Evidence map›Paper›PMID 23716471›Full record

Trial reportBirth defects research. Part A, Clinical and molecular teratology2013

A pilot study using residual newborn dried blood spots to assess the potential role of cytomegalovirus and Toxoplasma gondii in the etiology of congenital hydrocephalus.

Regina M Simeone, Sonja A Rasmussen, Joanne V Mei, Sheila C Dollard, Jaime L Frias, Gary M Shaw, Mark A Canfield, Robert E Meyer, Jeffrey L Jones, Fred Lorey and 1 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Birth defects research. Part A, Clinical and molecular teratology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Cytomegalovirus infections in infants in Uganda: Newborn-mother pairs, neonates with sepsis, and infants with hydrocephalus.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Article
  4. Article
  5. Article
  6. Article
  7. Review
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

11 authors at 7 institutions in 1 country.

Regina M SimeoneDivision of Birth Defects and Developmental Disabilities, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA. rsimeone@cdc.gov
Sonja A Rasmussen
Joanne V Mei
Sheila C Dollard
Jaime L Frias
Gary M Shaw
Mark A Canfield
Robert E Meyer
Jeffrey L Jones
Fred Lorey
Margaret A Honein
Centers for Disease Control and Prevention · USNational Center on Birth Defects and Developmental Disabilities · USCalifornia Department of Public Health · USCenter for Global Health · USNorth Carolina Division of Public Health · USStanford University · USTexas Department of State Health Services · US

Funding

California Center of the NBDPS - Finding Causes and Preventives of Birth DefectsU01DD000489 · DD · STANFORD UNIVERSITY · PI SHAW, GARY C. · 2009 to 2013
$4.3M
Intramural CDC HHS CC999999NCBDD CDC HHS 6U01DD000489NCBDD CDC HHS U01 DD000489
6 · The paper itself

Abstract

backgroundCongenital hydrocephalus is a condition characterized by accumulation of cerebrospinal fluid in the ventricles of the brain. Prenatal infections are risk factors for some birth defects. This pilot study investigated whether residual dried blood spots (DBS) could be used to assess infections as risk factors for birth defects by examining the associations between prenatal infection with Toxoplasma gondii (T. gondii) or cytomegalovirus (CMV) with congenital hydrocephalus.

methodsCase-infants with hydrocephalus (N=410) were identified among live-born infants using birth defects surveillance systems in California, North Carolina, and Texas. Control-infants without birth defects were randomly selected from the same geographic areas and time periods as case-infants (N=448). We tested residual DBS from case- and control-infants for T. gondii immunoglobulin M and CMV DNA. When possible, we calculated crude odds ratios (cORs) and confidence intervals (CIs).

resultsEvidence for prenatal T. gondii infection was more common among case-infants (1.2%) than control-infants (0%; p=0.11), and evidence for prenatal CMV infection was higher among case-infants (1.5%) than control-infants (0.7%; cOR: 2.3; 95% CI: 0.48, 13.99).

conclusionsPrenatal infections with T. gondii and CMV occurred more often among infants with congenital hydrocephalus than control-infants, although differences were not statistically significant. This pilot study highlighted some challenges in using DBS to examine associations between certain infections and birth defects, particularly related to reduced sensitivity and specimen storage conditions. Further study with increased numbers of specimens and higher quality specimens should be considered to understand better the contribution of these infections to the occurrence of congenital hydrocephalus.

Indexed as

CytomegalovirusHydrocephalusToxoplasmaCytomegalovirus InfectionsDried Blood Spot TestingFemaleHumansInfant, NewbornMaleRetrospective StudiesToxoplasmosis, Congenitalcongenital infectionscytomegalovirushydrocephalusnewborn dried blood spotsToxoplasma gondii

Identifiers

PMID23716471
PMCPMC4526818
OpenAlexW1581222014

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.