Evidence map›Paper›PMID 33167566›Full record

ArticleViruses2020

Can Zika Virus Infection in High Risk Pregnant Women Be Differentiated on the Basis of Symptoms?

Nuria Sanchez Clemente, Elizabeth B Brickley, Marcia Furquim de Almeida, Steven S Witkin, Saulo Duarte Passos, The Jundiai Zika Cohort Group

Open access · goldAbstract read
In one paragraph

Article in Viruses, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

6 authors at 4 institutions in 3 countries.

Nuria Sanchez ClementeDepartment of Epidemiology, University of São Paulo School of Public Health, São Paulo 01246-904, Brazil.
Elizabeth B BrickleyDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.ORCID 0000-0003-0280-2288
Marcia Furquim de AlmeidaDepartment of Epidemiology, University of São Paulo School of Public Health, São Paulo 01246-904, Brazil.
Steven S WitkinDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY 10065, USA.
Saulo Duarte PassosJundiaí Medical School, Jundiaí University, Jundiaí, São Paulo 13202-550, Brazil.ORCID 0000-0002-0908-2677
The Jundiai Zika Cohort Group
Universidade de São Paulo · BRCornell University · USFaculdade de Medicina de Jundiaí · BRLondon School of Hygiene & Tropical Medicine · GB

Funding

Wellcome Trust 205377/Z/16/Z
6 · The paper itself

Abstract

Zika virus (ZIKV) infection in pregnancy is associated with congenital neurological abnormalities. Our understanding of the full clinical spectrum of ZIKV infection is incomplete. Using data from this prospective cohort study consisting of 650 women attending a high-risk pregnancy clinic during the Zika virus outbreak in Brazil, we investigated the extent to which specific symptoms can be utilized to differentiate ZIKV-infected pregnant women from those with other pregnancy-related problems. All were tested for ZIKV in urine by RT-qPCR. Demographic and clinical data including physical symptoms during follow-up were recorded and analyzed with respect to Zika virus exposure status. Forty-eight (7.4%) women were positive for ZIKV by RT-qPCR. The majority (70.8%) were asymptomatic, and only four ZIKV-positive women (8.3%) reported symptoms during pregnancy that met the WHO case definition. Zika-positive and -negative women reported similar frequencies of ZIKV-like symptoms (as per the WHO definition): fever (16.7% vs. 13.6%), arthralgia/arthritis (10.4% vs. 11.3%), rash (4.2% vs. 5.3%), and conjunctivitis (2.1% vs. 3.2%). Most pregnant women positive for ZIKV in urine are asymptomatic and do not deliver a baby with microcephaly. Physical symptoms alone did not differentiate between high-risk pregnant women positive or negative for ZIKV.

Indexed as

AdolescentAdultAsymptomatic InfectionsBrazilDisease OutbreaksFemaleHumansMicrocephalyMiddle AgedPregnancyPregnancy Complications, InfectiousPregnancy, High-RiskPregnant PeopleProspective StudiesWorld Health OrganizationYoung Adultcongenital infectionszika

Identifiers

PMID33167566
PMCPMC7694531
OpenAlexW3094685589

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.