thorsten KöhlerDepartment of Radiology, University Hospital of North Norway, Tromsø, Norway.
Derk AvenariusDepartment of Clinical Medicine, UiT The Arctic University of Norway, Post Office Box 6050 Langnes, 9037, Tromsø, Norway.ORCID 0000-0003-4279-7540
Stein Magnus AuklandDepartment of Clinical Medicine, University of Bergen, Bergen, Norway.
Karen RosendahlDepartment of Clinical Medicine, UiT The Arctic University of Norway, Post Office Box 6050 Langnes, 9037, Tromsø, Norway.ORCID 0000-0002-0135-2169

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrematurity and enlarged subarachnoid spaces are both hypothesised to represent an increased risk of subdural haemorrhages (SDHs) in infancy, both with and without a history of abuse.

objectiveTo examine the prevalence of a previous haemorrhage, particularly SDHs, in infants born extremely prematurely around term-equivalent age; to examine intra- and inter-observer agreement for identification of haemorrhages; and to examine the width of the subarachnoid spaces. MATERIALS AND

methodsA total of 121 extremely premature infants had cerebral magnetic resonance imaging (MRI) performed around term-equivalent age (mean chronological age 14.7 weeks, range 10.3-24.0 weeks). There were no infants investigated for abuse in our cohort. Intracranial haemorrhages were classified as isolated germinal matrix-haemorrhages, parenchymal haemorrhages (cerebellar- and cerebral haemorrhages), or extra-axial haemorrhages (subarachnoid haemorrhages, SDHs, or epidural haemorrhages). Sinocortical width and interhemispheric distance were measured.

resultsNo appreciable SDH was detected with the performed sequences. Haemorrhage/blood products related to prematurity were seen in 60 (49.5%) of the neonates. Agreement was good to very good for identification of haemorrhage. The mean sinocortical width was 3.5 mm with a standard deviation (SD) of 1.4 mm on the right side and 3.3 mm (SD 1.2 mm) on the left side. The mean interhemispheric distance was 3.1 mm (SD 1.1 mm). 61.1% of the infants had a sinocortical width > 3 mm on one or both sides.

conclusionOur study does not support the hypothesis that premature infants are more prone to SDH unrelated to abusive head trauma during the first 3-4 months of life. A large percentage of the ex-premature infants had prominent subarachnoid spaces.

Indexed as

Child AbuseInfant, Extremely PrematureMagnetic Resonance ImagingCraniocerebral TraumaFemaleHematoma, SubduralHumansInfantInfant, NewbornInfant, Premature, DiseasesMalePrevalenceExtremely prematureHematoma, SubduralInfantIntracranial haemorrhagesMagnetic resonance imagingSubarachnoid space

Identifiers

PMID39400698
PMCPMC11579131

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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.