Evidence map›Paper›PMID 29596309›Full record

ArticleChildren (Basel, Switzerland)2018

Risk Factors for Brachial Plexus Birth Injury.

Emily Louden, Michael Marcotte, Charles Mehlman, William Lippert, Bin Huang, Andrea Paulson

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Article
  7. Obstetric brachial plexus injury: risk factors and clinical follow-up results.Journal of the Turkish German Gynecological Association · 2025
    Article
  8. Changes in Glenohumeral Musculoskeletal Development Following Brachial Plexus Birth Injury.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Review
  9. Are racial and ethnic disparities in brachial plexus birth injuries explained by known risk factors?Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. 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.

Emily LoudenDivision of Pediatric Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. emily.louden@cchmc.org.
Michael MarcotteGood Samaritan Hospital, Department of Obstetrics and Gynecology, Division of Maternal/Fetal Medicine, Cincinnati, OH 45229, USA. michael_marcotte@trihealth.com.
Charles MehlmanDivision of Pediatric Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. charles.mehlman@cchmc.org.
William LippertDivision of Pediatric Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. william_lippert@hotmail.com.
Bin HuangDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. Bin.Huang@cchmc.org.
Andrea PaulsonDivision of Physical Medicine and Rehab, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. andrea.paulson@cchmc.org.

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR026314 · NCRR · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2009 to 2011
$14.3M
NCRR NIH HHS UL1 RR026314
6 · The paper itself

Abstract

Over the course of decades, the incidence of brachial plexus birth injury (BPBI) has increased despite advances in healthcare which would seem to assist in decreasing the rate. The aim of this study is to identify previously unknown risk factors for BPBI and the risk factors with potential to guide preventative measures. A case control study of 52 mothers who had delivered a child with a BPBI injury and 132 mothers who had delivered without BPBI injury was conducted. Univariate, multivariable and logistic regressions identified risk factors and their combinations. The odds of BPBI were 2.5 times higher when oxytocin was used and 3.7 times higher when tachysystole occurred. The odds of BPBI injury are increased when tachysystole and oxytocin occur during the mother's labor. Logistic regression identified a higher risk for BPBI when more than three of the following variables (>30 lbs gained during the pregnancy, stage 2 labor >61.5 min, mother's age >26.4 years, tachysystole, or fetal malpresentation) were present in any combination.

Indexed as

brachial plexus birth injuryoxytocinrisk factorsuterine tachysystole

Identifiers

PMID29596309
PMCPMC5920392

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.