Evidence map›Paper›PMID 33126866›Full record

SynthesisBMC pregnancy and childbirth2020

Effect of HELLP syndrome on acute kidney injury in pregnancy and pregnancy outcomes: a systematic review and meta-analysis.

Qiang Liu, Guan-Jun Ling, Shao-Quan Zhang, Wen-Qing Zhai, Yi-Juan Chen

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.7field-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

15 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Observational
  3. Cross-sectional analysis of posterior reversible encephalopathy syndrome in pregnant women with and without HELLP syndrome.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  4. Article
  5. Nursing care for women with HELLP syndrome: a scoping review.Revista da Escola de Enfermagem da U S P · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. State of the Art in Hepatic Dysfunction in Pregnancy.Healthcare (Basel, Switzerland) · 2021
    Review
  15. 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

5 authors at 1 institution in 1 country.

Qiang LiuMaternity and Child Health Care & Red Cross Hospital of Qinzhou, Qinzhou, 535099, Guangxi, China. liuqiang070488@gmail.com.ORCID http://orcid.org/0000-0002-3744-1024
Guan-Jun LingMaternity and Child Health Care & Red Cross Hospital of Qinzhou, Qinzhou, 535099, Guangxi, China.
Shao-Quan ZhangMaternity and Child Health Care & Red Cross Hospital of Qinzhou, Qinzhou, 535099, Guangxi, China.
Wen-Qing ZhaiMaternity and Child Health Care & Red Cross Hospital of Qinzhou, Qinzhou, 535099, Guangxi, China.
Yi-Juan ChenMaternity and Child Health Care & Red Cross Hospital of Qinzhou, Qinzhou, 535099, Guangxi, China.
Qinzhou Maternity and Child Health Care Hospital · CN

Funding

2018 Guangxi Zhuang Autonomous Region health and family planning committee project Z20180127
6 · The paper itself

Abstract

backgroundHELLP syndrome may increase adverse pregnancy outcomes, though the incidence of it is not high. At present, the impact of HELLP syndrome on P-AKI (acute kidney injury during pregnancy) and maternal and infant outcomes is controversial. Thus, we conducted a meta-analysis to find out more about the relationship between HELLP syndrome and P-AKI and pregnancy outcomes.

methodsWe systematically searched PubMed, Embassy and Cochrane Databases for cohort studies and RCT to assess the effect of HELLP syndrome on P-AKI and maternal and infant outcomes. Study-specific risk estimates were combined by using fixed-effect or random-effect models.

resultsThis meta-analysis included 11 cohort studies with a total of 6333 Participants, including 355 cases of pregnant women with HELLP syndrome and 5979 cases that without. HELLP syndrome was associated with relatively higher risk of P-AKI (OR4.87 95% CI 3.31 ~ 7.17, P<0.001), fetal mortality (OR1.56 95% CI 1.45 ~ 2.11, P<0.001) and Maternal death (OR3.70 95% CI 1.72 ~ 7.99, P<0.001).

conclusionsHELLP syndrome is associated with relatively higher risk of P-AKI, fetal mortality and maternal death.

Indexed as

Fetal MortalityMaternal DeathAcute Kidney InjuryFemaleHELLP SyndromeHumansIncidencePregnancyPregnancy OutcomeRisk AssessmentRisk FactorsAcute kidney injuryAKIHELLP syndromePregnancy outcomes

Identifiers

PMID33126866
PMCPMC7602332
OpenAlexW3095085221

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.