Evidence map›Paper›PMID 31266984›Full record

ArticleScientific reports2019

Incidence and risk factors for Preeclampsia in a cohort of healthy nulliparous pregnant women: a nested case-control study.

Jussara Mayrink, Renato T Souza, Francisco E Feitosa, Edilberto A Rocha Filho, Débora F Leite, Janete Vettorazzi, Iracema M Calderon, Maria H Sousa, Maria L Costa, Philip N Baker and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07263490 (PRIOR Study), which is not on this map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing 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.

NCT07263490 recruitingnot on this mapstarted 2024, after this paper: background citation

PRIOR Study (Pre-eclampsia Risk In Oocyte Recipients) - Investigating Matching, Biomarkers and Outcomes.

TypeobservationalSponsorCopenhagen University Hospital, HvidovreRan2024 to 2028Enrolled462ConditionsPre-eclampsia, Oocyte Donation, Pre-Eclampsia, Complicating Pregnancy
3 · Its place in the literature

Who cites it

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

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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

12 authors.

Jussara MayrinkDepartment of Obstetrics and Gynaecology, University of Campinas (UNICAMP) School of Medical Sciences, Campinas, SP, Brazil.
Renato T SouzaDepartment of Obstetrics and Gynaecology, University of Campinas (UNICAMP) School of Medical Sciences, Campinas, SP, Brazil.
Francisco E FeitosaMEAC - Maternity School of the Federal University of Ceará, Fortaleza, CE, Brazil.
Edilberto A Rocha FilhoDepartment of Maternal and Child Health, Maternity Hospital, Federal University of Pernambuco, Recife, PE, Brazil.
Débora F LeiteDepartment of Obstetrics and Gynaecology, University of Campinas (UNICAMP) School of Medical Sciences, Campinas, SP, Brazil.
Janete VettorazziDepartment of Obstetrics and Gynaecology, Maternity Hospital, Federal University of RS, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0001-9278-6861
Iracema M CalderonDepartment of Obstetrics and Gynaecology, Botucatu School of Medicine, Unesp, Botucatu, SP, Brazil.
Maria H SousaStatistics Unit, Jundiai School of Medicine, Jundiaí, SP, Brazil.
Maria L CostaDepartment of Obstetrics and Gynaecology, University of Campinas (UNICAMP) School of Medical Sciences, Campinas, SP, Brazil.
Philip N BakerCollege of Life Sciences, Maurice Shock Building, University of Leicester, Leicester, UK.
Jose G CecattiDepartment of Obstetrics and Gynaecology, University of Campinas (UNICAMP) School of Medical Sciences, Campinas, SP, Brazil. cecatti@unicamp.br.ORCID http://orcid.org/0000-0003-1285-8445
Preterm SAMBA study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this study is to determine the incidence, socio-demographic and clinical risk factors for preeclampsia and associated maternal and perinatal adverse outcomes. This is a nested case-control derived from the multicentre cohort study Preterm SAMBA, in five different centres in Brazil, with nulliparous healthy pregnant women. Clinical data were prospectively collected, and risk factors were assessed comparatively between PE cases and controls using risk ratio (RR) (95% CI) plus multivariate analysis. Complete data were available for 1,165 participants. The incidence of preeclampsia was 7.5%. Body mass index determined at the first medical visit and diastolic blood pressure over 75 mmHg at 20 weeks of gestation were independently associated with the occurrence of preeclampsia. Women with preeclampsia sustained a higher incidence of adverse maternal outcomes, including C-section (3.5 fold), preterm birth below 34 weeks of gestation (3.9 fold) and hospital stay longer than 5 days (5.8 fold) than controls. They also had worse perinatal outcomes, including lower birthweight (a mean 379 g lower), small for gestational age babies (RR 2.45 [1.52-3.95]), 5-minute Apgar score less than 7 (RR 2.11 [1.03-4.29]), NICU admission (RR 3.34 [1.61-6.9]) and Neonatal Near Miss (3.65 [1.78-7.49]). Weight gain rate per week, obesity and diastolic blood pressure equal to or higher than 75 mmHg at 20 weeks of gestation were shown to be associated with preeclampsia. Preeclampsia also led to a higher number of C-sections and prolonged hospital admission, in addition to worse neonatal outcomes.

Indexed as

AdultBlood PressureBody Mass IndexBrazilCase-Control StudiesCesarean SectionFemaleHumansIncidenceInfant, Low Birth WeightInfant, Small for Gestational AgeLength of StayPre-EclampsiaPregnancyPregnant PeoplePremature Birth

Identifiers

PMID31266984
PMCPMC6606578

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Registered trials

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.