Evidence map›Paper›PMID 30415381›Full record

ArticlePediatric cardiology2019

Birth Location of Infants with Critical Congenital Heart Disease in California.

Neha J Purkey, David M Axelrod, Doff B McElhinney, Joseph Rigdon, FeiFei Qin, Manisha Desai, Andrew Y Shin, Valerie Y Chock, Henry C Lee

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 28% 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, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Observational
  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

9 authors at 2 institutions in 1 country.

Neha J PurkeyDivision of Pediatric Cardiology, Department of Pediatrics, Lucile Packard Children's Hospital at Stanford, Palo Alto, CA, USA. npurkey@stanford.edu.ORCID http://orcid.org/0000-0001-8054-0098
David M AxelrodDivision of Pediatric Cardiology, Department of Pediatrics, Lucile Packard Children's Hospital at Stanford, Palo Alto, CA, USA.
Doff B McElhinneyDivision of Pediatric Cardiology, Department of Pediatrics, Lucile Packard Children's Hospital at Stanford, Palo Alto, CA, USA.
Joseph RigdonQuantitative Sciences Unit, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA, USA.
FeiFei QinQuantitative Sciences Unit, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA, USA.
Manisha DesaiQuantitative Sciences Unit, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA, USA.
Andrew Y ShinDivision of Pediatric Cardiology, Department of Pediatrics, Lucile Packard Children's Hospital at Stanford, Palo Alto, CA, USA.
Valerie Y ChockDivision of Neonatal and Developmental Medicine, Department of Pediatrics, Lucile Packard Children's Hospital at Stanford, Palo Alto, CA, USA.
Henry C LeeDivision of Neonatal and Developmental Medicine, Department of Pediatrics, Lucile Packard Children's Hospital at Stanford, Palo Alto, CA, USA.
Lucile Packard Children's Hospital · USStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The American Academy of Pediatrics classifies neonatal intensive care units (NICUs) from level I to IV based on the acuity of care each unit can provide. Birth in a higher level center is associated with lower morbidity and mortality in high-risk populations. Congenital heart disease accounts for 25-50% of infant mortality related to birth defects in the U.S., but recent data are lacking on where infants with critical congenital heart disease (CCHD) are born. We used a linked dataset from the Office of Statewide Health Planning and Development to access ICD-9 diagnosis codes for all infants born in California from 2008 to 2012. We compared infants with CCHD to the general population, identified where infants with CCHD were born based on NICU level of care, and predicted level IV birth among infants with CCHD using logistic regression techniques. From 2008 to 2012, 6325 infants with CCHD were born in California, with 23.7% of infants with CCHD born at a level IV NICU compared to 8.4% of the general population. Level IV birth for infants with CCHD was associated with lower gestational age, higher maternal age and education, the presence of other congenital anomalies, and the diagnosis of a single ventricle lesion. More infants with CCHD are born in a level IV NICU compared to the general population. Future studies are needed to determine if birth in a lower level of care center impacts outcomes for infants with CCHD.

Indexed as

CaliforniaDatabases, FactualFemaleGestational AgeHeart Defects, CongenitalHumansInfantInfant, NewbornIntensive Care Units, NeonatalMaleResidence CharacteristicsRisk FactorsBirth locationCaliforniaCongenital heart diseaseNeonatal intensive carePrevalence

Identifiers

PMID30415381
OpenAlexW2899652349

What OpenQuestion holds

Textmetadata
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.