Evidence map›Paper›PMID 23421919›Full record

ArticleAlcoholism, clinical and experimental research2013

The feasibility and cost of neonatal screening for prenatal alcohol exposure by measuring phosphatidylethanol in dried blood spots.

Ludmila N Bakhireva, Renate D Savich, Dennis W Raisch, Sandra Cano, Robert D Annett, Lawrence Leeman, Mahek Garg, Chelsea Goff, Daniel D Savage

Open access · greenAbstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
11.3field-weighted citation impact, top 2% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. The effect of prenatal alcohol co-exposure on neonatal abstinence syndrome in infants born to mothers in opioid maintenance treatment.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2016
    Trial
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  14. Placental Proteomics Reveal Insights into Fetal Alcohol Spectrum Disorders.Alcoholism, clinical and experimental research · 2017
    Article
  15. Stability of Phosphatidylethanol in Dry Blood Spot Cards.Alcohol and alcoholism (Oxford, Oxfordshire) · 2016
    Article
  16. Article
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  19. Fetal alcohol-spectrum disorders: identifying at-risk mothers.International journal of women's health · 2016
    Review
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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

9 authors at 1 institution in 1 country.

Ludmila N BakhirevaDepartment of Pharmacy Practice and Administrative Sciences, University of New Mexico Health Sciences Center, Albuquerque, NM, USA. LBakhireva@salud.unm.edu
Renate D Savich
Dennis W Raisch
Sandra Cano
Robert D Annett
Lawrence Leeman
Mahek Garg
Chelsea Goff
Daniel D Savage
University of New Mexico · US

Funding

UNM HSC Clinical and Translational Science CenterUL1TR001449 · NCATS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI CAMPEN, MATTHEW J, PANDHI, NANCY · 2015 to 2024
$36.9M
Understanding neurophysiological deficits in response inhibition in children with FASDP50AA022534 · NIAAA · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI Carlos Fernando Valenzuela · 2014 to 2026
$21.5M
University of New Mexico Clinical and Translational Science CenterUL1TR000041 · NCATS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI LARSON, RICHARD S · 2012 to 2014
$9.8M
Fetal ethanol-induced behavioral deficits: Mechanisms, diagnoses and interventionP20AA017068 · NIAAA · UNIVERSITY OF NEW MEXICO · PI SAVAGE, DANIEL D. · 2008 to 2012
$2.6M
Alcohol and Condom Use Resistance in Sexually Coercive/Violent MenR01AA017608 · NIAAA · UNIVERSITY OF WASHINGTON · PI DAVIS, KELLY CUE · 2009 to 2013
$2.1M
Utility of Phosphatidylethanol for Identification of Fetal Alcohol ExposureR03AA020170 · NIAAA · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI BAKHIREVA, LUDMILA NICOLE · 2010 to 2011
$74k
NCATS NIH HHS (8UL1TR000041NCATS NIH HHS UL1 TR000041NCATS NIH HHS UL1 TR001449NIAAA NIH HHS 1P20AA017608NIAAA NIH HHS 1R03AA020170NIAAA NIH HHS P20 AA017068NIAAA NIH HHS P50 AA022534NIAAA NIH HHS R01 AA017608NIAAA NIH HHS R03 AA020170NICHD NIH HHS HHSN267200700031C
6 · The paper itself

Abstract

backgroundAccurate confirmation of prenatal alcohol exposure (PAE) is required as a diagnostic criterion for the majority of children adversely affected by PAE who do not manifest the physical features associated with fetal alcohol syndrome. A number of ethanol biomarkers have been used to assess PAE, often with suboptimal results. The purpose of this study was to evaluate the feasibility and cost of PAE screening in newborns by measuring phosphatidylethanol (PEth) in dried blood spot (DBS) cards.

methodsThe feasibility of collecting an additional DBS card during routine newborn screening and the background prevalence of PAE were evaluated in a de-identified sample of newborn children delivered at the University of New Mexico Hospital. Electronic orders to collect DBS cards from newborns who continue to bleed after the routine newborn screen, glucose, or hematocrit testing were initiated for all infants delivered during a 4-week time frame. Specimens were sent to a contract laboratory for PEth analysis by liquid chromatography-tandem mass spectrometry. A cost analysis was conducted to compare the cost of PAE screening by PEth in DBS versus PEth in conventional blood specimens and by meconium fatty acid ethyl esters.

resultsFrom 230 collected cards, 201 (87.4%) had at least 1 full blood spot (amount sufficient for PEth analysis), and 6.5% had PEth >20 ng/ml indicative of potential PAE in late pregnancy. PAE screening by PEth in DBS is logistically simpler and less expensive compared with 2 other screening approaches.

conclusionsThese results indicate that screening for PAE in DBS cards is a feasible procedure and that a majority of infants have enough blood after the routine heel prick to fill an additional card. Moreover, screening by PEth analysis from DBS cards is cost-efficient. The acceptability of such screening by parents and corresponding ethical issues remain to be investigated.

Indexed as

Alcohol DrinkingAlcohol-Induced DisordersBlood Specimen CollectionChromatography, LiquidFeasibility StudiesFemaleFetal Alcohol Spectrum DisordersGlycerophospholipidsHumansInfant, NewbornNeonatal ScreeningPregnancyPrenatal Exposure Delayed EffectsTandem Mass SpectrometryGlycerophospholipidsphosphatidylethanol

Identifiers

PMID23421919
PMCPMC3661684
OpenAlexW2141541868

What OpenQuestion holds

Textmetadata
LicenceTDM
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.