Evidence map›Paper›PMID 34385586›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2021

Hydrops fetalis-trends in associated diagnoses and mortality from 1997-2018.

Veeral N Tolia, R Hunter Clark, Bezalel Perelmuter, Joshua A Frankfurt, Kaashif A Ahmad, Matthew E Abrams, Jennifer L Cohen, Reese H Clark

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Article in Journal of perinatology : official journal of the California Perinatal Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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.

Veeral N ToliaThe MEDNAX Center for Research, Education, Quality and Safety, Sunrise, FL, USA. Veeral.tolia@bswhealth.org.ORCID http://orcid.org/0000-0002-6841-4862
R Hunter ClarkUniversity of South Carolina School of Medicine Greenville, Greenville, SC, USA.
Bezalel PerelmuterPediatrix Medical Group, Dallas, TX, USA.
Joshua A FrankfurtPediatrix Medical Group, Dallas, TX, USA.
Kaashif A AhmadThe MEDNAX Center for Research, Education, Quality and Safety, Sunrise, FL, USA.ORCID http://orcid.org/0000-0002-5970-6791
Matthew E AbramsObstetrix Medical Group of Phoenix Neonatology, Phoenix, AZ, USA.
Jennifer L CohenDivision of Medical Genetics, Department of Pediatrics, Duke University, Durham, NC, USA.
Reese H ClarkThe MEDNAX Center for Research, Education, Quality and Safety, Sunrise, FL, USA.ORCID http://orcid.org/0000-0002-7363-4640

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe and evaluate trends in the etiology and mortality risk in neonates admitted for neonatal intensive care with hydrops fetalis. STUDY

designA retrospective review of de-identified patient data in the Pediatrix Clinical Data Warehouse from 1997 to 2018.

resultsWe identified 2144 infants diagnosed with hydrops fetalis. The most common diagnoses were congenital heart disease (n = 325, 15.2%), genetic diagnoses (n = 269, 12.5%) and cardiac arrhythmia (n = 176, 8.2%). Of 2144 neonates, 988 (46%) survived to hospital discharge and 775 (36%) died prior to discharge. Mortality rate was highly variable across diagnoses, ranging from 90% in infants with congenital diaphragmatic hernia to 0% in infants with atrial flutter. Over the study period, more infants were diagnosed with trisomies and fewer with twin-to-twin transfusion. Mortality decreased by 5% from 1997-2007 to 2008-2018.

conclusionsThe risk of death among neonates with hydrops fetalis is highly dependent on the underlying cause, with increasing risk of mortality at lower gestational ages.

Indexed as

Heart Defects, CongenitalHernias, Diaphragmatic, CongenitalGestational AgeHumansHydrops FetalisInfantInfant, NewbornRetrospective Studies

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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.