Evidence map›Paper›PMID 41108422›Full record

ArticleEuropean journal of pediatrics2025

Complete blood count reference intervals for extremely preterm neonates.

Christina H Wolfsberger, Benedikt N Seidel, Linda Fleck, Markus Herrmann, Diether Kramer, Martin Benesch, Gerhard Pichler, Markus G Seidel

Abstract read
In one paragraph

Article in European journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. A CBC drawn postnatally from umbilical cord blood can provide valuable diagnostic information for infants admitted to the NICU.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
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

8 authors.

Christina H Wolfsberger *Department of Pediatrics and Adolescent Medicine, Division of Neonatology, Medical University of Graz, Graz, Austria. christina.wolfsberger@medunigraz.at.ORCID http://orcid.org/0000-0002-9770-3487
Benedikt N Seidel *Styrian Children's Cancer Research Unit for Cancer and Inborn Errors of the Blood and Immunity in Children, Medical University of Graz, Graz, Austria.
Linda FleckDepartment of Pediatrics and Adolescent Medicine, Division of Neonatology, Medical University of Graz, Graz, Austria.
Markus HerrmannClinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria.
Diether KramerDirectorate for Technology and IT, IT Management Team, Styrian Hospital Association (KAGes), Graz, Austria.
Martin BeneschDepartment of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology-Oncology, Medical University of Graz, Graz, Austria.
Gerhard PichlerDepartment of Pediatrics and Adolescent Medicine, Division of Neonatology, Medical University of Graz, Graz, Austria.
Markus G SeidelStyrian Children's Cancer Research Unit for Cancer and Inborn Errors of the Blood and Immunity in Children, Medical University of Graz, Graz, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Preterm infants exhibit dynamic hematological profiles during the first postnatal days, necessitating robust reference intervals for clinical interpretation. The aim of this study is to establish comprehensive reference intervals for complete blood counts in preterm neonates during the first five postnatal days, stratified by gestational age and postnatal age. Data from preterm neonates (23 + 0-34 + 0 weeks gestation) admitted to the neonatal intensive care unit Graz (2008-2023) were analyzed. Percentiles (2.5th, 10th, 50th, 90th, 97.5th) were generated for the following hematological parameters included in the full/complete and differential blood count (FBC, CBC): leukocytes, thrombocytes, hemoglobin, hematocrit, neutrophilic granulocytes, and lymphocytes. Stringent exclusion criteria minimized confounding factors. Comparisons were made between appropriate-for-gestational age (AGA) and small-for-gestational age (SGA) neonates. A total of 3128 eligible preterm neonates with a median (minimum; maximum) gestational age of 32.1 (23.1; 34.0) weeks and a birth weight of 1700 (297; 3210) grams were included for analysis. Reference intervals were established for each parameter across gestational ages and postnatal days. Significant differences were observed between AGA and SGA neonates, particularly for leukocytes, thrombocytes, and neutrophilic granulocyte with lower values in SGA infants. Hemoglobin concentration and hematocrit were largely similar between groups, with some exceptions at specific gestational ages.Conclusion: This study provides reference intervals for hematological parameters in preterm neonates, enabling improved clinical interpretation and identification of deviations. The large sample size and strict exclusion criteria enhance the validity of these reference intervals. The observed differences between AGA and SGA neonates warrant further investigation to understand the clinical implications of fetal growth restriction on neonatal hemato-/lymphopoiesis.

Indexed as

Infant, Extremely PrematureBlood Cell CountFemaleGestational AgeHumansInfant, NewbornInfant, Small for Gestational AgeIntensive Care Units, NeonatalMaleReference ValuesRetrospective StudiesCentile chartsComplete blood counts (CBC)Full blood counts (FBC)LymphocytesNewborn infantNormal rangePreterm infantReference intervals

Identifiers

PMID41108422
PMCPMC12535521

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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.