Evidence map›Paper›PMID 33020077›Full record

SynthesisBMJ open2020

Maternal trauma due to motor vehicle crashes and pregnancy outcomes: a systematic review and meta-analysis.

Carmen Amezcua-Prieto, Jennifer Ross, Ewelina Rogozińska, Patritia Mighiu, Virginia Martínez-Ruiz, Karim Brohi, Aurora Bueno-Cavanillas, Khalid Saeed Khan, Shakila Thangaratinam

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. The changing epidemiology of trauma in child-bearing age women.World journal of emergency surgery : WJES · 2023
    Article
  9. 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 2 institutions in 4 countries.

Carmen Amezcua-PrietoPreventive Medicine and Public Health, University of Granada Faculty of Medicine, Granada, Andalucía, Spain.ORCID 0000-0002-0957-4057
Jennifer RossCentre for Trauma Sciences, Queen Mary University of London, London, UK.
Ewelina RogozińskaWomen's Health Research Unit, Barts and the London School of Medicine and Dentistry, London, UK.
Patritia MighiuWomen's Health Research Unit, Barts and the London School of Medicine and Dentistry, London, UK.
Virginia Martínez-RuizPreventive Medicine and Public Health, University of Granada Faculty of Medicine, Granada, Andalucía, Spain.
Karim BrohiCentre for Trauma Sciences, Queen Mary University of London, London, UK.
Aurora Bueno-CavanillasPreventive Medicine and Public Health, University of Granada Faculty of Medicine, Granada, Andalucía, Spain abueno@ugr.es.
Khalid Saeed KhanPreventive Medicine and Public Health, University of Granada Faculty of Medicine, Granada, Andalucía, Spain.
Shakila ThangaratinamWomen's Health Research Unit, Barts and the London School of Medicine and Dentistry, London, UK.
Queen Mary University of London · GBUniversidad de Granada · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo systematically review and quantify the effect of motor vehicle crashes (MVCs) in pregnancy on maternal and offspring outcomes.

designSystematic review and meta-analysis of observational data searched from inception until 1 July 2018. Searching was from June to August 2018 in Medline, Embase, Web of Science, Scopus, Latin-American and Caribbean System on Health Sciences Information, Scientific Electronic Library Online, TRANSPORT, International Road Research Documentation, European Conference of Ministers of Transportation Databases, Cochrane Database of Systematic Reviews and Cochrane Central Register.

participantsStudies were selected if they focused on the effects of exposure MVC during pregnancy versus non-exposure, with follow-up to verify outcomes in various settings, including secondary care, collision and emergency, and inpatient care. DATA SYNTHESIS: For incidence data, we calculated a pooled estimate per 1000 women. For comparison of outcomes between women involved and those not involved in MVC, we calculated ORs with 95% CIs. Where possible, we statistically pooled the data using the random-effects model. The quality of studies used in the comparative analysis was assessed with Newcastle-Ottawa Scale.

resultsWe included 19 studies (3 222 066 women) of which the majority was carried out in high-income countries (18/19). In population-level studies of women involved in MVC, maternal death occurred in 3.6 per 1000 (95% CI 0.25-10.42; 3 studies, 12 000 women; Tau=1.77), and fetal death or stillbirth in 6.6 per 1000 (95% CI 3.81-10.12; 8 studies, 47 992 women; I

conclusionPregnant women involved in MVC were at higher risk of maternal death and complications than those not involved. PROSPERO REGISTRATION NUMBER: CRD42018100788.

Indexed as

Pregnancy ComplicationsAccidents, TrafficCaribbean RegionCesarean SectionFemaleHumansInfant, NewbornMotor VehiclesPregnancymotor vehicle crashespregnancypregnancy complications

Identifiers

PMID33020077
PMCPMC7537450
OpenAlexW3089602781

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.