Evidence map›Paper›PMID 32441809›Full record

ArticleAlcoholism, clinical and experimental research2020

Phosphatidylethanol Levels in Postpartum Women and Their Newborns in Uruguay and Brazil.

Aileen E Baldwin, Nicole Hayes, Erika Ostrander, Raquel Magri, Nelson Sass, Maria Dos Anjos Mesquita, Monica Martínez, Monica Correa Juliani, Pablo Cabral, Michael Fleming

Open access · greenAbstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.6field-weighted citation impact, top 11% 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, 10 citations in OpenAlex.

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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

10 authors at 7 institutions in 3 countries.

Aileen E BaldwinUnited States Drug Testing Laboratories, Inc., (AEB), Des Plaines, Illinois.
Nicole HayesUCLA Counseling and Psychological Services, (NH), University of California Los Angeles, Los Angeles, California.
Erika OstranderDepartment of Psychiatry and Behavioral Sciences, (EO, MF), Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Raquel MagriFacultad de Medicina, (RM), Universidad de la República, Montevideo, Uruguay.
Nelson SassUniversidade Federal de São Paulo, (NS), Clínica Obstétrica da Maternidade Escola de Vila Nova Cachoeirinha, São Paulo, Brazil.
Maria Dos Anjos MesquitaEscola de Vila Nova Cachoeirinha, (MAM), São Paulo, Brazil.
Monica MartínezFacultad de Odontologia, (MM), Universidad de la República, Montevideo, Uruguay.
Monica Correa JulianiHospital General de las Fuerzas Armadas de Uruguay, (MCJ, PC), Montevideo, Uruguay.
Pablo CabralHospital General de las Fuerzas Armadas de Uruguay, (MCJ, PC), Montevideo, Uruguay.
Michael FlemingDepartment of Psychiatry and Behavioral Sciences, (EO, MF), Northwestern University Feinberg School of Medicine, Chicago, Illinois.ORCID 0000-0002-5427-9735
Hospital Central de las Fuerzas Armadas · UYNorthwestern University · USUniversidad de la República de Uruguay · UYNational Institute of Science and Technology for Software Engineering · BRUnited States Drug Testing Laboratories · USUniversidade Federal de São Paulo · BRUniversity of California, Los Angeles · US

Funding

Newborn Phosphatidylethanol Screening to Detect Fetal Alcohol Exposure in UruguayU01AA023176 · NIAAA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI FLEMING, MICHAEL F. · 2015 to 2017
$1.3M
NIAAA NIH HHS U01 AA023176
6 · The paper itself

Abstract

backgroundThere is increasing interest in the development of newborn screening tests to identify children at risk of fetal alcohol spectrum disorder (FASD) in order to provide these children with early intervention. Phosphatidylethanol (PEth) has emerged as a potential universal newborn screening candidate.

methodsThe aim of this report was to present the results of a study designed to compare PEth levels in 1,140 postpartum women and their newborn infants in Montevideo, Uruguay, and Sao Paulo, Brazil. Self-report alcohol use during pregnancy data was collected, along with both maternal and newborn dried blood spot samples for PEth analysis.

resultsThe average age and parity of the women in the sample were 26 years of age and 2.3 pregnancies. For the Uruguay sample (n = 611), 45.8% of postpartum women had PEth levels ≥ 8 ng/ml with a mean positive PEth of 43.6 ng/ml. In contrast, 86.8% of the newborns had PEth levels ≥ 8 ng/ml, with a mean positive PEth of 77.4 ng/ml. For the Brazil sample (n = 529), 33.2% of women had PEth levels ≥ 8 ng/ml with a mean positive PEth of 31 ng/ml. In contrast, 76.9% of the Brazil newborns had PEth levels ≥ 8 ng/ml and 43.9% with a mean positive PEth of 61.1 ng/ml. PEth levels were significantly higher in newborns compared with their postpartum mothers in both the Uruguay and Brazil samples. Self-reported third-trimester alcohol was 6% in the Uruguay sample and 9.1% in the Brazil sample compared with positive maternal PEth levels in 45.8% and 33.2%, respectively.

conclusionsClinicians may want to consider newborn PEth screening in high-risk populations where prenatal alcohol use is common. The mechanism underlying significantly higher PEth levels in newborns compared with their mothers is not known.

Indexed as

AdultAlcohol DrinkingBrazilDried Blood Spot TestingEarly Intervention, EducationalFemaleFetal Alcohol Spectrum DisordersGlycerophospholipidsHumansInfant, NewbornMaleNeonatal ScreeningPostpartum PeriodPregnancyPregnancy ComplicationsPrenatal Exposure Delayed EffectsGlycerophospholipidsphosphatidylethanolBiomarkersFetal Alcohol Spectrum DisordersPhosphatidylethanolPrenatal Alcohol ExposureScreening

Identifiers

PMID32441809
PMCPMC7310578
OpenAlexW3026722815

What OpenQuestion holds

Textmetadata
LicenceTDM
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.