Evidence map›Paper›PMID 41569950›Full record

ArticleNeonatology2026

Patterns of Neonatal and Neurodevelopmental Comorbidities in Neonates of <29 Weeks' Gestation.

Prakesh S Shah, Thuy Mai Luu, Marc Beltempo, Jill G Zwicker, Jehier Afifi, Amuchou S Soraisham, Sandesh Shivananda

Abstract read
In one paragraph

Article in Neonatology, 2026. 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.

Prakesh S ShahDepartment of Pediatrics, Mount Sinai Hospital, Toronto, Ontario, Canada, prakeshkumar.shah@sinaihealth.ca.
Thuy Mai LuuDepartment of Pediatrics, Universite de Montreal, Montreal, Québec, Canada.
Marc BeltempoDivision of Neonatology, Montreal Children's Hospital, McGill University Health Centre, Montreal, Québec, Canada.
Jill G ZwickerDepartment of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.
Jehier AfifiDepartment of Pediatrics, Dalhousie University, Halifax, Nova Scotia, Canada.
Amuchou S SoraishamDepartment of Pediatrics, University of Calgary, Calgary, Alberta, Canada.
Sandesh ShivanandaDepartment of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

<p>Introduction: Multi-morbidity is a known cause of adverse outcomes and resource utilization in adults. Our objective was to describe the co-occurrence of neonatal morbidities and their association with neurodevelopmental outcomes in preterm neonates.

methodsWe included 17,438 preterm neonates of <29 weeks' gestation admitted to Canadian neonatal intensive care units between 2010 and 2020, of whom 7,943 children had neurodevelopmental information. Neonatal outcomes were mortality, late-onset sepsis, necrotizing enterocolitis, and severe neurological injury. The outcomes were neurodevelopmental impairments, with significant impairment defined as any of: Bayley Scales of Infant and Toddler Development-third edition (Bayley-III) score of <70, cerebral palsy with Gross Motor Function Classification System (GMFCS) of ≥3, hearing amplification, or bilateral visual impairment; and severe impairment defined as any of: Bayley-III score of <55, cerebral palsy with GMFCS of 4-5, or bilateral blindness.

resultsThe mean (standard deviation) gestational age was 26.1 (1.6) weeks and 54.5% were male. Any neonatal mortality/morbidity occurred in 40.1% of children. Among survivors, 16.3% had significant neurodevelopmental impairment and 5.8% had severe neurodevelopmental impairment. However, 51% of children with significant impairment and 43% with severe neurodevelopmental impairment had no neonatal morbidities. Late-onset sepsis (aOR 1.60, 95% CI: 1.36, 1.88), necrotizing enterocolitis (aOR 1.91, 95% CI: 1.36, 2.69), and severe neurological injury (aOR 3.54, 95% CI: 2.85, 4.38) were associated with significant neurodevelopmental impairment among survivors. An increase in the count of neonatal morbidities correlated with a rise in the count of neurodevelopmental impairments.

conclusionsSixty percent of infants of <29 weeks' gestation experienced no adverse neonatal outcomes and the majority were free of significant neurodevelopmental impairment. Neonatal morbidities had a direct and combined association with neurodevelopmental impairment. </p>.

Indexed as

Infant, Extremely PrematureInfant, Premature, DiseasesNeurodevelopmental DisordersCanadaComorbidityEnterocolitis, NecrotizingFemaleGestational AgeHumansInfantInfant MortalityInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalMaleNeurodevelopmentBlood transfusionsExtremely preterm infantsTransfusion policy

Identifiers

PMID41569950
PMCPMC12959888

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.