Evidence map›Paper›PMID 31072391›Full record

ArticleReproductive health2019

Miscarriage hospitalisations: a national population-based study of incidence and outcomes, 2005-2016.

Indra San Lazaro Campillo, Sarah Meaney, Keelin O'Donoghue, Paul Corcoran

Open access · goldAbstract read
In one paragraph

Article in Reproductive health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
4.7field-weighted citation impact, top 6% 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

6 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Maternal Mortality from Induced Abortion in Malawi: What Does the Latest Evidence Suggest?International journal of environmental research and public health · 2021
    Article
  6. Review
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

4 authors at 1 institution in 1 country.

Indra San Lazaro CampilloPregnancy Loss Research Group, The Irish Centre for Fetal and Neonatal Translational Research University College Cork, Cork, Ireland. indra.campillo@ucc.ie.ORCID http://orcid.org/0000-0001-7281-8424
Sarah MeaneyPregnancy Loss Research Group, The Irish Centre for Fetal and Neonatal Translational Research University College Cork, Cork, Ireland.
Keelin O'DonoghuePregnancy Loss Research Group, The Irish Centre for Fetal and Neonatal Translational Research University College Cork, Cork, Ireland.
Paul CorcoranNational Perinatal Epidemiology Centre, Department of Obstetrics and Gynaecology, University College Cork, Cork University Maternity Hospital, 5th floor, Postgraduate Study Room, 5S-30, Wilton, Cork, T12 YE02, Ireland.
University College Cork · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly miscarriage is one of the most common obstetric causes of maternal morbidity early in pregnancy. However, data concerning non-fatal complications among hospitalisations for early miscarriage are lacking. The aim of this study was to determine whether there were changes in the incidence, management and outcomes of early miscarriage hospitalisations between 2005 and 2016.

methodsThis is a nationwide population-based study of 50,538 hospitalisations with a diagnosis of early miscarriage of all acute maternity hospitals in Ireland. Electronic health records were retrieved using the Hospital In-Patient Enquiry database. Main outcomes include the incidence rates of hospitalisations and management for early miscarriage, and rates of blood transfusion and length of stay over 2 days.

resultsOverall, 50,538 hospitalisations for early miscarriage were identified from 2005 to 2016. The risk of hospitalisation decreased from 70.6 per 1000 deliveries (95% CI 68.4 to 72.8) in 2005 to 49.7 per 1000 deliveries (95% CI 49.7 to 53.3) in 2016; however, the risk of blood transfusion increased over time (ratio: 2.0; 95% CI 1.6 to 2.4). Women of advanced maternal age had a higher risk of hospitalisations. There were less blood transfusions among women who undertook medical treatment (ratio: 0.3; 95% CI 0.1 to 0.5), but they had an increased risk of staying over 2 days at the hospital (ratio: 1.5; 95% CI 1.2 to 1.9) compared to evacuation of retained products of conception.

conclusionsHospitalisation rates for early miscarriage decreased over time with an increase in risk of blood transfusion and an extended length of stay at the hospital. Women who underwent medical management did not have as many blood transfusions as those undergoing surgical management. However, they had an increased risk of an extended stay. Research is needed to explore both outpatient and inpatient settings in order to improve the management and care provided.

Indexed as

Abortion, SpontaneousAdultFemaleHumansIncidenceIrelandMaternal AgePregnancyPregnancy OutcomeRetrospective StudiesHospitalisationsMiscarriageMorbidityRates

Identifiers

PMID31072391
PMCPMC6507132
OpenAlexW2947607183

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.