Evidence map›Paper›PMID 31364604›Full record

ArticleJMIR research protocols2019

Effect of In-Utero Antibiotic Exposure on Childhood Outcomes: Methods and Baseline Data of the Fetal Antibiotic EXposure (FAX) Cohort Study.

Corinna Koebnick, Sara Y Tartof, Margo A Sidell, Emily Rozema, Joanie Chung, Vicki Y Chiu, Zackary W Taylor, Anny H Xiang, Darios Getahun

Open access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 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
2.5field-weighted citation impact, top 10% 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, 15 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Intrapartum Antibiotic Exposure and Body Mass Index in Children.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    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 1 institution in 1 country.

Corinna Koebnick *Kaiser Permanente Southern California, Research and Evaluation, Pasadena, CA, United States.ORCID http://orcid.org/0000-0001-8274-0309
Sara Y TartofKaiser Permanente Southern California, Research and Evaluation, Pasadena, CA, United States.ORCID http://orcid.org/0000-0003-2336-8476
Margo A SidellKaiser Permanente Southern California, Research and Evaluation, Pasadena, CA, United States.ORCID http://orcid.org/0000-0001-7963-4505
Emily RozemaKaiser Permanente Southern California, Research and Evaluation, Pasadena, CA, United States.ORCID http://orcid.org/0000-0001-6422-4482
Joanie ChungKaiser Permanente, Department of Research and Evalutaion, Pasadena, CA, United States.ORCID http://orcid.org/0000-0002-7344-7861
Vicki Y ChiuKaiser Permanente Southern California, Research and Evaluation, Pasadena, CA, United States.ORCID http://orcid.org/0000-0002-0698-6419
Zackary W TaylorKaiser Permanente, Pediatrics, Los Angeles, CA, United States.ORCID http://orcid.org/0000-0002-2864-3855
Anny H XiangKaiser Permanente Southern California, Research and Evaluation, Pasadena, CA, United States.ORCID http://orcid.org/0000-0003-2786-1268
Darios GetahunKaiser Permanente Southern California, Research and Evaluation, Pasadena, CA, United States.ORCID http://orcid.org/0000-0003-3610-8841
Kaiser Permanente · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe widespread use of antepartum and intrapartum antibiotics has raised concerns about the possible disruption of the child's gut microbiota and effects on the maturation from the infant to the adult microbiome. The Fetal Antibiotic EXposure (FAX) study provides a cohort to examine the association between in-utero exposure to antibiotics and adverse childhood outcomes including body weight, atopic diseases, and autism spectrum disorders and to investigate the role of other potential factors mitigating or moderating the risk for adverse outcomes.

objectiveThe aim of this paper was to describe the methods, cohort characteristics, and retention of infants included in the study cohort.

methodsFor this retrospective cohort study, we included children born in Kaiser Permanente Southern California (KPSC) hospitals between January 1, 2007, and December 31, 2015, within 22 to 44 completed weeks of gestation with KPSC insurance coverage during the first year of life. Follow-up data collection was performed through electronic medical records.

resultsThe study cohort was comprised 223,431 children of which 65.7% (146,720/223,431) were exposed to antibiotics in-utero: 19.0% (42,511/223,431) were exposed during the antepartum period, 30.0% (66,896/223,431) during the intrapartum period, and 16.7% (37,313/223,431) exposed during both the antepartum and intrapartum periods. During their first year of life, children had a median of 5 weight and height measurements; the frequency of weight and height measurements declined to a median of 3 in their second year of life and 2 for 3 to 5 years of age. The 5-year retention of children in the health plan was over 80% with the highest retention for Hispanic children.

conclusionsThis cohort of children will provide a unique opportunity to address key questions regarding the long-term sequelae of in-utero exposure to antibiotics using real-world data. The high retention and multiple medical visits over time allow us to model the trajectories of body mass index over time. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/12065.

Indexed as

antibioticasthmaOutcome Assessment (Health Care)pediatric obesitypregnancy

Identifiers

PMID31364604
PMCPMC6691671
OpenAlexW2907896626

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.