Evidence map›Paper›PMID 41731041›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2026

Post-hemorrhagic ventricular dilatation: Comparison of management pathways among North American level IV NICUs.

Kristen Coletti, Stephanie S Lee, Susan Cohen, Maria L V Dizon, David S Hersh, Ulrike Mietzsch, Eylem Ocal, Elizabeth K Sewell, Children’s Hospitals Neonatal Consortium (CHNC) Neurosurgery Focus Group

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 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. Evaluation of nationwide variation in post-haemorrhagic ventricular dilatation management following national guideline implementation in the Netherlands.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    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

9 authors.

Kristen ColettiDepartment of Pediatrics, University of Pennsylvania Perelman School of Medicine, Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA. colettik@chop.edu.ORCID http://orcid.org/0000-0002-4590-2046
Stephanie S LeeDepartment of Pediatrics, Division of Neonatology, University of Iowa Carver College of Medicine, Stead Family Children's Hospital, Iowa City, IA, USA.ORCID http://orcid.org/0000-0003-1253-6366
Susan CohenDepartment of Pediatrics, Division of Neonatology, Medical College of Wisconsin, Children's Wisconsin, Milwaukee, WI, USA.ORCID http://orcid.org/0000-0003-4444-2145
Maria L V DizonDepartment of Pediatrics, Northwestern University Feinberg School of Medicine, Division of Neonatology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0002-0102-4157
David S HershDivision of Neurosurgery, Connecticut Children's, Hartford, CT, USA.ORCID http://orcid.org/0000-0003-1177-2201
Ulrike MietzschDepartment of Pediatrics, Division of Neonatology, University of Washington School of Medicine, Seattle Children's Hospital, Seattle, WA, USA.ORCID http://orcid.org/0000-0003-4629-2881
Eylem OcalDepartment of Neurosurgery, Division of Pediatric Neurosurgery, University of Arkansas For Medical Sciences, Arkansas Children's Hospital, Little Rock, AR, USA.
Elizabeth K SewellDepartment of Pediatrics, Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, GA, USA.ORCID http://orcid.org/0000-0003-3072-6569
Children’s Hospitals Neonatal Consortium (CHNC) Neurosurgery Focus Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the proportion of Level IV NICUs with post-hemorrhagic ventricular dilatation (PHVD) management pathways and compare the pathways. STUDY

designA survey was distributed to 49 Children's Hospitals Neonatal Consortium (CHNC) Level IV NICUs. A summarized pathway was developed from written pathways.

resultSurvey response rate was 82%. Twelve (30%) NICUs have written pathways, 11 (28%) report informal consensus, and 17 (43%) lack consensus. Among the 12 written pathways, all serially monitor ventricular dilatation on cranial ultrasound (CUS) using ventricular index (58%) or frontal-occipital-horn-ratio (33%). Threshold for surgery varies: 33% of sites rely on CUS alone, while 67% incorporate clinical symptoms. Half of sites use lumbar puncture to decrease PHVD before surgery. Criteria for converting temporizing to permanent shunt is present in 67% of pathways.

conclusionAmongst centers with written PHVD pathways, variable monitoring and intervention criteria exist. Most NICUs lack formal pathways, demonstrating opportunities to standardize care.

Indexed as

Cerebral HemorrhageCerebral VentriclesCritical PathwaysIntensive Care Units, NeonatalDilatation, PathologicHumansInfant, Newborn

Identifiers

PMID41731041
PMCPMC13290489

What OpenQuestion holds

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LicenceCC BY
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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.