Evidence map›Paper›PMID 26199788›Full record

ArticleAJP reports2015

Nontraumatic Fat Embolism Found Following Maternal Death after Cesarean Delivery.

Tabitha Schrufer-Poland, Paul Singh, Cristiano Jodicke, Sara Reynolds, Dev Maulik

Abstract readCase Reports
In one paragraph

Article in AJP reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  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

5 authors.

Tabitha Schrufer-PolandDepartment of Obstetrics and Gynecology, Kansas City School of Medicine, University of Missouri, Kansas City, Missouri.
Paul SinghDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Kansas City School of Medicine, University of Missouri, Kansas City, Missouri.
Cristiano JodickeDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Kansas City School of Medicine, University of Missouri, Kansas City, Missouri.
Sara ReynoldsDepartment of Obstetrics and Gynecology, Kansas City School of Medicine, University of Missouri, Kansas City, Missouri.
Dev MaulikDepartment of Obstetrics and Gynecology, Kansas City School of Medicine, University of Missouri, Kansas City, Missouri ; Department of Obstetrics and Gynecology, Truman Medical Center, Kansas City, Missouri ; Department of Maternal Fetal Medicine, Children's Mercy Hospital, Kansas City, Missouri.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction Fat embolism is a rare form of nonthrombotic embolization. Limited literature exists regarding the diagnosis of fat embolism during the perinatal period. We present the first case of maternal death that resulted from nontraumatic fat embolization following Cesarean delivery. Case Description A 29-year-old gravida 1 with a complex medical and surgical history underwent a primary Cesarean delivery at term. On postoperative day 2 the patient was found to be unresponsive. Despite resuscitative efforts, the patient succumbed. Autopsy findings were remarkable for diffuse pulmonary fat emboli. Furthermore, there was no histological evidence of either amniotic fluid embolism or thromboembolism. The primary cause of death was attributed to nontraumatic fat embolization. Discussion Multiple risk factors may have contributed to the development of nontraumatic fat embolization in our patient. Obstetricians should maintain a high level of suspicion for nontraumatic fat embolization in cases of maternal respiratory decompression and sudden maternal mortality.

Indexed as

cesarean sectionfat embolismmaternal deathpregnancy

Identifiers

PMID26199788
PMCPMC4502621

What OpenQuestion holds

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Registered trials

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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.