Evidence map›Paper›PMID 40329476›Full record

ArticleJournal of pediatric gastroenterology and nutrition2025

Analysis of multichannel intraluminal impedance and pH monitoring values in children with cerebral palsy: A comparative multicenter study.

Cristina Lorenzo, Cecilia Zubiri, Anabella Zosi, Sandro Miculan, Daniela Neder, Ana Rocca, Judith Cohen Sabban, Roman Bigliardi, Maria Florencia Biasoli, Manuela Manterola and 13 more

Abstract readMulticenter StudyComparative Study
In one paragraph

Article in Journal of pediatric gastroenterology and nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

23 authors.

Cristina LorenzoHospital Sor Maria Ludovica, La Plata, Buenos Aires, Argentina.ORCID http://orcid.org/0009-0004-3505-1294
Cecilia ZubiriHospital Sor Maria Ludovica, La Plata, Buenos Aires, Argentina.
Anabella ZosiHospital Sor Maria Ludovica, La Plata, Buenos Aires, Argentina.
Sandro MiculanHospital Sor Maria Ludovica, La Plata, Buenos Aires, Argentina.
Daniela NederHospital Juan Pedro Garrahan, Buenos Aires, Argentina.
Ana RoccaHospital Juan Pedro Garrahan, Buenos Aires, Argentina.
Judith Cohen SabbanHospital Italiano, Buenos Aires, Argentina.
Roman BigliardiHospital Nacional Profesor Alejandro Posadas, El Palomar, Argentina.
Maria Florencia BiasoliHospital de Niños "Dr. Ricardo Gutiérrez", Buenos Aires, Argentina.
Manuela ManterolaHospital El Cruce Varela, Buenos Aires, Argentina.
Maria de Los Angeles SaviaHospital Horacio Cestino, Buenos Aires, Argentina.
Luis Orlando PerezInstituto Patagónico de Ciencias Sociales y Humanas, Puerto Madryn, Chubut, Argentina.
Carlos Ruiz HernándezHospital Sant Joan de Deu, Barcelona, Spain.
Renata WeinschelbaumHospital Sanatorio de Nino, Rosario, Argentina.
Ana Cristina Fontenele SoaresUniversidade Federal de São Paulo, São Paulo, São Paulo, Brazil.
Soraia TahanUniversidade Federal de São Paulo, São Paulo, São Paulo, Brazil.
Veronica PlanteHospital Pirovano, Buenos Aires, Argentina.
Christian BoggioHospital Pirovano, Buenos Aires, Argentina.
Soledad ArcucciHospital Italiano, Buenos Aires, Argentina.
Erick Toro MonjarazInstituto Nacional de Pediatria de Mexico, Mexico City, Mexico.
Maria Alejandra MortariniHospital Austral Pilar, Buenos Aires, Argentina.
Samantha ArrizabaloMiller School of Medicine, University of Miami, Coral Gables, Florida, USA.
Miguel SapsMiller School of Medicine, University of Miami, Coral Gables, Florida, USA.ORCID http://orcid.org/0000-0002-4507-8720

Funding

None
6 · The paper itself

Abstract

objectivesTo compare the features of multichannel intraluminal impedance and pH monitoring (MII-pH) tracings in children with cerebral palsy (CP) and children without CP.

methodsMulticenter, retrospective, analytical study. We examined tracings of children aged 1 to 15 years old, evaluated from May 2017 to January 2024. Population included two groups: Group 1 consisted of children with CP, while control group comprised children without CP who had extra-digestive symptoms suggestive of gastroesophageal reflux disease (GERD) but normal MII-pH results. Quantitative data were analyzed using analysis of variance and t tests. Qualitative data were analyzed using contingency tables and chi-square tests.

resultsWe studied 245 children. CP group included 110 children with a mean age of 5.71 years (standard deviation [SD] ± 4.24), while control group included 135 children with a mean age of 5.73 years (SD ± 3.39). The CP group had fewer reflux episodes (p = 0.0015), slower mean acid clearance time (p = 0.04), lower mean baseline impedance and mean nocturnal baseline impedance (p = 1.82e-07 and p = 7.50e-07).

conclusionChildren with CP have fewer reflux episodes and longer acid clearance times compared with children without CP. Prospective studies including esophagogastroduodenoscopy findings are needed to establish MII-pH reference values in children with CP.

Indexed as

Cerebral PalsyElectric ImpedanceEsophageal pH MonitoringGastroesophageal RefluxAdolescentChildChild, PreschoolFemaleHumansHydrogen-Ion ConcentrationInfantMaleRetrospective Studiesacid refluxgastroesophageal reflux disease (GERD)pediatricssymptoms

Identifiers

PMID40329476
PMCPMC12210787

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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.