Evidence map›Paper›PMID 16595589›Full record

ArticleArchives of disease in childhood. Fetal and neonatal edition2007

Perinatal and infant autopsy.

R Adappa, S Paranjothy, Z Roberts, P H T Cartlidge

Abstract read
In one paragraph

Article in Archives of disease in childhood. Fetal and neonatal edition, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
–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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Emerging Lingo-Cultural Inequality in Infant Autopsy in Quebec, Canada.Journal of immigrant and minority health · 2019
    Article
  11. Article
  12. Decreasing use of autopsy for stillbirths and infant deaths: missed opportunity.Journal of perinatology : official journal of the California Perinatal Association · 2018
    Article
  13. Review
  14. Value of postmortem studies in deceased neonatal and pediatric intensive care unit patients.Virchows Archiv : an international journal of pathology · 2017
    Article
  15. Parental decision making around perinatal autopsy: a qualitative investigation.Health expectations : an international journal of public participation in health care and health policy · 2015
    Article
  16. Decision influences and aftermath: parents, stillbirth and autopsy.Health expectations : an international journal of public participation in health care and health policy · 2014
    Article
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

4 authors.

R AdappaDepartment of Child Health, Cardiff University, University Hospital of Wales, Cardiff, UK. roshanadappa@aol.com
S Paranjothy
Z Roberts
P H T Cartlidge

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo measure perinatal and infant autopsy rate in Wales over a 10-year period and study factors influencing the decision to perform an autopsy.

designRetrospective cohort analysis of data from the All Wales Perinatal Survey.

methodsAutopsy rates were calculated over a 10-year period (1994-2003), and reasons for not performing an autopsy were noted. Two time periods, 1994-1996 and 2001-2003 were compared, to study changing autopsy patterns.

resultsOver the 10-year period, there were 4393 perinatal and infant deaths, with data available for 4306 (98%) cases. Consent for autopsy was requested in 89% of cases and granted in 68%. When compared, the 3-year cumulative autopsy rate fell from 67.5% (95% confidence interval (CI) 65% to 69%) in 1994-1996, to 52.7% (CI 49% to 55%) in 2001-2003. The difference in the proportion of autopsies performed between the two time periods was 14.8% (CI 11% to 18%). Parental consent was granted in 76.2% (CI 73% to 78%) of cases in 1994-1996 and 60% (CI 57% to 63%) of cases in 2001-2003. The difference in proportion in consent for autopsy in the two time periods was 16% (CI 12% to 20%).

conclusionsA decrease in perinatal and infant autopsy rates has been found in Wales over the past 10 years. Parental refusal has been the main cause of this decline.

Indexed as

AutopsyDecision MakingHumansInfantInfant, NewbornParental ConsentPerinatal CareRetrospective StudiesWales

Identifiers

PMID16595589
PMCPMC2675313

What OpenQuestion holds

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Registered trials

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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.