Evidence map›Paper›PMID 25223243›Full record

ArticleAmerican journal of obstetrics and gynecology2015

Inflammatory predictors of neurologic disability after preterm premature rupture of membranes.

Jennifer Armstrong-Wells, Meghan Donnelly, Miriam D Post, Marilyn J Manco-Johnson, Virginia D Winn, Guillaume Sébire

Open access · greenAbstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Maternal Exposure to Environmental Air Pollution and Premature Rupture of Membranes: Evidence from Southern China.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. The Role of the Interleukin-1 Family in Complications of Prematurity.International journal of molecular sciences · 2023
    Review
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. 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

6 authors at 3 institutions in 2 countries.

Jennifer Armstrong-WellsDepartment of Pediatrics (Neurology), University of Colorado School of Medicine/Children's Hospital Colorado, Aurora, CO; Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, CO. Electronic address: jennifer.armstrong-wells@ucdenver.edu.
Meghan DonnellyDepartment of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, CO.
Miriam D PostDepartment of Pathology, University of Colorado School of Medicine, Aurora, CO.
Marilyn J Manco-JohnsonDepartment of Pediatrics (Hematology/Oncology/BMT), University of Colorado School of Medicine, Aurora, CO.
Virginia D WinnDepartment of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, CO.
Guillaume SébireDepartment of Pediatrics and Department of Neurology and Neurosurgery, McGill University, Montreal, Canada.
University of Colorado Denver · USChildren's Hospital Colorado · USMcGill University · CA

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
UCHSC: Building Interdisciplinary Research Careers in Women's HealthK12HD057022 · NICHD · UNIVERSITY OF COLORADO DENVER · PI REGENSTEINER, JUDITH G., SANTORO, NANETTE F. · 2007 to 2023
$8.5M
CIHR MOP201257NCATS NIH HHS UL1 TR001082NCRR NIH HHS 5UL1RR025780NCRR NIH HHS UL1 RR025780NICHD NIH HHS K12 HD057022PHS HHS K12 KD HDO57022
6 · The paper itself

Abstract

objectiveThe maternal-fetal inflammatory response contributes to both preterm premature rupture of membranes (PPROM) and adverse neurological outcomes. Additionally, cytokines associated with fetal placental inflammation can be detrimental to brain development regardless of inciting infection. We investigated whether differential patterns of cytokine markers in maternal and fetal plasma samples reflect subtypes of placental inflammation and neurological outcomes at 6 months in infants born to mothers with PPROM. STUDY

designWithin a prospective cohort study of 25 women with PPROM, plasma cytokines (interleukin [IL]-1β, IL-6, IL-8, and tumor necrosis factor-α) were measured by enzyme-linked immunosorbent assay from maternal blood samples at rupture and delivery, and from fetal umbilical cord blood samples. Patterns of cytokine expression were correlated with specific placenta pathologies. Infants underwent cranial ultrasound after birth and standardized neurological examinations at 6 months' corrected gestational age. Predictors of inflammation and adverse neurological outcome were assessed by logistic regression, adjusting for gestational age at birth.

resultsInflammation of the fetal side of the placenta was associated with elevated maternal IL-6 and IL-8 at delivery and fetal IL-1β, IL-6, IL-8, and tumor necrosis factor-α. Worse neurological outcome at 6 months was associated with inflammation of the fetal side of the placenta and shorter duration from rupture of membrane to delivery, independent of gestational age at birth or cranial ultrasound results.

conclusionOur findings support the connection between fetal inflammation with adverse neurological outcome with PPROM, regardless of cranial ultrasound results. Further longitudinal studies are needed to adequately examine these patterns, and will aid in risk assessment and intervention strategies.

Indexed as

AdultChorioamnionitisCohort StudiesCytokinesEnzyme-Linked Immunosorbent AssayFemaleFetal BloodGestational AgeHumansInfant, NewbornInflammationInterleukin-1betaInterleukin-6Interleukin-8MaleNervous System DiseasesCXCL8 protein, humanCytokinesIL1B protein, humanIL6 protein, humanInterleukin-1betaInterleukin-6Interleukin-8Tumor Necrosis Factor-alphacerebral palsychorioamnionitiscytokinesfunisitisplacenta

Identifiers

PMID25223243
PMCPMC4312536
OpenAlexW1982907176

What OpenQuestion holds

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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.