Evidence map›Paper›PMID 35014861›Full record

ArticleJournal of the American Heart Association2022

Impact of Maternal-Fetal Environment on Mortality in Children With Single Ventricle Heart Disease.

Jill J Savla, Mary E Putt, Jing Huang, Samuel Parry, Julie S Moldenhauer, Samantha Reilly, Olivia Youman, Jack Rychik, Laura Mercer-Rosa, J William Gaynor and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.5field-weighted citation impact, top 5% 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, 30 citations in OpenAlex.

  1. Article
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  4. Long-term survival and complications of Fontan patients: where do we stand?American journal of cardiovascular disease · 2026
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  17. Journal of the American Heart Association · 2022
    Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Jill J SavlaDivision of Cardiology Department of Pediatrics, Children's Hospital of Philadelphia and Perelman School of Medicine University of Pennsylvania Philadelphia PA.ORCID 0000-0001-5639-9119
Mary E PuttDepartment of Biostatistics, Epidemiology, and Informatics Perelman School of Medicine University of Pennsylvania Philadelphia PA.
Jing HuangDepartment of Biostatistics, Epidemiology, and Informatics Perelman School of Medicine University of Pennsylvania Philadelphia PA.
Samuel ParryDepartment of Obstetrics and Gynecology Perelman School of Medicine University of Pennsylvania Philadelphia PA.
Julie S MoldenhauerCenter for Fetal Diagnosis and Treatment Children's Hospital of Philadelphia and Perelman School of Medicine University of Pennsylvania Philadelphia PA.
Samantha ReillyDivision of Cardiology Department of Pediatrics, Children's Hospital of Philadelphia and Perelman School of Medicine University of Pennsylvania Philadelphia PA.
Olivia YoumanDivision of Cardiology Department of Pediatrics, Children's Hospital of Philadelphia and Perelman School of Medicine University of Pennsylvania Philadelphia PA.
Jack RychikDivision of Cardiology Department of Pediatrics, Children's Hospital of Philadelphia and Perelman School of Medicine University of Pennsylvania Philadelphia PA.ORCID 0000-0001-8625-6565
Laura Mercer-RosaDivision of Cardiology Department of Pediatrics, Children's Hospital of Philadelphia and Perelman School of Medicine University of Pennsylvania Philadelphia PA.ORCID 0000-0003-2170-5942
J William GaynorDivision of Cardiothoracic Surgery Department of Surgery, Children's Hospital of Philadelphia and Perelman School of Medicine University of Pennsylvania Philadelphia PA.
Steven M KawutDepartment of Medicine Perelman School of Medicine University of Pennsylvania Philadelphia PA.ORCID 0000-0001-7896-0608
Children's Hospital of Philadelphia · USUniversity of Pennsylvania · US

Funding

Mentored Patient-Oriented Research in Pulmonary Arterial HypertensionK24HL103844 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KAWUT, STEVEN M · 2011 to 2020
$1.6M
Outcome and Right Ventricular Remodeling After Repair of Tetralogy of FallotK01HL125521 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI MERCER-ROSA, LAURA M. · 2015 to 2019
$791k
NHLBI NIH HHS K01 HL125521NHLBI NIH HHS K24 HL103844
6 · The paper itself

Abstract

BACKGROUND Children with single ventricle heart disease have significant morbidity and mortality. The maternal-fetal environment (MFE) may adversely impact outcomes after neonatal cardiac surgery. We hypothesized that impaired MFE would be associated with an increased risk of death after stage 1 Norwood reconstruction. METHODS AND RESULTS We performed a retrospective cohort study of children with hypoplastic left heart syndrome (and anatomic variants) who underwent stage 1 Norwood reconstruction between 2008 and 2018. Impaired MFE was defined as maternal gestational hypertension, preeclampsia, gestational diabetes, and/or smoking during pregnancy. Cox proportional hazards regression models were used to investigate the association between impaired MFE and death while adjusting for confounders. Hospital length of stay was assessed with the competing risk of in-hospital death. In 273 children, the median age at stage 1 Norwood reconstruction was 4 days (interquartile range [IQR], 3-6 days). A total of 72 children (26%) were exposed to an impaired MFE; they had more preterm births (18% versus 7%) and a greater percentage with low birth weights <2.5 kg (18% versus 4%) than those without impaired MFE. Impaired MFE was associated with a higher risk of death (hazard ratio [HR], 6.05; 95% CI, 3.59-10.21;

Indexed as

Hypoplastic Left Heart SyndromeNorwood ProceduresUniventricular HeartChildFemaleHospital MortalityHumansInfant, NewbornPregnancyRetrospective StudiesRisk FactorsTime FactorsTreatment Outcomecongenital heart diseasefetal developmentfetal programminghypoplastic left heart syndromepreeclampsia/pregnancyprenatal exposuresStage 1 Norwood procedure

Identifiers

PMID35014861
PMCPMC9238520
OpenAlexW4205380192

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.