Evidence map›Paper›PMID 34427068›Full record

ArticleYonsei medical journal2021

Funisitis as a Risk Factor for Adverse Neonatal Outcomes in Twin Neonates with Spontaneous Preterm Birth: A Retrospective Cohort Study.

Subeen Hong, Mina Jeong, Sohee Oh, Jeong Won Oh, Chan Wook Park, Joong Shin Park, Jong Kwan Jun, Seung Mi Lee

Open access · goldAbstract readTwin Study
In one paragraph

Article in Yonsei medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
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 1 institution in 1 country.

Subeen Hong *Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-1027-7981
Mina Jeong *Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-2266-5188
Sohee OhDepartment of Biostatistics, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0002-3010-448X
Jeong Won OhDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-8610-895X
Chan Wook ParkDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-1290-6438
Joong Shin ParkDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-5246-0477
Jong Kwan JunDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-0242-1736
Seung Mi LeeDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-2543-0408
Seoul National University · KR

Funding

Seoul National University Hospital 1120215040
6 · The paper itself

Abstract

purposeFunisitis, inflammation of the umbilical cord, is considered a strong risk factor for adverse neonatal outcomes; however, a clinical definition of funisitis has not been established. In this study, we aimed to determine the clinical significance of funisitis in twin neonates with spontaneous preterm birth. MATERIALS AND

methodsThe study included preterm twin neonates (<35 weeks) delivered after spontaneous preterm labor and/or preterm premature rupture of amniotic membranes. The presence of funisitis was examined in the umbilical cord of each twin. We analyzed the risk of adverse neonatal outcomes according to the presence and absence of funisitis. Adverse neonatal outcomes were defined as the occurrence of neonatal mortality, significant morbidity, or both.

resultsAmong 474 preterm neonates (237 twin pairs) included in this study, the frequency of funisitis was 6.5% (31 cases). Funisitis was significantly associated with neonatal mortality and adverse neonatal outcomes after adjustment for confounding variables [neonatal mortality, odds ratio (OR) 9.043, 95% confidence interval (CI) 2.620-31.204; adverse neonatal outcome, OR 2.445, 95% CI 1.017-5.875]. The concordance rate of funisitis between the twins was 10.7%, and in the absence of funisitis in one twin, the risk of neonatal mortality or adverse neonatal outcome was not influenced by the presence of funisitis in the other twin.

conclusionThe presence of funisitis appears to be associated with an increased risk for adverse neonatal outcomes in twin neonates with spontaneous preterm birth.

Indexed as

ChorioamnionitisPremature BirthFemaleHumansInfant, NewbornPregnancyRetrospective StudiesRisk FactorsUmbilical CordChorioamnionitisfunisitispreterm birthtwin pregnancy

Identifiers

PMID34427068
PMCPMC8382721
OpenAlexW3194386246

What OpenQuestion holds

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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.