Evidence map›Paper›PMID 39786414›Full record

SynthesisJAMA pediatrics2025

Occurrence and Time of Onset of Intraventricular Hemorrhage in Preterm Neonates: A Systematic Review and Meta-Analysis of Individual Patient Data.

Zsuzsanna Nagy, Mahmoud Obeidat, Vanda Máté, Rita Nagy, Emese Szántó, Dániel Sándor Veres, Tamás Kói, Péter Hegyi, Gréta Szilvia Major, Miklós Garami and 3 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in JAMA pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

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  5. Bedside external ventricular drainage in the NICU: procedural efficiency and infection trends in a 15-year single-center cohort.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
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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

13 authors.

Zsuzsanna NagyCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Mahmoud ObeidatCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Vanda MátéCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Rita NagyCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Emese SzántóDepartment of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary.
Dániel Sándor VeresCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Tamás KóiCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Péter HegyiCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Gréta Szilvia MajorCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Miklós GaramiCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Ákos GasparicsCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Arjan B Te PasNeonatology, Willem Alexander Children's Hospital, Leiden University Medical Center Leiden, Leiden, the Netherlands.
Miklós SzabóCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Intraventricular hemorrhage (IVH) has been described to typically occur during the early hours of life (HOL); however, the exact time of onset is still unknown. Objective: To investigate the temporal distribution of IVH reported in very preterm neonates. Data Sources: PubMed, Embase, Cochrane Library, and Web of Science were searched on May 9, 2024. Study Selection: Articles were selected in which at least 2 cranial ultrasonographic examinations were performed in the first week of life to diagnose IVH. Studies with only outborn preterm neonates were excluded. Data Extraction And Synthesis: Data were extracted independently by 3 reviewers. A random-effects model was applied. This study is reported following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guideline. The Quality in Prognostic Studies 2 tool was used to assess the risk of bias. Main Outcomes And Measures: The overall occurrence of any grade IVH and severe IVH among preterm infants was calculated along with a 95% CI. The temporal distribution of the onset of IVH was analyzed by pooling the time windows 0 to 6, 0 to 12, 0 to 24, 0 to 48, and 0 to 72 HOL. A subgroup analysis was conducted using studies published before and after 2007 to allow comparison with the results of a previous meta-analysis. Results: A total of 21 567 records were identified, of which 64 studies and data from 9633 preterm infants were eligible. The overall rate of IVH did not decrease significantly before vs after 2007 (36%; 95% CI, 30%-42% vs 31%; 95% CI, 25%-36%), nor did severe IVH (10%; 95% CI, 7%-13% vs 11%; 95% CI, 8%-14%). The proportion of very early IVH (up to 6 HOL) after 2007 was 9% (95% CI, 3%-23%), which was 4 times lower than before 2007 (35%; 95% CI, 24%-48%). IVH up to 24 HOL before and after 2007 was 44% (95% CI, 31%-58%) and 25% (95% CI, 15%-39%) and up to 48 HOL was 82% (95% CI, 65%-92%) and 50% (95% CI, 34%-66%), respectively. Conclusion And Relevance: This systematic review and meta-analysis found that the overall prevalence of IVH in preterm infants has not changed significantly since 2007, but studies after 2007 showed a later onset as compared with earlier studies, with only a small proportion of IVHs occurring before 6 HOL.

Indexed as

Cerebral HemorrhageCerebral Intraventricular HemorrhageInfant, Premature, DiseasesHumansInfant, NewbornInfant, PrematureTime Factors

Identifiers

PMID39786414
PMCPMC11791718

What Socratic holds

Textmetadata
LicenceCC BY
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.