Evidence map›Paper›PMID 24772441›Full record

Trial reportBioMed research international2014

Awareness about a life-threatening condition: ectopic pregnancy in a network for surveillance of severe maternal morbidity in Brazil.

Edilberto Alves Rocha Filho, Danielly Scaranello Santana, Jose Guilherme Cecatti, Maria Laura Costa, Samira Maerrawe Haddad, Mary Angela Parpinelli, Maria Helena Sousa, Rodrigo Soares Camargo, Rodolfo Carvalho Pacagnella, Fernanda Garanhani Surita and 1 more

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in BioMed research international, 2014. 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
1.3field-weighted citation impact, top 18% 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, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Observational
  5. Gestational Trophoblastic Neoplasia after Ectopic Molar Pregnancy: Clinical, Diagnostic, and Therapeutic Aspects.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2018
    Article
  6. 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

11 authors at 1 institution in 1 country.

Edilberto Alves Rocha FilhoDepartment of Obstetrics and Gynecology, School of Medicine, State University of Campinas, R. Alexander Fleming 101, 13083-881 Campinas, SP, Brazil.
Danielly Scaranello SantanaDepartment of Obstetrics and Gynecology, School of Medicine, State University of Campinas, R. Alexander Fleming 101, 13083-881 Campinas, SP, Brazil.
Jose Guilherme CecattiDepartment of Obstetrics and Gynecology, School of Medicine, State University of Campinas, R. Alexander Fleming 101, 13083-881 Campinas, SP, Brazil ; Campinas Center for Studies in Reproductive Health (CEMICAMP), R. Vital Brasil 200, 13083-888 Campinas, SP, Brazil.ORCID 0000-0003-1285-8445
Maria Laura CostaDepartment of Obstetrics and Gynecology, School of Medicine, State University of Campinas, R. Alexander Fleming 101, 13083-881 Campinas, SP, Brazil.
Samira Maerrawe HaddadDepartment of Obstetrics and Gynecology, School of Medicine, State University of Campinas, R. Alexander Fleming 101, 13083-881 Campinas, SP, Brazil.
Mary Angela ParpinelliDepartment of Obstetrics and Gynecology, School of Medicine, State University of Campinas, R. Alexander Fleming 101, 13083-881 Campinas, SP, Brazil.
Maria Helena SousaCampinas Center for Studies in Reproductive Health (CEMICAMP), R. Vital Brasil 200, 13083-888 Campinas, SP, Brazil.
Rodrigo Soares CamargoDepartment of Obstetrics and Gynecology, School of Medicine, State University of Campinas, R. Alexander Fleming 101, 13083-881 Campinas, SP, Brazil.
Rodolfo Carvalho PacagnellaDepartment of Obstetrics and Gynecology, School of Medicine, State University of Campinas, R. Alexander Fleming 101, 13083-881 Campinas, SP, Brazil.
Fernanda Garanhani SuritaDepartment of Obstetrics and Gynecology, School of Medicine, State University of Campinas, R. Alexander Fleming 101, 13083-881 Campinas, SP, Brazil.
Joao Luiz Pinto e SilvaDepartment of Obstetrics and Gynecology, School of Medicine, State University of Campinas, R. Alexander Fleming 101, 13083-881 Campinas, SP, Brazil.
Universidade Estadual de Campinas (UNICAMP) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess occurrence of severe maternal complications associated with ectopic pregnancy (EP).

methodA multicenter cross-sectional study was conducted, with prospective surveillance of potentially life-threatening conditions (PLTC), maternal near miss (MNM), and maternal death (MD). EP complications, patient sociodemographic/obstetric characteristics, and conditions of severity management were assessed, estimating prevalence ratios with respective 95% CI. Factors independently associated with greater severity were identified using multiple regression analysis.

resultsOf the 9.555 severe maternal morbidity patients, 312 women (3.3%) had complications after EP: 286 (91.7%) PLTC, 25 (8.0%) MNM, and 1 (0.3%) MD. Severe maternal outcome ratio (SMOR) was 0.3/1000 LB among EP cases and 10.8/1000 LB among other causes. Complicated EP patients faced a higher risk of blood transfusion, laparotomy, and lower risk of ICU admission and prolonged hospitalization than women developing complications resulting from other causes. Substandard care was the most common in more severe maternal morbidity and EP cases (22.7% MNM and MD versus 15% PLTC), although not significant.

conclusionIncreased maternal morbidity due to EP raised awareness about the condition and its impact on female reproductive life. No important risk factors for greater severity were identified. Care providers should develop specific guidelines and interventions to prevent severe maternal morbidity.

Indexed as

AwarenessAdultBrazilFemaleHumansMaternal MortalityPregnancyPregnancy, EctopicProspective StudiesRetrospective Studies

Identifiers

PMID24772441
PMCPMC3977561
OpenAlexW1965278760

What OpenQuestion holds

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LicenceCC BY
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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.