Evidence map›Paper›PMID 27664264›Full record

ArticleArchives of disease in childhood2017

Long-term cardiovascular outcome following fetal anaemia and intrauterine transfusion: a cohort study.

Alexandra H Wallace, Stuart R Dalziel, Brett R Cowan, Alistair A Young, Kent L Thornburg, Jane E Harding

Open access · bronzeAbstract read
In one paragraph

Article in Archives of disease in childhood, 2017. 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
1.4field-weighted citation impact, top 18% 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, 17 citations in OpenAlex.

  1. Long-term outcome of brain structure in female preterm infants: possible associations of liberal versus restrictive red blood cell transfusions.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2021
    Trial
  2. Review
  3. Maternal isoimmunization associated fetal anemia: A case report.Journal of family medicine and primary care · 2024
    Article
  4. Observational
  5. [Clinical Efficacy and Nursing Care of Fetal Intrauterine Blood Transfusion: Previous Experience Review].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2023
    Article
  6. Role of adenosine signaling in coordinating cardiomyocyte function and coronary vascular growth in chronic fetal anemia.American journal of physiology. Regulatory, integrative and comparative physiology · 2018
    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.

Alexandra H WallaceLiggins Institute, University of Auckland, Auckland, New Zealand.
Stuart R DalzielLiggins Institute, University of Auckland, Auckland, New Zealand.
Brett R CowanDepartment of Anatomy with Radiology, Centre for Advanced MRI and Auckland MRI Research Group, University of Auckland, Auckland, New Zealand.
Alistair A YoungDepartment of Anatomy with Radiology, Centre for Advanced MRI and Auckland MRI Research Group, University of Auckland, Auckland, New Zealand.
Kent L ThornburgHeart Research Center, Oregon Health and Sciences University, Portland, USA.
Jane E HardingLiggins Institute, University of Auckland, Auckland, New Zealand.
University of Auckland · NZOregon Health & Science University · USWaikato Hospital · NZ

Funding

ULTRASOUND IMAGING COREP01HD034430 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI DAVIS, LOWELL E · 1997 to 2017
$20.7M
The Cardiac Atlas ProjectR01HL121754 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MCCULLOCH, ANDREW D., OMENS, JEFFREY H. · 2014 to 2023
$5.0M
NHLBI NIH HHS R01 HL121754NICHD NIH HHS P01 HD034430
6 · The paper itself

Abstract

objectiveTo compare long-term cardiovascular outcomes in survivors of fetal anaemia and intrauterine transfusion with those of non-anaemic siblings.

designRetrospective cohort study.

settingAuckland, New Zealand.

participantsAdults who received intrauterine transfusion for anaemia due to rhesus disease (exposed) and their unexposed sibling(s). EXPOSURE: Fetal anaemia requiring intrauterine transfusion.

main outcome measuresAnthropometry, blood pressure, lipids, heart rate variability and cardiac MRI, including myocardial perfusion.

resultsExposed participants (n=95) were younger than unexposed (n=92, mean±SD 33.7±9.3 vs 40.1±10.9 years) and born at earlier gestation (34.3±1.7 vs 39.5±2.1 weeks). Exposed participants had smaller left ventricular volumes (end-diastolic volume/body surface area, difference between adjusted means -6.1, 95% CI -9.7 to -2.4 mL/m

conclusionsThis study provides the first evidence in humans that cardiovascular development is altered following exposure to fetal anaemia and intrauterine transfusion, with persistence of these changes into adulthood potentially indicating increased risk of cardiovascular disease. These findings are relevant to the long-term health of intrauterine transfusion recipients, and may potentially also have implications for adults born preterm who were exposed to anaemia at a similar postconceptual age.

Indexed as

AdultAnemiaBlood Transfusion, IntrauterineCardiovascular DiseasesFemaleFetal DiseasesHeart RateHumansLongitudinal StudiesMagnetic Resonance AngiographyMalePilot ProjectsRh IsoimmunizationRisk FactorsStroke VolumeVentricular Function, Leftblood transfusion, intrauterineFetal MedicineImagingNeonatology

Identifiers

PMID27664264
PMCPMC5297634
OpenAlexW2522252831

What OpenQuestion holds

Textmetadata
LicenceTDM
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.