Evidence map›Paper›PMID 40447823›Full record

ArticlePediatric research2026

Cognitive development at late infancy and school age in children cooled for neonatal encephalopathy.

Sara Rapuc, Sally Jary, Ross E Vanderwert, David Odd, Ela Chakkarapani

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Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Sara RapucPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Sally JaryTranslational Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Ross E VanderwertCardiff University Centre for Human Developmental Science, School of Psychology, Cardiff University, Cardiff, UK.
David OddDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
Ela ChakkarapaniPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK. ela.chakkarapani@bristol.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe investigated the association and individual changes in cognitive scores between late infancy and early school age in children cooled for neonatal encephalopathy secondary to perinatal asphyxia (NE) who did not develop cerebral palsy.

methodsWe included 50 children born ≥35 weeks gestation cooled for NE who did not develop cerebral palsy. We assessed cognition using an average of cognitive and language composite scores (CLC) from Bayley Scales of Infant and Toddler Development (Bayley-III) at 18-21 months and full-scale IQ (FSIQ) on Wechsler Intelligence Scale for Children (WISC-IV) at 6-8 years. Linear regression was used to assess the association between CLC and FSIQ.

resultsOur cohort's mean gestation was 39.8 (SD 1.6) weeks; 59% male. 80% had moderate NE. CLC scores were significantly associated with FSIQ (Coef 0.45 (95% CI: 0.17, 0.72), R

conclusionBayley-III underestimates the delay at school age in children cooled for NE. Childhood IQ after NE appeared to be patterned by local deprivation. IMPACT: Bayley-III underestimates school-age delays in children cooled for neonatal encephalopathy secondary to perinatal asphyxia (NE). Around 45% of children's cognitive scores moved to a lower developmental range at school age. Increasing the Bayley-III threshold to 95 failed to identify nearly two-thirds of children with IQ < 85. Childhood IQ after NE appeared to be patterned by local deprivation. Longitudinal monitoring of children cooled for neonatal encephalopathy secondary to perinatal asphyxia is needed to support their cognitive development.

Indexed as

Asphyxia NeonatorumBrain DiseasesChild DevelopmentCognitionHypothermia, InducedChildChild, PreschoolFemaleHumansInfantInfant, NewbornIntelligenceMaleWechsler Scales

Identifiers

PMID40447823
PMCPMC12920137

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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.