Evidence map›Paper›PMID 31990449›Full record

ArticleESC heart failure2020

Incidence, clinical characteristics, and risk factors of peripartum cardiomyopathy in Nigeria: results from the PEACE Registry.

K M Karaye, N A Ishaq, H Sa'idu, S A Balarabe, M A Talle, M S Isa, U G Adamu, H Umar, H I Okolie, M N Shehu and 17 more

Open access · goldAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in ESC heart failure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 4% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Observational
  18. Article
  19. Review
  20. 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

27 authors at 20 institutions in 4 countries.

K M KarayeDepartment of Medicine, Bayero University, Kano, Nigeria.
N A IshaqDepartment of Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria.
H Sa'iduDepartment of Medicine, Bayero University, Kano, Nigeria.
S A BalarabeDepartment of Medicine, Muhammad Abdullahi Wase Specialist Hospital, Kano, Nigeria.
M A TalleDepartment of Medicine, University of Maiduguri Teaching Hospital/University of Maiduguri, Maiduguri, Nigeria.
M S IsaDepartment of Medicine, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
U G AdamuDepartment of Medicine, Federal Medical Centre Bida, Bida, Nigeria.
H UmarDepartment of Medicine, Usman Dan-Fodio University Teaching Hospital, Sokoto, Nigeria.
H I OkolieDepartment of Medicine, Federal Teaching Hospital Gombe, Gombe, Nigeria.
M N ShehuDepartment of Medicine, General Ahmadi Kurfi Specialist Hospital, Katsina, Nigeria.
I Y MohammedDepartment of Chemical Pathology, Bayero University, Kano, Nigeria.
B SanniDepartment of Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria.
O S OgahDepartment of Medicine, University College Hospital, Ibadan, Nigeria.
I OboirienDepartment of Medicine, Dalhatu Araf Specialist Hospital, Lafia, Nigeria.
E M UmuerriDepartment of Medicine, Delta State University Teaching Hospital, Oghara, Nigeria.
A C MankweDepartment of Medicine, Federal Medical Centre Yenagoa, Yenagoa, Nigeria.
V Y ShidaliDepartment of Medicine, Federal Medical Centre Makurdi, Makurdi, Nigeria.
P NjokuDepartment of Medicine, University of Nigeria Teaching Hospital, Enugu, Nigeria.
S Dodiyi-ManuelDepartment of Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
T T ShogadeDepartment of Medicine, University of Uyo Teaching Hospital, Uyo, Nigeria.
T OlunugaDepartment of Medicine, University of Benin Teaching Hospital, Benin City, Nigeria.
D OjjiDepartment of Medicine, University of Abuja Teaching Hospital, Gwagwalada, Nigeria.
V JosephsDepartment of Medicine, University of Benin Teaching Hospital, Benin City, Nigeria.
A C MbakwemDepartment of Medicine, University of Lagos Teaching Hospital, Lagos, Nigeria.
J TukurDepartment of Obstetrics and Gynaecology, Bayero University, Kano, Nigeria.
S A IsezuoDepartment of Medicine, Usman Dan-Fodio University Teaching Hospital, Sokoto, Nigeria.
PEACE Registry Investigators
Aminu Kano Teaching Hospital · NGBayero University Kano · NGUniversity of Benin Teaching Hospital · NGAhmadu Bello University Teaching Hospital · NGDelta State University · NGFederal Medical Centre · NGFederal Medical Centre · NGFederal Medical Centre · NGGombe State University · NGKing Abdullah Medical City · SAKing Fahad Specialist Hospital · SAUniversity College Hospital, Ibadan · NGUniversity of Abuja Teaching Hospital · NGUniversity of Agriculture · NGUniversity of Lagos · NGUniversity of Maiduguri · NGUniversity of Nigeria Teaching Hospital · NGUniversity of Port Harcourt Teaching Hospital · NGUniversity of Uyo Teaching Hospital · NGUsmanu Danfodiyo University · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe aim of this study was to describe the incidence, clinical characteristics and risk factors of peripartum cardiomyopathy (PPCM) in Nigeria. METHODS AND

resultsThe study was conducted in 22 hospitals in Nigeria, and PPCM patients were consecutively recruited between June 2017 and March 2018. To determine factors associated with PPCM, the patients were compared with apparently healthy women who recently delivered, as controls. Four hundred six patients were compared with 99 controls. The incidence and disease burden (based on the rate of consecutive recruitment of subjects) varied widely between the six geographical zones of Nigeria. From the North-West zone, 72.3% of the patients was recruited, where an incidence as high as 1 per 96 live births was obtained in a centre, while the disease was uncommon (7.6% of all recruited patients) in the South. Majority of the patients (76.6%) and controls (74.8%) (p = 0.694) were of Hausa-Fulani ethnic group. Atrial fibrillation, intracardiac thrombus, stroke, and right ventricular systolic dysfunction were found in 1.7%, 6.4%, 2.2%, and 54.9% of the patients, respectively. Lack of formal education (odds ratio [OR] 3.08, 95% confidence interval [1.71, 5.53]; P < 0.001), unemployment (OR: 3.28 [2.05, 5.24]; P < 0.001), underweight (OR: 13.43 [4.17, 43.21]; P < 0.001) and history of pre-eclampsia (OR: 9.01 [2.18, 37.75]; P = 0.002) emerged as independent PPCM risk factors using regression models. Customary hot baths (OR: 1.24 [0.80, 1.93]; P = 0.344), pap enriched with dried lake salt (OR: 1.20 [0.74, 1.94]; P = 0.451), and Hausa-Fulani ethnicity (OR: 1.11 [0.67, 1.84]; P = 0.698) did not achieve significance as PPCM risk factors.

conclusionsIn Nigeria, the burden of PPCM was greatest in the North-West zone, which has the highest known incidence. PPCM was predicted by sociodemographic factors and pre-eclampsia, which should be considered in its control at population level. Postpartum customary birth practices and Hausa-Fulani ethnicity were not associated with PPCM in Nigeria.

Indexed as

Peripartum PeriodRegistriesAdultCardiomyopathiesFemaleFollow-Up StudiesHemodynamicsHumansNigeriaPregnancyPregnancy Complications, CardiovascularRetrospective StudiesRisk FactorsIncidencePEACE RegistryPeripartum cardiomyopathyRisk factors

Identifiers

PMID31990449
PMCPMC7083508
OpenAlexW3003790100

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.