Evidence map›Paper›PMID 29686267›Full record

Observational studyScientific reports2018

Amniotic fluid C-reactive protein as a predictor of infection in caesarean section: a feasibility study.

Zbigniew Marchocki, Angela Vinturache, Kevin Collins, Paddy O' Reilly, Keelin O'Donoghue

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. 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

5 authors at 2 institutions in 2 countries.

Zbigniew MarchockiDepartment of Obstetrics and Gynaecology, University College Cork, Cork University Maternity Hospital, Cork, Ireland.
Angela VinturacheJohn Radliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom. angela.vinturache@doctors.org.uk.
Kevin CollinsDepartment of Microbiology, University College Cork, Cork, Ireland.
Paddy O' ReillyDepartment of Microbiology, University College Cork, Cork, Ireland.
Keelin O'DonoghueDepartment of Obstetrics and Gynaecology, University College Cork, Cork University Maternity Hospital, Cork, Ireland.
University College Cork · IEUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study evaluated the feasibility of maternal C-reactive protein (CRP) in amniotic fluid (AF) as a predictor of post-partum infection in women who undergo emergency or elective caesarean section (CS). AF bacterial culture and levels of hs-CRP in maternal serum and AF were evaluated in Day 0 and three days thereafter (Day 3) in 79 women undergoing CS. Univariate analyses assessed the clinical and demographic characteristics, whereas the ROC curves assessed the feasibility of hs-CRP as marker of inflammation in women who undergo CS. There was no difference in AF, Day 0, and Day 3 serum hs-CRP levels between women with sterile compared to those with bacterial growth in AF. Among women with positive AF cultures, AF and Day 0 serum hs-CRP levels were higher in women who underwent emergency compared to those who had elective CS (p = 0.04, and p = 0.02 respectively). hs-CRP in Day 0 and Day 3 serum but not in AF has a fair predictor value of infection in emergency CS only (AUC 0.767; 95% CI 0.606-0.928, and AUC 0.791; 95% CI 0.645-0.036, respectively). We conclude that AF hs-CRP is not feasible in assessing the risk of post-cesarean inflammation or infection.

Indexed as

AdultAmniotic FluidBacteriaBacterial InfectionsBiomarkersCesarean SectionC-Reactive ProteinFeasibility StudiesFemaleHumansInflammationPredictive Value of TestsPregnancyProspective StudiesROC CurveYoung AdultBiomarkersC-Reactive Protein

Identifiers

PMID29686267
PMCPMC5913132
OpenAlexW2802039297

What OpenQuestion holds

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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.