Evidence map›Paper›PMID 27650764›Full record

ArticleBMJ open2016

Motor vehicle crashes during pregnancy and cerebral palsy during infancy: a longitudinal cohort analysis.

Donald A Redelmeier, Faisal Naqib, Deva Thiruchelvam, Jon F R Barrett

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 15 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

4 authors at 2 institutions in 1 country.

Donald A RedelmeierDepartment of Medicine, University of Toronto, Toronto, Ontario, Canada Evaluative Clinical Sciences, Sunnybrook Research Institute, Toronto, Ontario, Canada Institute of Clinical Evaluative Sciences (ICES) in Ontario, Toronto, Ontario, Canada Institute for Health Policy Management and Evaluation Division of General Internal Medicine, University of Toronto, Toronto, Ontario, Canada Department of Obstetrics and Gynecology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Faisal NaqibDepartment of Medicine, University of Toronto, Toronto, Ontario, Canada Evaluative Clinical Sciences, Sunnybrook Research Institute, Toronto, Ontario, Canada Institute of Clinical Evaluative Sciences (ICES) in Ontario, Toronto, Ontario, Canada.
Deva ThiruchelvamEvaluative Clinical Sciences, Sunnybrook Research Institute, Toronto, Ontario, Canada Institute of Clinical Evaluative Sciences (ICES) in Ontario, Toronto, Ontario, Canada.
Jon F R BarrettDepartment of Obstetrics and Gynecology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada Department of Obstetrics and Gynecology, University of Toronto, Toronto, Ontario, Canada.
Health Sciences Centre · CAInstitute for Clinical Evaluative Sciences · CA

Funding

CIHR
6 · The paper itself

Abstract

objectivesTo assess the incidence of cerebral palsy among children born to mothers who had their pregnancy complicated by a motor vehicle crash.

designRetrospective longitudinal cohort analysis of children born from 1 April 2002 to 31 March 2012 in Ontario, Canada.

participantsCases defined as pregnancies complicated by a motor vehicle crash and controls as remaining pregnancies with no crash. MAIN OUTCOME: Subsequent diagnosis of cerebral palsy by age 3 years.

resultsA total of 1 325 660 newborns were analysed, of whom 7933 were involved in a motor vehicle crash during pregnancy. A total of 2328 were subsequently diagnosed with cerebral palsy, equal to an absolute risk of 1.8 per 1000 newborns. For the entire cohort, motor vehicle crashes correlated with a 29% increased risk of subsequent cerebral palsy that was not statistically significant (95% CI -16 to +110, p=0.274). The increased risk was only significant for those with preterm birth who showed an 89% increased risk of subsequent cerebral palsy associated with a motor vehicle crash (95% CI +7 to +266, p=0.037). No significant increase was apparent for those with a term delivery (95% CI -62 to +79, p=0.510). A propensity score-matched analysis of preterm births (n=4384) yielded a 138% increased relative risk of cerebral palsy associated with a motor vehicle crash (95% CI +27 to +349, p=0.007), equal to an absolute increase of about 10.9 additional cases per 1000 newborns (18.2 vs 7.3, p=0.010).

conclusionsMotor vehicle crashes during pregnancy may be associated with an increased risk of cerebral palsy among the subgroup of cases with preterm birth. The increase highlights a specific role for traffic safety advice in prenatal care.

Indexed as

Accidents, TrafficAdolescentAdultCerebral PalsyChild, PreschoolCohort StudiesFemaleHumansIncidenceInfantInfant, NewbornLongitudinal StudiesMiddle AgedOntarioPregnancyPremature Birthcar accidentcerebral palsymotor vehicle traumaprenatal carepreterm birthtraffic crash

Identifiers

PMID27650764
PMCPMC5051428
OpenAlexW2523018366

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.