Evidence map›Paper›PMID 29315994›Full record

ArticleThe journal of obstetrics and gynaecology research2018

Prediction of histological chorioamnionitis and neonatal and infantile outcomes using procalcitonin in the umbilical cord blood and amniotic fluid at birth.

Takashi Horinouchi, Toshiyuki Yoshizato, Yutaka Kozuma, Takaaki Shinagawa, Megumi Muto, Tsuyoshi Yamasaki, Daizo Hori, Kimio Ushijima

Open access · hybridAbstract read
In one paragraph

Article in The journal of obstetrics and gynaecology research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

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  7. Elevated neutrophil-lymphocyte ratios in extremely preterm neonates with histologic chorioamnionitis.Journal of perinatology : official journal of the California Perinatal Association · 2021
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  9. Observational
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

8 authors at 1 institution in 1 country.

Takashi HorinouchiDepartment of Obstetrics and Gynecology, School of Medicine, Kurume University, Kurume, Japan.
Toshiyuki YoshizatoDepartment of Obstetrics and Gynecology, School of Medicine, Kurume University, Kurume, Japan.
Yutaka KozumaDepartment of Obstetrics and Gynecology, School of Medicine, Kurume University, Kurume, Japan.
Takaaki ShinagawaDepartment of Obstetrics and Gynecology, School of Medicine, Kurume University, Kurume, Japan.
Megumi MutoDepartment of Obstetrics and Gynecology, School of Medicine, Kurume University, Kurume, Japan.
Tsuyoshi YamasakiDepartment of Obstetrics and Gynecology, School of Medicine, Kurume University, Kurume, Japan.
Daizo HoriDepartment of Obstetrics and Gynecology, School of Medicine, Kurume University, Kurume, Japan.
Kimio UshijimaDepartment of Obstetrics and Gynecology, School of Medicine, Kurume University, Kurume, Japan.
Kurume University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimWe aimed to clarify the usefulness of procalcitonin (PCT) in the evaluation of histological chorioamnionitis (CAM) and in the prediction of neonatal and infantile outcomes as a reference of interleukin-6 (IL-6).

methodsSubjects were 36 singleton pregnant women delivered at 22-37 weeks' gestation due to threatened premature delivery and/or preterm premature rupture of membranes. Cases were classified into the CAM and non-CAM groups, according to Blanc's criteria. Comparisons were made on umbilical venous and amniotic fluid PCT levels among the groups. The relations between umbilical venous PCT and IL-6 levels and neonatal and infantile outcomes were also analyzed.

resultsThe umbilical venous PCT level in the CAM group (240.2 pg/mL, 125.4-350.3 pg/mL: median, first quartile-third quartile) was higher than that in the non-CAM group (105.1, 50.2-137.5 pg/mL; P = 0.0006). There were no differences in the amniotic fluid PCT levels between the groups. There was a strong correlation between umbilical venous PCT and IL-6 levels (correlation coefficient: 0.793). Among 10 cases with an umbilical venous PCT level of ≥170.0 pg/mL and six cases with IL-6 ≥ 11.0 pg/mL, six (60.0%) and five cases (83.3%), respectively, had adverse neonatal and infantile outcomes. Among seven cases with adverse neonatal and infantile outcomes, six (85.7%) and five (71.4%) cases showed umbilical venous PCT levels of ≥170.0 pg/mL and IL-6 levels of ≥11.0 pg/mL, respectively.

conclusionSimilar to IL-6, the umbilical venous PCT level is a promising parameter for predicting histological CAM and adverse neonatal and infantile outcomes related to in utero inflammatory status.

Indexed as

Amniotic FluidCalcitoninChorioamnionitisFemaleFetal BloodHumansInfant, NewbornInfant, Newborn, DiseasesPregnancyCalcitoninchorioamnionitisinterleukin-6neonatal and infantile outcomesprocalcitoninumbilical venous blood

Identifiers

PMID29315994
PMCPMC6618277
OpenAlexW2782957995

What OpenQuestion holds

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LicenceCC BY-NC
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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.