Evidence map›Paper›PMID 33800521›Full record

ArticleJournal of clinical medicine2021

Prognostic Markers for Chorioamnionitis: IL-6, TNF-α, and MMP-8 in Vaginally Obtained Amniotic Fluid.

Greta Balciuniene, Violeta Gulbiniene, Irena Dumalakiene, Rita Viliene, Daiva Bartkeviciene, Ingrida Pilypiene, Grazina S Drasutiene, Diana Ramasauskaite

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.1field-weighted citation impact, top 13% 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, 20 citations in OpenAlex.

  1. Review
  2. Review
  3. Treatment strategies for intra-amniotic infection and/or inflammation in preterm labor cases.European journal of obstetrics & gynecology and reproductive biology: X · 2025
    Article
  4. Article
  5. Palmitate and group BFrontiers in immunology · 2024
    Article
  6. Article
  7. The significance of TNF-α and MMP-8 concentrations in non-invasively obtained amniotic fluid predicting fetal inflammatory response syndrome.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023
    Article
  8. 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

8 authors at 2 institutions in 1 country.

Greta BalciunieneClinic of Obstetrics, and Gynaecology, Institute of Clinical Medicine of the Faculty of Medicine of Vilnius University, 03101 Vilnius, Lithuania.ORCID 0000-0002-6677-2383
Violeta GulbinieneClinic of Obstetrics, and Gynaecology, Institute of Clinical Medicine of the Faculty of Medicine of Vilnius University, 03101 Vilnius, Lithuania.
Irena DumalakieneDepartment of Immunology, State Research Institute Centre for Innovative Medicine, 08410 Vilnius, Lithuania.
Rita VilieneDepartment of Immunology, State Research Institute Centre for Innovative Medicine, 08410 Vilnius, Lithuania.
Daiva BartkevicieneClinic of Obstetrics, and Gynaecology, Institute of Clinical Medicine of the Faculty of Medicine of Vilnius University, 03101 Vilnius, Lithuania.
Ingrida PilypieneCenter of Obstetrics and Gynaecology, Vilnius University Hospital Santaros Klinikos, 08406 Vilnius, Lithuania.
Grazina S DrasutieneClinic of Obstetrics, and Gynaecology, Institute of Clinical Medicine of the Faculty of Medicine of Vilnius University, 03101 Vilnius, Lithuania.
Diana RamasauskaiteClinic of Obstetrics, and Gynaecology, Institute of Clinical Medicine of the Faculty of Medicine of Vilnius University, 03101 Vilnius, Lithuania.
Vilnius University · LTState Research Institute Centre for Innovative Medicine · LT

Funding

Lietuvos Mokslo Taryba S-MIP-19-57
6 · The paper itself

Abstract

backgroundEarlier chorioamnionitis diagnosis is crucial to improve maternal and neonatal health outcomes. This study was conducted to evaluate the inlerleukin-6 (IL-6), tumor necrosis factor α (TNF-α), and matrix metalloproteinase 8 (MMP-8) levels in vaginally obtained amniotic fluid to investigate their prognostic value and to determine the most appropriate cut-off values for the prediction of chorioamnionitis.

methodsThis case control study included women who were diagnosed with preterm premature rupture of the membranes before 34 weeks of gestation and were admitted to Vilnius University Hospital Santaros Klinikos. Free-leaking amniotic fluid was obtained vaginally with a sterile speculum less than 48h before delivery. Amniotic fluid IL-6, TNF-α, and MMP-8 levels were determined by the Enzyme Linked Immunosorbent Assay. Diagnosis of chorioamnionitis was confirmed by histological examination of the placenta and membranes after delivery.

resultsThe study included 156 women, 65 patients in the histological chorioamnionitis group (Group I) and 91 in a group without diagnosed histological chorioamnionitis (Group II). The median concentrations of IL-6, MMP-8, and TNF-α in amniotic fluid were statistically significantly higher in Group I than in Group II (

conclusionsThe vaginally obtained amniotic fluid IL-6, MMP-8, and TNF-α seem to be good predictors for chorioamnionitis of patients with preterm premature rupture of membranes before 34 weeks of gestation. The noninvasive technique of sampling amniotic fluid could be alternative method to invasive amniocentesis.

Indexed as

chorioamnionitisIL-6immunological markersMMP-8TNF-α

Identifiers

PMID33800521
PMCPMC7962957
OpenAlexW3134052125

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.