Evidence map›Paper›PMID 29455264›Full record

ArticleAIDS and behavior2018

Mortality Rate and Predictors in Children Under 15 Years Old Who Acquired HIV from Mother to Child Transmission in Paraguay.

Gloria Aguilar, Angélica Espinosa Miranda, George W Rutherford, Sergio Munoz, Nancy Hills, Tania Samudio, Fernando Galeano, Anibal Kawabata, Carlos Miguel Rios González

Abstract read
In one paragraph

Article in AIDS and behavior, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. 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

9 authors.

Gloria AguilarResearch Directorate General, National University of Caaguazú, Km 138 Ruta N°8 Blas A. Garay, 8, Coronel Oviedo, Paraguay. gloria.aguilar@unca.edu.py.
Angélica Espinosa MirandaPost Graduation Program in Infectious Diseases, Federal University of Espirito Santo, Vitoria, Brazil.
George W RutherfordGlobal Health Sciences, University of California, San Francisco, CA, USA.
Sergio MunozDepartment of Public Health, University of the Frontier, Temuco, Chile.
Nancy HillsDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
Tania SamudioDepartment of Strategic Information and Surveillance, National HIV Program, Asunción, Paraguay.
Fernando GaleanoDepartment of Pediatrics, Institute of Tropical Medicine, Asunción, Paraguay.
Anibal KawabataFaculty of Medical Sciences, National University of Caaguazú, Coronel Oviedo, Paraguay.
Carlos Miguel Rios GonzálezFaculty of Medical Sciences, National University of Caaguazú, Coronel Oviedo, Paraguay.

Funding

Int'l Traineeships in AIDS Prevention Studies (ITAPS)R25MH064712 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LINDAN, CHRISTINA P · 2002 to 2018
$3.4M
NIMH NIH HHS R25 MH064712
6 · The paper itself

Abstract

We estimated mortality rate and predictors of death in children and adolescents who acquired HIV through mother-to-child transmission in Paraguay. In 2000-2014, we conducted a cohort study among children and adolescents aged < 15 years. We abstracted data from medical records and death certificates. We used the Cox proportional hazards model for the multivariable analysis of mortality predictors. A total of 302 subjects were included in the survey; 216 (71.5%) were younger than 5 years, 148 (51.0%) were male, and 214 (70.9%) resided in the Asunción metropolitan area. There were 52 (17.2%) deaths, resulting in an overall mortality rate of 2.06 deaths per 100 person-years. The children and adolescents with hemoglobin levels ≤ 9 g/dL at baseline had a 2-times higher hazard of death compared with those who had levels > 9 g/dL (HR 2.27, 95% CI 1.01-5.10). The mortality of HIV-infected children and adolescents in Paraguay is high, and anemia is associated with mortality. Improving prenatal screening to find cases earlier and improving pediatric follow-up are needed.

Indexed as

AdolescentAnemiaChildChild, PreschoolFemaleHIV InfectionsHumansInfantInfant, NewbornInfectious Disease Transmission, VerticalMaleParaguayPrenatal CareProportional Hazards ModelsRetrospective StudiesRisk FactorsChildHIVMortalityParaguay

Identifiers

PMID29455264
PMCPMC6126538

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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.