Evidence map›Paper›PMID 25164433›Full record

ArticleAmerican journal of reproductive immunology (New York, N.Y. : 1989)2015

Systemic inflammation in the extremely low gestational age newborn following maternal genitourinary infections.

Raina N Fichorova, Noah Beatty, Rita R S Sassi, Hidemi S Yamamoto, Elizabeth N Allred, Alan Leviton, ELGAN Investigators

Open access · greenAbstract read
In one paragraph

Article in American journal of reproductive immunology (New York, N.Y. : 1989), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

28 citing papers in PubMed, 36 citations in OpenAlex.

  1. Trial
  2. Article
  3. Perinatal Factors and Emotional, Cognitive, and Behavioral Dysregulation in Childhood and Adolescence.Journal of the American Academy of Child and Adolescent Psychiatry · 2023
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  11. The fetal origins of mental illness.American journal of obstetrics and gynecology · 2019
    Review
  12. Executive Dysfunction Early Postnatal Biomarkers among Children Born Extremely Preterm.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2019
    Article
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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

7 authors at 3 institutions in 1 country.

Raina N FichorovaLaboratory of Genital Tract Biology, Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Noah Beatty
Rita R S Sassi
Hidemi S Yamamoto
Elizabeth N Allred
Alan Leviton
ELGAN Investigators
Harvard University · USBrigham and Women's Hospital · USBoston Children's Hospital · US

Funding

Neonatal Biomarkers in Extremely Preterm Babies Predict Childhood Brain DisordersU01NS040069 · NINDS · CHILDREN'S HOSPITAL BOSTON · PI KUBAN, KARL · 2001 to 2014
$34.0M
SYNAPTIC MECHANISMS IN HIPPOCAMPAL EPILEPTOGENESISP30HD018655 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI POMEROY, SCOTT LOREN · 1985 to 2015
$26.2M
Circulating Immune Biomarkers and Retinopathy of PrematurityR01EY021820 · NEI · TUFTS UNIVERSITY BOSTON · PI DAMMANN, OLAF · 2013 to 2016
$1.7M
NEI NIH HHS 1R01EY021820-01A1NEI NIH HHS R01 EY021820NICHD NIH HHS 5P30HD018655-28NICHD NIH HHS P30 HD018655NINDS NIH HHS 2R01NS040069 - 06A2NINDS NIH HHS 5U01NS040069-05NINDS NIH HHS U01 NS040069
6 · The paper itself

Abstract

problemGestational genitourinary infections are associated with lifelong disabilities, but it is unknown if neonatal inflammation is involved.

methodMothers of 914 infants born before 28th gestation week reported cervical/vaginal infection (CVI), and/or urine/bladder/kidney infection (UTI), or neither. Inflammation proteins measured in baby's blood on postnatal days 1, 7, and 14 were considered elevated if in the top quartile for gestational age. Logistic regression models adjusting for potential confounders assessed odds ratios.

resultsCompared to mothers with neither UTI/CVI, those with CVI were more likely to have infants with elevated CRP, SAA, MPO, IL-1β, IL-6, IL-6R, TNF-α, RANTES, ICAM-3, E-selectin, and VEGF-R2 on day 1; those with UTI were more likely to have infants with elevated MPO, IL-6R, TNF-R1, TNF-R2, and RANTES on day 7. Placental anaerobes and genital mycoplasma were more common in pregnancies with CVI.

conclusionGestational UTI/CVI should be targeted for preventing systemic inflammation in the very preterm newborn.

Indexed as

AdultAntigens, CDCell Adhesion MoleculesC-Reactive ProteinCytokinesE-SelectinFemaleFemale Urogenital DiseasesGestational AgeHumansInfant, Extremely PrematureInfant, NewbornInflammationMalePeroxidasePregnancyAntigens, CDCell Adhesion MoleculesC-Reactive ProteinCytokinesE-SelectinICAM3 protein, humanPeroxidaseReceptors, Cell SurfaceAcute phase proteinscervicitiscytokinesplacental microbiomepreterm birthvaginitis

Identifiers

PMID25164433
PMCPMC4293273
OpenAlexW2001810243

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.