Evidence map›Paper›PMID 37593818›Full record

ArticlePediatrics2023

Factors Associated With Attendance for Cardiac Neurodevelopmental Evaluation.

Cynthia M Ortinau, David Wypij, Dawn Ilardi, Valerie Rofeberg, Thomas A Miller, Janet Donohue, Garrett Reichle, Mike Seed, Justin Elhoff, Nneka Alexander and 27 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
6.0field-weighted citation impact, top 3% of its field
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

17 citing papers in PubMed, 28 citations in OpenAlex.

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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

37 authors at 20 institutions in 2 countries.

Cynthia M OrtinauDepartment of Pediatrics, Washington University of Medicine in St Louis School, St Louis, Missouri.
David WypijDepartments of Cardiology.
Dawn IlardiDepartment of Neuropsychology, Children's Healthcare of Atlanta, Atlanta, Georgia.
Valerie RofebergDepartments of Cardiology.
Thomas A MillerDivision of Cardiology, Maine Medical Center, Portland, Maine.
Janet DonohueDepartment of Pediatrics, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan.
Garrett ReichleDepartment of Pediatrics, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan.
Mike SeedDivisions of Paediatric Cardiology.
Justin ElhoffDivision of Critical Care Medicine.
Nneka AlexanderDepartment of Neuropsychology, Children's Healthcare of Atlanta, Atlanta, Georgia.
Kiona AllenDivision of Cardiology, Department of Pediatrics, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern Feinberg School of Medicine, Chicago, Illinois.
Corinne AntonDepartment of Cardiology, Children's Health, Dallas, Texas.
Laurel BearDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin.
Gina BoucherPhoenix Children's Hospital Heart Center, Phoenix, Arizona.
Jennifer BraggDepartment of Pediatrics, Mount Sinai Hospital, New York, New York.
Jennifer ButcherDepartment of Pediatrics, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan.
Victoria ChenDivision of Developmental-Behavioral Pediatrics, Department of Pediatrics, Cohen Children's Medical Center, New Hyde Park, New York.
Kristi GlotzbachDivision of Critical Care Medicine, Department of Pediatrics, University of Utah, Salt Lake City, Utah.
Lyla HamptonDepartment of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Caroline K LeeDepartment of Pediatrics, Washington University of Medicine in St Louis School, St Louis, Missouri.
Linh G LyNeonatology.
Bradley S MarinoDepartment of Pediatric Cardiology, Cleveland Clinic Children's, Cleveland, Ohio.
Yadira Martinez-FernandezDepartment of Cardiology, Nicklaus Children's Hospital, Miami, Florida.
Sonia MonteiroDepartment of Pediatrics, Baylor School of Medicine, Houston, Texas.
Christina OrtegaDepartment of Psychology, Joe DiMaggio Children's Hospital, Hollywood, Florida.
Shabnam PeyvandiUniversity of California San Francisco Benioff Children's Hospital, San Francisco, California.
Heather Raiees-DanaArkansas Children's Heart Institute, Little Rock, Arkansas.
Caitlin K RollinsNeurology.
Anjali SadhwaniPsychiatry and Behavioral Sciences, Boston Children's Hospital, Boston, Massachusetts.
Renee SananesDivisions of Paediatric Cardiology.
Jacqueline H SanzDivision of Neuropsychology, Children's National Hospital; Departments of Psychiatry and Behavioral Sciences and Pediatrics, The George Washington University School of Medicine, Washington, District of Columbia.
Amy H SchultzDivision of Cardiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington.
Erica SoodNemours Cardiac Center, Nemours Children's Health, Wilmington, Delaware.
Alexander TanDepartment of Neuropsychology, Children's Health Orange County, Orange, California.
Elizabeth WillenDepartment of Pediatrics, University of Missouri Kansas City School of Medicine, Kansas City, Missouri.
Kelly R WolfeSection of Neurology, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado.
Caren S GoldbergDepartment of Pediatrics, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan.
C. S. Mott Children's Hospital · USBaylor School · USChildren's Healthcare of Atlanta · USHarvard University · USWashington University in St. Louis · USChildren's Hospital of Orange County · USChildren's Hospital of Philadelphia · USCleveland Clinic · USCohen Children's Medical Center · USGeorge Washington University · USJoe DiMaggio Children's Hospital · USLurie Children's Hospital · USMaine Medical Center · USMedical College of Wisconsin · USMiami Children's Hospital · USMount Sinai Hospital · USNemours Children's Health System · USNeurology, Inc · USPhoenix Children's Hospital · USSeattle Children's Hospital · US

Funding

Genetic Analysis and Manipulation Core (GAEC)P50HD105351 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI SCOTT Loren POMEROY, MUSTAFA SAHIN · 2021 to 2026
$9.4M
Physiologic and Genetic Contributions of Impaired Fetal Brain Development in Congenital Heart DiseaseK23HL141602 · NHLBI · WASHINGTON UNIVERSITY · PI ORTINAU, CYNTHIA MARIE · 2019 to 2022
$727k
NHLBI NIH HHS K23 HL141602NICHD NIH HHS P50 HD105351
6 · The paper itself

Abstract

BACKGROUND AND

objectivesNeurodevelopmental evaluation of toddlers with complex congenital heart disease is recommended but reported frequency is low. Data on barriers to attending neurodevelopmental follow-up are limited. This study aims to estimate the attendance rate for a toddler neurodevelopmental evaluation in a contemporary multicenter cohort and to assess patient and center level factors associated with attending this evaluation.

methodsThis is a retrospective cohort study of children born between September 2017 and September 2018 who underwent cardiopulmonary bypass in their first year of life at a center contributing data to the Cardiac Neurodevelopmental Outcome Collaborative and Pediatric Cardiac Critical Care Consortium clinical registries. The primary outcome was attendance for a neurodevelopmental evaluation between 11 and 30 months of age. Sociodemographic and medical characteristics and center factors specific to neurodevelopmental program design were considered as predictors for attendance.

resultsAmong 2385 patients eligible from 16 cardiac centers, the attendance rate was 29.0% (692 of 2385), with a range of 7.8% to 54.3% across individual centers. In multivariable logistic regression models, hospital-initiated (versus family-initiated) scheduling for neurodevelopmental evaluation had the largest odds ratio in predicting attendance (odds ratio = 4.24, 95% confidence interval, 2.74-6.55). Other predictors of attendance included antenatal diagnosis, absence of Trisomy 21, higher Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery mortality category, longer postoperative length of stay, private insurance, and residing a shorter distance from the hospital.

conclusionsAttendance rates reflect some improvement but remain low. Changes to program infrastructure and design and minimizing barriers affecting access to care are essential components for improving neurodevelopmental care and outcomes for children with congenital heart disease.

Indexed as

Down SyndromeHeartCardiopulmonary BypassChildCritical CareFemaleHumansPregnancyRetrospective Studies

Identifiers

PMID37593818
PMCPMC10530086
OpenAlexW4385969031

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.