Evidence map›Paper›PMID 24681289›Full record

ArticleAmerican journal of obstetrics and gynecology2014

Case-control analysis of maternal prenatal analgesic use and cardiovascular malformations: Baltimore-Washington Infant Study.

Courtney A Marsh, Janet D Cragan, C J Alverson, Adolfo Correa

Open access · greenAbstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Prescribed opioid analgesics in early pregnancy and the risk of congenital anomalies: a population-based cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
    Article
  6. Review
  7. Article
  8. Article
  9. 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 at 2 institutions in 1 country.

Courtney A MarshDepartment of Obstetrics and Gynecology, University of Kansas School of Medicine, Kansas City, KS. Electronic address: cmarsh2@kumc.edu.
Janet D CraganNational Center on Birth Defects and Developmental Disabilities (NCBDDD), Centers for Disease Control and Prevention (CDC), Atlanta, GA.
C J AlversonNational Center on Birth Defects and Developmental Disabilities (NCBDDD), Centers for Disease Control and Prevention (CDC), Atlanta, GA.
Adolfo CorreaRollins School of Public Health, Emory University, Atlanta, GA; Department of Medicine, University of Mississippi Medical Center, Jackson, MS.
Centers for Disease Control and Prevention · USUniversity of Kansas · US

Funding

ETIOLOGIC RISK FACTORS OF CARDIOVASCULAR MALFORMATIONSR37HL025629 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI FERENCZ, CHARLOTTE · 1988 to 1997
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Intramural CDC HHS CC999999NHLBI NIH HHS R-37 HL25629
6 · The paper itself

Abstract

objectiveWe sought to assess maternal prenatal use of analgesics and risk of cardiovascular malformations (CVM) in the offspring. STUDY

designData from the Baltimore-Washington Infant Study, a population-based case-control investigation of CVM, were used to examine selected isolated CVM diagnoses and maternal analgesic use during the periconceptional period (3 months before and after conception). We compared case and control infants on frequency of maternal use of analgesics and estimated adjusted odds ratios (adjORs) and 95% confidence intervals (CI) with logistic regression models for specific CVM phenotypes.

resultsFrequency of periconceptional use of any analgesic was 52% among control mothers and 53% among case mothers. Analyses by CVM diagnoses identified an association of tetralogy of Fallot with maternal acetaminophen use (adjOR, 1.6; 95% CI, 1.1-2.3) and dextrotransposition of the great arteries with intact ventricular septum with maternal nonsteroidal antiinflammatory drug use (adjOR, 3.2; 95% CI, 1.2-8.7).

conclusionAnalgesic use during the periconceptional period was not associated with CVM in the aggregate or with most phenotypes of CVM examined. Associations with 2 phenotypes of CVM may have occurred by chance. These findings warrant corroboration and further study, including further evaluation of the observed associations, the dose of analgesic taken, more specific timing of analgesic use, and indications for use.

Indexed as

AdultAnalgesicsCardiovascular AbnormalitiesCase-Control StudiesFemaleHumansInfant, NewbornInterviews as TopicLogistic ModelsMaternal ExposureOdds RatioPregnancyRisk FactorsSurveys and QuestionnairesAnalgesicsanalgesicsbirth defectscardiovascular malformationscongenital heart defectspregnancy

Identifiers

PMID24681289
PMCPMC4406339
OpenAlexW2022815075

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.