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ArticleEuropean journal of pediatrics2026

A neonatal prognostic score for infants with congenital cytomegalovirus infection (cCMVnet Score).

Serena Villaverde, Roberto Pedrero-Tomé, Francesco Raimondi, Serena Salomé, Fernando Baquero-Artigao, Paula Rodríguez-Molino, Sofia Karagiannidou, Beatriz Álvarez-Vallejo, Noemí Giménez, Claudia Fortuny and 8 more

Abstract readMulticenter Study
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In one paragraph

Article in European journal of pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

18 authors.

Serena Villaverde *Pediatric Infectious Diseases Unit. Pediatrics Department. Hospital Universitario 12 de Octubre, Madrid, Spain. serenavillaverde@outlook.es.
Roberto Pedrero-Tomé *Instituto de Investigación Hospital 12 de Octubre (I+12), Madrid, Spain.
Francesco RaimondiDivision of Neonatology, Department of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Serena SaloméDivision of Neonatology, Department of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Fernando Baquero-ArtigaoPediatrics, Infectious and Tropical Diseases Department. Hospital Universitario La Paz, Instituto Investigación Hospital La Paz (IDIPaz), Madrid, Spain.
Paula Rodríguez-MolinoPediatrics, Infectious and Tropical Diseases Department. Hospital Universitario La Paz, Instituto Investigación Hospital La Paz (IDIPaz), Madrid, Spain.
Sofia KaragiannidouThird Department of Pediatrics, National and Kapodistrian University of Athens, University General Hospital ATTIKON, Athens, Greece.
Beatriz Álvarez-VallejoPediatric Infectious Diseases and Immunodeficiencies Unit. Hospital Infantil. Vall d'Hebron Barcelona Hospital Campus, Barcelona, Catalonia, Spain.
Noemí GiménezPediatric Infectious Diseases and Immunodeficiencies Unit. Hospital Infantil. Vall d'Hebron Barcelona Hospital Campus, Barcelona, Catalonia, Spain.
Claudia FortunyInfectious Diseases and Systemic Inflammatory Response in Pediatrics, Pediatric Infectious Diseases Department, Institut de Recerca Sant Joan de Déu, Barcelona, Spain.
María Ríos-BarnésInfectious Diseases and Systemic Inflammatory Response in Pediatrics, Pediatric Infectious Diseases Department, Institut de Recerca Sant Joan de Déu, Barcelona, Spain.
Yves FougèreUnit of Pediatric Infectious Diseases and Vaccinology, Department of Woman Mother and Child, Lausanne University Hospital, Lausanne, Switzerland.
Francesca GarofoliNeonatal Unit and Intensive Care Unit, Fondazione IRCCS Policlinico S. Matteo, Pavia, Italia.
Jesús Saavedra-LozanoPediatric Infectious Diseases Unit. Hospital Universitario Gregorio Marañón, Universidad Complutense de Madrid, Madrid, Spain.
cCMVnet Registry Study Group
Hermione LyallPaediatric Infectious Diseases, Imperial College Healthcare NHS Trust, and Imperial College, London, UK.
Vassiliki PapaevangelouThird Department of Pediatrics, National and Kapodistrian University of Athens, University General Hospital ATTIKON, Athens, Greece.
Daniel Blázquez-GameroPediatric Infectious Diseases Unit. Pediatrics Department. Hospital Universitario 12 de Octubre, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective was to identify risk factors for long-term sequelae in children with congenital cytomegalovirus (cCMV) infection and to develop a prognostic scoring system (cCMVnet score) to support individualized management. This retrospective study was conducted within the prospective European Registry of Children with cCMV and included 570 children born between 2011 and 2024 in 11 countries. Eligible participants had confirmed cCMV, early cranial ultrasound and brain MRI (≤ 90 days of life), and at least six months of follow-up. The primary outcome was sequelae, defined as sensorineural hearing loss (SNHL), motor impairment, epilepsy, or visual impairment. Predictors were identified using multivariable logistic regression with Elastic-Net selection, followed by development and internal validation of the score. Overall, 63.2% were symptomatic at birth and 28.9% developed sequelae, mainly SNHL (24.7%), motor impairment (8.2%), epilepsy (4.0%), and visual impairment (2.6%). Splenomegaly, severity of hearing loss and neuroimaging abnormalities (white matter changes, calcifications, ventriculomegaly, and cortical malformations/migration abnormalities) were significant predictors. The cCMVnet score showed strong discrimination (AUC 0.872). At a 2.99 point cut-off, sensitivity was 81.3%, specificity 85.3%, and negative predictive value 90.6%.Conclusions: The cCMVnet score enables accurate risk stratification beyond symptomatic status integrating clinical, audiological, and neuroimaging findings. External validation is needed before widespread implementation.

Indexed as

Cytomegalovirus InfectionsEpilepsyEuropeFemaleHearing Loss, SensorineuralHumansInfantInfant, NewbornMagnetic Resonance ImagingMaleMotor DisordersPrognosisRegistriesRetrospective StudiesRisk FactorsSeverity of Illness IndexCongenitalCytomegalovirusEpilepsyHearing lossMotor impairmentScoreSensorineural

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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.