Evidence map›Paper›PMID 20601692›Full record

Trial reportJournal of tropical pediatrics2011

Morbidity and mortality among infants born to HIV-infected women in South Africa: implications for child health in resource-limited settings.

Kartik K Venkatesh, Guy de Bruyn, Edmore Marinda, Kennedy Otwombe, Ronelle van Niekerk, Michael Urban, Elizabeth W Triche, Stephen T McGarvey, Mark N Lurie, Glenda E Gray

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of tropical pediatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
1.4field-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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Mortality risk and associated factors in HIV-exposed, uninfected children.Tropical medicine & international health : TM & IH · 2016
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  12. Breastfeeding Is Associated with Decreased Risk of Hospitalization among HIV-Exposed, Uninfected Kenyan Infants.Journal of human lactation : official journal of International Lactation Consultant Association · 2016
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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

10 authors at 5 institutions in 2 countries.

Kartik K VenkateshDepartment of Community Health, Alpert Medical School, Brown University, Providence, RI, USA.
Guy de Bruyn
Edmore Marinda
Kennedy Otwombe
Ronelle van Niekerk
Michael Urban
Elizabeth W Triche
Stephen T McGarvey
Mark N Lurie
Glenda E Gray
Brown University · USPerinatal HIV Research Unit · ZAUniversity of the Witwatersrand · ZAChris Hani Baragwanath Hospital · ZAJohannesburg Hospital · ZA

Funding

Spatial Analysis CoreR24HD041020 · NICHD · BROWN UNIVERSITY · PI LOGAN, JOHN R · 2001 to 2016
$7.4M
South Africa Tuberculosis AIDS Training (SATBAT)U2RTW007370 · FIC · WITS HEALTH CONSORTIUM (PTY), LTD · PI MARTINSON, NEIL A · 2007 to 2011
$1.9M
Enhancing HIV Secondary Prevention in a clinical care setting in southern IndiaF30MH079738 · NIMH · BROWN UNIVERSITY · PI VENKATESH, KARTIK KAILAS · 2006 to 2011
$270k
FIC NIH HHS TW007370/3NICHD NIH HHS R24 HD041020NIMH NIH HHS F30 MH079738-01A2
6 · The paper itself

Abstract

backgroundWe examined correlates of infant morbidity and mortality within the first 3 months of life among HIV-exposed infants receiving post-exposure antiretroviral prophylaxis in South Africa.

methodsWe conducted a prospective cohort study of 848 mother-child dyads. Multivariable Cox proportional hazards models were used.

resultsThe main causes of infant morbidity were gastrointestinal and respiratory infections. Morbidity was higher with infant HIV infection (HR: 2.61; 95% CI: 1.40-4.85; p = 0.002) and maternal plasma viral load (PVL) >100,000 copies ml⁻¹ (HR: 1.87; 95% CI: 1.01-3.48; p = 0.048), and lower with maternal age < 20 years (HR: 0.25; 95% CI: 0.07-0.88; p = 0.031). Mortality was higher with infant HIV infection (HR: 4.10; 95% CI: 1.18-14.31; p = 0.027) and maternal PVL >100,000 copies ml⁻¹ (HR: 6.93; 95% CI: 1.64-29.26; p = 0.008). Infant feeding status did not influence the risk of morbidity nor mortality.

conclusionsFuture interventions that minimize pediatric HIV infection and reduce maternal viremia, which are the main predictors of child health soon after birth, will impact positively on infant health outcomes.

Indexed as

AdultAnti-HIV AgentsBreast FeedingChildChild WelfareFemaleFollow-Up StudiesHIV-1HIV InfectionsHospitalizationHumansIncidenceInfantInfectious Disease Transmission, VerticalKaplan-Meier EstimateMaternal AgeAnti-HIV Agents

Identifiers

PMID20601692
PMCPMC3107462
OpenAlexW2079036417

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.