Evidence map›Paper›PMID 41746992›Full record

ArticleDevelopmental medicine and child neurology2026

Early predictors of cognitive trajectories from birth to adolescence in children born extremely preterm.

Stephen R Hooper, Robert M Joseph, T Michael O Shea, Karl C K Kuban, Rachana Singh, Jean A Frazier, Genevieve Taylor, Xianming Tan, Rebecca C Fry, Hudson P Santos and 1 more

Abstract read
In one paragraph

Article in Developmental medicine and child neurology, 2026. 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. 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

11 authors.

Stephen R HooperDepartments of Health Sciences and Psychiatry, School of Medicine, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.ORCID https://orcid.org/0000-0002-6761-4504
Robert M JosephDepartment of Anatomy and Neurobiology, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.
T Michael O SheaDepartment of Pediatrics, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.ORCID https://orcid.org/0000-0001-6692-911X
Karl C K KubanDepartment of Pediatrics, Boston Medical Center, Boston, MA, USA.
Rachana SinghDepartment of Pediatrics, Tufts University School of Medicine, Boston, MA, USA.
Jean A FrazierEunice Kennedy Shriver Center, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Genevieve TaylorDepartment of Pediatrics, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.
Xianming TanDepartment of Biostatistics, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.
Rebecca C FryDepartment of Environmental Sciences and Engineering, Gillings School of Global Public Health, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.
Hudson P SantosSchool of Nursing and Health Studies, University of Miami, Coral Gables, FL, USA.
ELGAN 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
SYNAPTIC MECHANISMS IN HIPPOCAMPAL EPILEPTOGENESISP30HD018655 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI POMEROY, SCOTT LOREN · 1985 to 2015
$26.2M
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
Placental Epigenome and Brain Dysfunction after Preterm BirthR01HD092374 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FRY, REBECCA, O'SHEA, MICHAEL · 2017 to 2021
$3.2M
Genetic and Epigenetic Effects on Childhood Cognitive TrajectoriesR01NR019245 · NINR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SANTOS, HUDSON · 2020 to 2024
$1.7M
Eunice Kennedy Shriver National Institute of Child Health and Human Development 5R01HD092374-04National Institute of Child Health and Human Development 5P30HD018655-28NICHD NIH HHS P30 HD018655NICHD NIH HHS R01 HD092374NIH HHS UH3 OD023348NINDS NIH HHS 2R01NS040069-06A2NINDS NIH HHS 5U01NS040069-05NINDS NIH HHS U01 NS040069NINR NIH HHS 5R01NR019245-02NINR NIH HHS R01 NR019245Office of the NIH Director 5UH3OD023348-05
6 · The paper itself

Abstract

aimTo predict trajectories of cognitive abilities from ages 2 years to 15 years in children born extremely preterm.

methodThis longitudinal cohort study examined 659 (330 males) children born at 23 weeks to 27 weeks' gestation with cognitive assessments at ages 2 years, 10 years, and 15 years. Early factors analysed included maternal and neonatal characteristics, comorbidities, and neonatal inflammatory proteins.

resultsFor verbal, non-verbal, and combined cognitive abilities, greater social disadvantage at birth, male sex, 23 weeks to 24 weeks gestational age, bronchopulmonary dysplasia (BPD), ultrasound-detected cerebral white matter injury (WMI), and elevated inflammatory proteins in neonatal blood were associated with lower scores over the 15-year time frame for all outcomes. Analyses of joint association between socially disadvantaged groups and WMI suggested that the effect of no social disadvantage was evident only among children without WMI, whereas the effect of WMI was evident irrespective of social disadvantage.

interpretationIn this cohort of children born extremely preterm, social disadvantage at birth, male sex, BPD, WMI, and neonatal systemic inflammation were associated with slower gains in cognitive scores from age 2 years to 15 years. Early WMI moderated the associations between social disadvantage and cognitive functioning. Efforts to address both neonatal morbidities and social factors could improve cognitive functioning in children born extremely preterm.

Indexed as

Child DevelopmentCognitionInfant, Extremely PrematureAdolescentBronchopulmonary DysplasiaChildChild, PreschoolFemaleGestational AgeHumansInfant, NewbornLongitudinal StudiesMale

Identifiers

PMID41746992
PMCPMC13649299

What OpenQuestion holds

Textmetadata
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.