Evidence map›Paper›PMID 40581098›Full record

ArticleThe Journal of pediatrics2025

Count of Neonatal Morbidities Predicts Outcomes at Age 10 and 15 Years in Infants Born Extremely Preterm.

Ruben Vaidya, Joe X Yi, T Michael O'Shea, Elizabeth T Jensen, Robert M Joseph, Jeffrey S Shenberger, Kartikeya Makker, Diana Yanni, Jean A Frazier, Rebecca Fry and 4 more

Abstract readMulticenter Study
In one paragraph

Article in The Journal of pediatrics, 2025. 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
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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

14 authors.

Ruben VaidyaDepartment of Pediatrics, University of Massachusetts Chan Medical School - Baystate, Springfield, MA. Electronic address: ruben.vaidya@baystatehealth.org.
Joe X YiDepartment of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC.
T Michael O'SheaDepartment of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Elizabeth T JensenDepartment of Epidemiology and Prevention, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, NC.
Robert M JosephDepartment of Anatomy and Neurobiology, Boston University Chobanian and Avedisian School of Medicine, Boston, MA.
Jeffrey S ShenbergerDepartment of Pediatrics, Connecticut Children's, Hartford, CT.
Kartikeya MakkerDepartment of Pediatrics, Johns Hopkins Children's Center, Baltimore, MD.
Diana YanniDepartment of Pediatrics, Cooper Medical School of Rowan University, Camden, NJ.
Jean A FrazierDepartment of Psychiatry, Eunice Kennedy Shriver Center, University of Massachusetts Chan Medical School, Worcester, MA.
Rebecca FryDepartment of Environmental Sciences and Engineering, Institute for Environmental Health Solutions, University of North Carolina, Chapel Hill, NC.
Michael MsallKennedy Research Center on Intellectual and Neurodevelopmental Disabilities, University of Chicago, Chicago, IL.
Semsa GogcuDepartment of Pediatrics, Atrium Health Wake Forest Baptist, Winston-Salem, NC.
Rachana SinghDepartment of Pediatrics, Tufts University School of Medicine, Boston, MA.
ELGAN-ECHO Study Investigators

Funding

Neonatal Biomarkers in Extremely Preterm Babies Predict Childhood Brain DisordersU01NS040069 · NINDS · CHILDREN'S HOSPITAL BOSTON · PI KUBAN, KARL · 2001 to 2014
$34.0M
The Role of the Placenta-Brain Axis in Children's NeurodevelopmentUH3OD023348 · OD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Rebecca Fry, Michael O'SHEA · 2018 to 2026
$21.9M
BLOOD BRAIN BARRIER LARGE NEUTRAL AMINO ACID TRANSPORTERR01NS040016 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI PARDRIDGE, WILLIAM M · 2000 to 2003
$916k
NIH HHS UH3 OD023348NINDS NIH HHS R01 NS040016NINDS NIH HHS U01 NS040069
6 · The paper itself

Abstract

objectiveTo assess whether a simple count of 5 common neonatal morbidities, including bronchopulmonary dysplasia (BPD), ultrasound-identified severe brain injury (SBI), severe retinopathy of prematurity (ROP), surgical necrotizing enterocolitis (NEC), and sepsis predict long-term neurocognitive impairment, general medical health, behavioral health, or quality of life (QOL) at age 10 and 15 years in children born extremely preterm. STUDY

designParticipants from the multicenter, prospective, longitudinal study extremely low gestational age newborns (ELGANs) were followed at ages 10 and 15 years and were categorized into groups with 0, 1, 2, or ≥3 neonatal morbidities (BPD, SBI, ROP, NEC, or sepsis). Long-term neurocognitive outcomes were assessed using latent profiles generated from standardized tests of intelligence and executive function. General medical health, behavioral health, and QOL were assessed using standardized assessments.

resultsOf 1198 participants who survived to age 10 889 (74.2%) and 694 (57.9%) were evaluated at age 10 and 15 years, respectively. The number of neonatal morbidities was linearly related to the probability of moderate-to-severe neurocognitive impairment at age 10 and 15 years, and the probability of motor impairment, legal blindness, severe hearing loss, number of health disorders, ≥2 health disorders, and poor QOL at age 10 years.

conclusionsAmong newborns born extremely preterm who survive long-term, a simple count of neonatal morbidities (including BPD, SBI, ROP, NEC, or sepsis) is linearly related to neurocognitive impairment, poor general health, and QOL.

Indexed as

Infant, Extremely PrematureInfant, Premature, DiseasesAdolescentBronchopulmonary DysplasiaChildEnterocolitis, NecrotizingFemaleFollow-Up StudiesHumansInfant, NewbornLongitudinal StudiesMaleProspective StudiesQuality of LifeRetinopathy of Prematuritybronchopulmonary dysplasiaextremely low gestational age newbornsintraventricular hemorrhagenecrotizing enterocolitisretinopathy of prematurity

Identifiers

PMID40581098
PMCPMC12288742

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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.