Evidence map›Paper›PMID 33965413›Full record

ArticleThe Journal of pediatrics2021

Association of Maternal Immune Activation during Pregnancy and Neurologic Outcomes in Offspring.

Samhita Jain, Rebecca J Baer, Charles E McCulloch, Elizabeth Rogers, Larry Rand, Laura Jelliffe-Pawlowski, Xianhua Piao

Open access · hybridAbstract readComment
In one paragraph

Article in The Journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  13. Assessing for prenatal risk factors associated with infant neurologic morbidity using a multivariate analysis.Journal of perinatology : official journal of the California Perinatal Association · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Samhita JainDivision of Neonatology, Department of Pediatrics, University of California, San Francisco, San Francisco, CA.
Rebecca J BaerDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco School of Medicine, San Francisco, CA; Department of Pediatrics, University of California San Diego School of Medicine, San Diego, CA; California Preterm Birth Initiative, University of California San Francisco School of Medicine, San Francisco, CA.
Charles E McCullochDepartment of Epidemiology and Biostatistics, University of California San Francisco School of Medicine, San Francisco, CA.
Elizabeth RogersDivision of Neonatology, Department of Pediatrics, University of California, San Francisco, San Francisco, CA; California Preterm Birth Initiative, University of California San Francisco School of Medicine, San Francisco, CA; Department of Epidemiology and Biostatistics, University of California San Francisco School of Medicine, San Francisco, CA.
Larry RandDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco School of Medicine, San Francisco, CA; California Preterm Birth Initiative, University of California San Francisco School of Medicine, San Francisco, CA; Department of Epidemiology and Biostatistics, University of California San Francisco School of Medicine, San Francisco, CA.
Laura Jelliffe-PawlowskiDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco School of Medicine, San Francisco, CA; California Preterm Birth Initiative, University of California San Francisco School of Medicine, San Francisco, CA; Department of Epidemiology and Biostatistics, University of California San Francisco School of Medicine, San Francisco, CA.
Xianhua PiaoDivision of Neonatology, Department of Pediatrics, University of California, San Francisco, San Francisco, CA; Newborn Brain Research Institute, University of California, San Francisco, San Francisco, CA; Weill Institute for Neuroscience, University of California, San Francisco, San Francisco, CA; Eli and Edythe Broad Center of Regeneration Medicine and Stem Cell Research, University of California, San Francisco, San Francisco, CA. Electronic address: Xianhua.piao@ucsf.edu.
University of California, San Francisco · US

Funding

Regulation of Cellular Pathwaysin Human Brain DevelopmentP01NS083513 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ALVAREZ-BUYLLA, ARTURO · 2014 to 2024
$12.6M
Glial Mechanisms Of Developmental Synapse RefinementR01NS108446 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PIAO, XIANHUA · 2018 to 2022
$2.9M
NINDS NIH HHS P01 NS083513NINDS NIH HHS R01 NS108446
6 · The paper itself

Abstract

objectiveTo evaluate neurologic morbidity among offspring during their first year of life in association with prenatal maternal immune activation (MIA), using an inclusive definition. STUDY

designThis retrospective cohort study included singletons born in California between 2011 and 2017. MIA was defined by International Classification of Diseases diagnosis of infection, autoimmune disorder, allergy, asthma, atherosclerosis, or malignancy during pregnancy. Neurologic morbidity in infants was defined by International Classification of Diseases diagnosis of intraventricular hemorrhage, periventricular leukomalacia, seizures, abnormal neurologic examination, or abnormal neurologic imaging. Outcomes of delayed developmental milestones during the first year of life were also explored. Risk of neurologic morbidity in offspring was approximated for women with and without MIA using log link binary regression.

resultsDemographic characteristics among 3 004 166 mother-infant dyads with or without MIA were similar in both groups. Rate of preterm delivery in mothers with MIA (9.4%) was significantly higher than those without MIA (5.6%). Infants of mothers with MIA were more likely to experience neurologic morbidities across all gestational ages. Adjusted relative risk (95% CI) in the exposed infants was 2.0 (1.9-2.1) for abnormal neurologic examination; 1.6 (1.5-1.7) for seizures, and 1.6 (1.4-1.8) for periventricular leukomalacia.

conclusionsOur results demonstrate that MIA during pregnancy may be associated with considerably higher risk of neurologic morbidity in offspring.

Indexed as

Infant, Premature, DiseasesLeukomalacia, PeriventricularBrainFemaleHumansInfantInfant, NewbornInflammationPregnancyRetrospective Studiesautoimmunitymaternal infectionneonatal brain

Identifiers

PMID33965413
PMCPMC13477728
OpenAlexW3163222269

What OpenQuestion holds

Textmetadata
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.