Evidence map›Paper›PMID 19495946›Full record

ArticleMaternal and child health journal2010

Approaching NIH guideline recommended care for maternal-infant health: clinical failures to use recommended antenatal corticosteroids.

Elizabeth A Howell, Joanne Stone, Lawrence C Kleinman, Sarla Inamdar, Stephen Matseoane, Mark R Chassin

Abstract read
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In one paragraph

Article in Maternal and child health journal, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 19 citations in OpenAlex.

  1. Observational
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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

6 authors at 4 institutions in 1 country.

Elizabeth A HowellDepartment of Health Policy, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York City, Box 1077, NY, USA. elizabeth.howell@msnyuhealth.org
Joanne Stone
Lawrence C Kleinman
Sarla Inamdar
Stephen Matseoane
Mark R Chassin
Icahn School of Medicine at Mount Sinai · USHarlem Hospital Center · USJoint Commission · USMetropolitan Hospital Center · US

Funding

RESEARCH COREP60MD000270 · NIMHD · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI BICKELL, NINA A. · 2002 to 2011
$15.1M
REDUCING UNDERUSE OF EARLY STAGE BREAST CANCER TREATMENTP01HS010859 · AHRQ · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI CHASSIN, MARK R · 2000 to 2004
–
AHRQ HHS P01 HS10859NIMHD NIH HHS P60 MD00270
6 · The paper itself

Abstract

To assess the use of antenatal corticosteroids in clinical circumstances for which both the NIH Guideline and local experts recommend their use and to describe characteristics associated with failure to use recommended antenatal steroids. We convened local experts to adapt the NIH statement by identifying clinical circumstances for which they agree antenatal steroids should always be used. We conducted a retrospective chart review on a cohort study of mothers who delivered premature (24-34 weeks) infants between 2000 and 2002 at three New York City hospitals and investigated the association of failure to treat with antenatal steroids with characteristics of the mother, pregnancy, delivery, and hospital. Twenty percent (101/515) of eligible mothers failed to receive indicated antenatal corticosteroid therapy. Of these, 43% delivered more than 2 h after admission, and 33% delivered more than 4 h after admission, indicating sufficient time to have treated them. Lack of prenatal care, longer gestation, advanced cervical exam, and intact membranes at admission were associated with failure to receive the recommended therapy. Antenatal steroids were under-utilized in our sample. If our results our generalizable, opportunities for quality improvement in the antenatal management of mothers in preterm labor exist.

Indexed as

Practice Guidelines as TopicAdrenal Cortex HormonesAdultChi-Square DistributionConsensus Development Conferences, NIH as TopicFemaleGuideline AdherenceHealth Planning GuidelinesHumansLogistic ModelsMedical AuditMultivariate AnalysisNational Institutes of Health (U.S.)New York CityObstetric Labor, PrematurePatient SelectionAdrenal Cortex Hormones

Identifiers

PMID19495946
OpenAlexW1967224556

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.