Evidence map›Paper›PMID 42716988›Full record

ArticlePediatric research2026

Intraventricular Hemorrhage in Extremely Preterm Infants with Low Plasma Choline.

Pelli Mechnikov, Juliann M Di Fiore, Mrinaj Janampalli, Gloria Liu, Cynthia F Bearer

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Article in Pediatric research, 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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0citing papers 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

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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

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

5 authors.

Pelli MechnikovCase Western Reserve University School of Medicine, Cleveland, OH, USA.
Juliann M Di FioreCase Western Reserve University School of Medicine, Cleveland, OH, USA.
Mrinaj JanampalliDivision of Neonatology, University Hospitals Rainbow Babies and Children's, Cleveland, OH, USA.
Gloria LiuDivision of Neonatology, University Hospitals Rainbow Babies and Children's, Cleveland, OH, USA.
Cynthia F BearerCase Western Reserve University School of Medicine, Cleveland, OH, USA. Cynthia.Bearer@uhhospitals.org.ORCID http://orcid.org/0000-0003-4809-2250

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Choline is recognized as an essential nutrient overall and for neurodevelopment. Through the development of sphingomyelin and phosphatidylcholine, choline is used in the development of cell membranes and the neurovascular unit. Choline deficiency is common amongst pregnant women and is not currently adequately supplied to preterm infants. The aim of this study was to determine whether there is an association between plasma choline concentrations in preterm infants and intraventricular hemorrhage, a frequent complication of prematurity. This retrospective cohort study involved preterm infants born at Rainbow Babies and Children's Hospital at a gestational age of 24-28 weeks. Discarded patient blood samples from the first 2 h of life were collected and assayed for choline. A Mann Whitney U test was performed in SigmaPlot. 36 infants were enrolled. We found that infants with severe IVH (grade III- IV) had significantly lower concentrations of choline in the first 2 h of life than infants without IVH (14.7 µmol/L (9.6 µmol/L, 18.3 µmol/L) vs 22.0 µmol/L (16.8 µmol/L, 35.1 µmol/L), p = 0.037). We conclude that low choline concentrations may have an impact on development of IVH in premature infants. IMPACT: Extremely preterm infants with low plasma choline may be more likely to experience intraventricular hemorrhage.

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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.