Evidence map›Paper›PMID 34802426›Full record

Observational studyBMC pregnancy and childbirth2021

Low-dose aspirin for primary prevention of adverse pregnancy outcomes in twin pregnancies: an observational cohort study based on propensity score matching.

Ying Ye, Li Wen, Xiyao Liu, Lan Wang, Yamin Liu, Richard Saffery, Mark D Kilby, Chao Tong, Hongbo Qi, Philip Baker

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. A nomogram to predict preterm birth in twin pregnancies.American journal of translational research · 2022
    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

10 authors at 4 institutions in 3 countries.

Ying Ye *Department of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Li Wen *Department of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Xiyao Liu *Department of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Lan WangDepartment of Obstetrics, Chongqing Women and Children's Health Center, Chongqing, 401147, China.
Yamin LiuDepartment of Obstetrics, Chongqing Women and Children's Health Center, Chongqing, 401147, China.
Richard SafferyCancer, Disease and Developmental Epigenetics, Murdoch Children's Research Institute, Parkville, Victoria, 3052, Australia.
Mark D KilbyInstitute of Metabolism and System Research, University of Birmingham, Edgbaston, UK.
Chao TongDepartment of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China. chaotongcqmu@163.com.
Hongbo QiDepartment of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China. qihongbocy@gmail.com.ORCID http://orcid.org/0000-0003-3776-0487
Philip BakerCollege of Medicine, Biological Sciences and Psychology, University of Leicester, Leicester, LE1 7RH, UK.
The Affiliated Yongchuan Hospital of Chongqing Medical University · CNChildren’s Foundation · GBThe University of Melbourne · AUUniversity of Leicester · GB

Funding

National Key Research and Development Program of China 2018YFC1002900National Natural Science Foundation of China 81520108013, 81771613, 81671488, 81871189 and 82071675
6 · The paper itself

Abstract

backgroundSince the effectiveness of low-dose aspirin (LDA) in twin pregnancies is uncertain, we aimed to preliminarily assess whether LDA is beneficial in preventing preeclampsia in twin pregnancies.

methodsThis study is an observational study in two hospitals in China. Among 932 women, 277 in the First Affiliated Hospital of Chongqing Medical University were routinely treated with aspirin (100 mg daily) from 12 to 16 weeks to 35 weeks of gestational age, while 655 in Chongqing Health Center for Women and Children were not taking aspirin during pregnancy. We followed each subject and the individual details were recorded.

resultsLDA significantly reduced the risk of preeclampsia (RR 0.48; 95% CI 0.24-0.95) and preterm birth 34 weeks (RR 0.50; 95% CI 0.29-0.86) and showed possible benefits to lower the rate of SGA babies (RR 0.74; 95% CI 0.55-1.00). Moreover, the risk of postpartum hemorrhage was not increased by LDA (RR 0.89; 95% CI 0.35-2.26).

conclusionsTreatment with low-dose aspirin in twin pregnancies could offer some protection against adverse pregnancy outcomes in the absence of significantly increased risk of postpartum hemorrhage.

trial registrationChinese Clinical Trial Registry (ChiCTR); ChiCTR-OOC-16008203 , Retrospectively registered date: April 1st, 2016.

Indexed as

AdultAspirinChinaCohort StudiesFemaleHumansInfant, Small for Gestational AgePre-EclampsiaPregnancyPregnancy, TwinPremature BirthPropensity ScoreAspirinFetal growth restrictionLow-dose aspirinPostpartum hemorrhagePreeclampsiaPreterm birthTwin pregnancy

Identifiers

PMID34802426
PMCPMC8607699
OpenAlexW3214737265

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.