Evidence map›Paper›PMID 25684973›Full record

ArticleInfectious diseases in obstetrics and gynecology2015

Acute infectious morbidity in multiple gestation.

Sarah K Dotters-Katz, Emily Patel, Chad A Grotegut, R Phillips Heine

Open access · hybridAbstract readCase Reports
In one paragraph

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

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 20% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
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.

Sarah K Dotters-KatzDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC 27599, USA.ORCID 0000-0002-9951-8330
Emily PatelDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Duke University, Durham, NC 27705, USA.ORCID 0000-0001-8760-6061
Chad A GrotegutDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Duke University, Durham, NC 27705, USA.
R Phillips HeineDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Duke University, Durham, NC 27705, USA.
Duke University · USUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPhysiologic and immunologic changes in pregnancy result in increased susceptibility to infection. These shifts are more pronounced in pregnancies complicated by multiple gestation. The objective of this study was to determine the association between multiple gestation and risk of infectious morbidity. STUDY

designThe Nationwide Inpatient Sample for the years 2008-2010 was used to identify pregnant women during admission for delivery with International Classification of Diseases codes. Logistic regression was used to compute odds ratios and 95% confidence intervals for demographic data, preexisting medical conditions, and acute medical and infectious complications for women with multiple versus singleton gestations.

resultsAmong women with multiple gestation, 38.4 per 1,000 women had an infectious complication compared to 12.8 per 1,000 women with singletons. The most significant infectious morbidity associated with multiple gestation was intestinal infections, pyelonephritis, influenza, and pneumonia. After controlling for confounding variables, infectious complications at delivery persisted for women with multiples, though the association was dependent on mode of delivery.

conclusionsWomen with multiple gestations are at increased risk for infectious morbidity identified at the time of delivery. This association was diminished among women who had a cesarean suggesting that operative delivery is not responsible for this association.

Indexed as

AdultCesarean SectionDelivery, ObstetricFemaleHumansInfluenza, HumanIntestinal DiseasesLogistic ModelsOdds RatioPneumoniaPregnancyPregnancy Complications, InfectiousPregnancy, MultiplePyelonephritisRisk FactorsYoung Adult

Identifiers

PMID25684973
PMCPMC4313678
OpenAlexW2009467380

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.