{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:29:00Z","timestamp":1788481740895,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,4,5]],"date-time":"2017-04-05T00:00:00Z","timestamp":1491350400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp;amp; Gyne"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To investigate the association between fetal nuchal translucency (\n                      <jats:styled-content style=\"fixed-case\">NT<\/jats:styled-content>\n                      ) thickness  and neurodevelopmental disorders in euploid children.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study included 222\u2009505 euploid children who had undergone routine first\u2010trimester screening during fetal life. Children were divided according to prenatal\n                      <jats:styled-content style=\"fixed-case\">NT<\/jats:styled-content>\n                      into three groups:\n                      <jats:styled-content style=\"fixed-case\">NT<\/jats:styled-content>\n                      &lt;\u200995\n                      <jats:sup>th<\/jats:sup>\n                      percentile (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009217\u2009103 (97.6%));\n                      <jats:styled-content style=\"fixed-case\">NT<\/jats:styled-content>\n                      95\n                      <jats:sup>th<\/jats:sup>\n                      \u201399\n                      <jats:sup>th<\/jats:sup>\n                      percentile (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094760 (2.1%)); and\n                      <jats:styled-content style=\"fixed-case\">NT<\/jats:styled-content>\n                      &gt;\u200999\n                      <jats:sup>th<\/jats:sup>\n                      percentile (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009642 (0.3%)). All children were followed\u2010up to a mean age of 4.4\u2009years. Information on diagnoses of intellectual disability, autism spectrum disorders (\n                      <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content>\n                      ), cerebral palsy, epilepsy and febrile seizures was obtained from national patient registries.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There was no excess risk of neurodevelopmental disorders among euploid children with first\u2010trimester\n                      <jats:styled-content style=\"fixed-case\">NT<\/jats:styled-content>\n                      95\n                      <jats:sup>th<\/jats:sup>\n                      \u201399\n                      <jats:sup>th<\/jats:sup>\n                      percentile. For children with\n                      <jats:styled-content style=\"fixed-case\">NT<\/jats:styled-content>\n                      &gt;\u200999\n                      <jats:sup>th<\/jats:sup>\n                      percentile, there were increased risks of intellectual disability (odds ratio (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      ), 6.16 (95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      , 1.51\u201325.0), 0.31%) and\n                      <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content>\n                      (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      , 2.48 (95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      , 1.02\u20135.99), 0.78%) compared with children with\n                      <jats:styled-content style=\"fixed-case\">NT<\/jats:styled-content>\n                      &lt;\u200995\n                      <jats:sup>th<\/jats:sup>\n                      percentile (incidence of 0.05% for intellectual disability and 0.32% for\n                      <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content>\n                      ), however, there was no detected increase in the risk of cerebral palsy (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      , 1.91 (95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      , 0.61\u20135.95), 0.47%), epilepsy (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      , 1.51 (95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      , 0.63\u20133.66), 0.78%) or febrile seizures (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      , 0.72 (95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      , 0.44\u20131.16), 2.65%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      In a large unselected cohort of euploid children, there was no increased risk of neurodevelopmental disorders among those with a first\u2010trimester\n                      <jats:styled-content style=\"fixed-case\">NT<\/jats:styled-content>\n                      95\n                      <jats:sup>th<\/jats:sup>\n                      \u201399\n                      <jats:sup>th<\/jats:sup>\n                      percentile. Among euploid children with first\u2010trimester\n                      <jats:styled-content style=\"fixed-case\">NT<\/jats:styled-content>\n                      &gt;\u200999\n                      <jats:sup>th<\/jats:sup>\n                      percentile, there were increased risks of intellectual disability and\n                      <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content>\n                      , but the absolute risk was reassuringly low (&lt;\u20091%). Copyright \u00a9 2016 ISUOG. Published by John Wiley &amp; Sons Ltd.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/uog.15961","type":"journal-article","created":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T04:17:27Z","timestamp":1463458647000},"page":"592-598","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Increased nuchal translucency thickness and risk of neurodevelopmental disorders"],"prefix":"10.1002","volume":"49","author":[{"given":"S. G.","family":"Hellmuth","sequence":"first","affiliation":[{"name":"Center of Fetal Medicine, Department of Obstetrics Copenhagen University Hospital  Rigshospitalet Copenhagen Denmark"},{"name":"Faculty of Health Sciences University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. H.","family":"Pedersen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Aarhus University Hospital  Aarhus Denmark"},{"name":"Department of Clinical Medicine Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. B.","family":"Miltoft","sequence":"additional","affiliation":[{"name":"Center of Fetal Medicine, Department of Obstetrics Copenhagen University Hospital  Rigshospitalet Copenhagen Denmark"},{"name":"Faculty of Health Sciences University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O. B.","family":"Petersen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Aarhus University Hospital  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Kj\u00e6rgaard","sequence":"additional","affiliation":[{"name":"Department of Clinical Genetics Copenhagen University Hospital  Rigshospitalet Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Ekelund","sequence":"additional","affiliation":[{"name":"Center of Fetal Medicine, Department of Obstetrics Copenhagen University Hospital  Rigshospitalet Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Tabor","sequence":"additional","affiliation":[{"name":"Center of Fetal Medicine, Department of Obstetrics Copenhagen University Hospital  Rigshospitalet Copenhagen Denmark"},{"name":"Faculty of Health Sciences University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,4,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.12.093"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)11280-6"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.06.025"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1998.11060401.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1998.11060391.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.321"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7468"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.4548"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.10060"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/jmg.35.3.222"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.2396"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.08.026"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12581"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-014-9930-3"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1975.tb00710.x"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.5299"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-183X.2012.00821.x"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chc.2010.02.001"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.6397"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1159\/000319343"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.85.3.319"},{"key":"e_1_2_6_23_1","first-page":"182","article-title":"An epidemiological study of disability in 4\u2010year\u2010old children from a birth cohort in Frederiksborg County, Denmark","volume":"37","author":"Andersen E","year":"1990","journal-title":"Dan Med Bull"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0387-7604(83)80072-2"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3016.2003.00469.x"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eplepsyres.2007.05.009"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2005.05.008"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-009-0818-0"}],"container-title":["Ultrasound in Obstetrics &amp; 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