Evidence map›Paper›PMID 27347505›Full record

ArticleInternational scholarly research notices2015

Perinatal Outcome in Women with Hypertensive Disorders of Pregnancy: A Retrospective Cohort Study.

Gezehagn Endeshaw, Yifru Berhan

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PubMed Full text at PMC Publisher
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Article in International scholarly research notices, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 pooled it
2.3field-weighted citation impact, top 13% 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

40 citing papers in PubMed, 4 syntheses or guidelines pooled it, 67 citations in OpenAlex.

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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

2 authors at 1 institution in 1 country.

Gezehagn EndeshawHawassa University, 1560 Hawassa, Ethiopia.
Yifru BerhanHawassa University College of Medicine and Health Sciences, 1560 Hawassa, Ethiopia.
Hawassa University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background. Hypertensive disorders of pregnancy (HDP) are multisystem diseases known to increase the risk of perinatal mortality worldwide, with a significant proportion of these deaths occurring in low income countries. However, little is known about the obstetric and treatment predictors of perinatal mortality in women with HDP. Methods. A retrospective cohort study design was used to include 1015 hypertensive pregnant women who gave birth to 1110 babies between 2008 and 2013 in three university teaching hospitals. Bivariate and multivariate regression models were used to estimate the associations between selected predictor variables and perinatal mortality taking the onset of HDP illness to death or discharge from the hospital as the time period. Results. There were 322 perinatal deaths resulting in a perinatal mortality rate (PMR) of 290/1000 total births. The proportion of stillbirths was more than 4-fold higher than early neonatal deaths (81% versus 19%). The multivariate analysis demonstrated that multiparity (OR, 1.6; 95% CI, 1.12-228), grand multiparity (OR, 2.8; 95% CI, 1.55-4.92), preterm (OR, 1.5; 95% CI, 1.02-2.35) and very preterm gestational age (OR, 7.7; 95% CI, 5.26-11.20), lack of antenatal care (OR, 2.0; 95% CI, 1.43-2.67), having eclampsia (OR, 4.1; 95% CI, 2.85-6.04), antepartum or before (OR, 6.6; 95% CI, 3.40-12.75) and intrapartum onset of HDP (OR, 4.0; 95% CI, 1.99-8.04), raised SGOT level (OR, 2.3; 95% CI, 1.30-3.91), vaginal delivery (OR, 5.3; 95% CI, 2.93-9.54), low fetal birth weight (OR, 4.3; 95% CI, 2.56-7.23), and maternal death (OR, 12.8; 95% CI, 2.99-54.49) were independent predictors of perinatal mortality. Conclusion. This study showed that the PMR of HDP was among the highest in the world. Parity, gestational age, type and onset of HDP, mode of delivery, birthweight, and maternal outcome were strong predictors of perinatal mortality.

Identifiers

PMID27347505
PMCPMC4897150
OpenAlexW2000743164

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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.