Evidence map›Paper›PMID 33030756›Full record

ArticleUltrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology2021

Determination of fetal heart rate short-term variation from umbilical artery Doppler waveforms.

L S Cahill, G Stortz, A Ravi Chandran, N Milligan, S Shinar, C L Whitehead, S R Hobson, S Millard, C K Macgowan, J C Kingdom and 2 more

Abstract read
In one paragraph

Article in Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

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

2 citing papers in PubMed.

  1. Article
  2. Recent research on the influence of intrauterine growth restriction on the structure and function of the nervous system.Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 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

12 authors.

L S CahillMouse Imaging Centre, The Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0003-1667-8564
G StortzTranslational Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
A Ravi ChandranDepartment of Obstetrics and Gynaecology, Mount Sinai Hospital, Toronto, ON, Canada.
N MilliganDivision of Cardiology, Department of Paediatrics, The Hospital for Sick Children, Toronto, ON, Canada.
S ShinarDepartment of Obstetrics and Gynaecology, Mount Sinai Hospital, Toronto, ON, Canada.
C L WhiteheadDepartment of Obstetrics and Gynaecology, Mount Sinai Hospital, Toronto, ON, Canada.
S R HobsonDepartment of Obstetrics and Gynaecology, Mount Sinai Hospital, Toronto, ON, Canada.
S MillardCentre for Fetal Therapy, Johns Hopkins Medicine, Baltimore, MD, USA.
C K MacgowanTranslational Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
J C KingdomDepartment of Obstetrics and Gynaecology, Mount Sinai Hospital, Toronto, ON, Canada.
J G SledMouse Imaging Centre, The Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0002-4461-283X
A A BaschatCentre for Fetal Therapy, Johns Hopkins Medicine, Baltimore, MD, USA.ORCID 0000-0003-1927-2084

Funding

Environmental factors in placental pathology: a new diagnostic method based on umbilical vessel wave mechanicsU01HD087177 · NICHD · HOSPITAL FOR SICK CHLDRN (TORONTO) · PI SLED, JOHN G · 2015 to 2015
$2.5M
Eunice Kennedy Shriver National Institute of Child Health and Human Development U01-087177-01NICHD NIH HHS U01 HD087177
6 · The paper itself

Abstract

objectiveTo evaluate the feasibility of using umbilical artery (UA) Doppler waveforms to measure fetal heart rate (FHR) short-term variation (STV) across gestation.

methodsThis was a prospective longitudinal study, conducted at two study sites, of 195 pregnancies considered low risk. Pulsed-wave Doppler of the UAs was performed at 4-weekly intervals, between 14 and 40 weeks of gestation, using a standardized imaging protocol. Up to 12 consecutive UA Doppler waveforms were analyzed using offline processing software. FHR STV was calculated using average R-R intervals extracted from the waveforms and baseline corrected for FHR.

resultsBaseline-corrected FHR STV increased significantly with gestational age (conditional R

conclusionsUA Doppler waveforms offer a robust and feasible method to derive STV of the FHR. It should be emphasized that the UA Doppler-derived STV is not interchangeable with measurements derived with computerized cardiotocography. Accordingly, further investigations are needed to validate associations with outcome, in order to determine the value of concurrent fetal cardiovascular and heart rate evaluations that are possible with the technique described here. © 2020 International Society of Ultrasound in Obstetrics and Gynecology.

Indexed as

Heart Rate, FetalAdultCardiotocographyFemaleFetal Growth RetardationGestational AgeHumansInfant, NewbornLongitudinal StudiesMaleMiddle Cerebral ArteryPregnancyProspective StudiesUltrasonography, DopplerUltrasonography, PrenatalUmbilical ArteriescardiotocographyDoppler ultrasoundfetal growth restrictionfetal heart ratefetal monitoringgestational agelate onsetlongitudinalshort-term variationumbilical artery

Identifiers

PMID33030756
PMCPMC7779755

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Registered trials

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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.