Evidence map›Paper›PMID 35127849›Full record

ArticleFrontiers in cardiovascular medicine2021

Pregnancy Complications and Outcomes Among Women With Congenital Heart Disease in Beijing, China.

Yang Liu, Yanna Li, Jun Zhang, Wenjuan Zhao, Zhaoliang Bao, Xiaolong Ma, Yichen Zhao, Cheng Zhao, Kemin Liu, Qing Ye and 6 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Article
  5. 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

16 authors at 3 institutions in 2 countries.

Yang LiuDepartment of Pediatric Cardiac Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Yanna LiDepartment of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Jun ZhangDepartment of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Wenjuan ZhaoDepartment of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Zhaoliang BaoDepartment of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Xiaolong MaDepartment of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Yichen ZhaoDepartment of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Cheng ZhaoDepartment of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Kemin LiuDepartment of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Qing YeDepartment of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Lixiao SuDepartment of Biostatistics, NJS Associates Company, Bridgewater, NJ, United States.
Yao YangDepartment of Pediatric Cardiac Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Jing YangDepartment of Pediatric Cardiac Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Gang LiDepartment of Pediatric Cardiac Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Xiangming FanDepartment of Pediatric Cardiac Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Jiangang WangDepartment of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Capital Medical University · CNBeijing Anzhen Hospital · CNReproductive Medicine Associates of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo conduct a comparative analysis of the complications and outcomes in pregnant women with and without congenital heart disease (CHD) in Beijing, China.

methodsWe compared pregnancy-related complications and outcomes experienced by women with and without CHD throughout 19,424 deliveries in Beijing Anzhen Hospital between 2010 and 2019, including cardiovascular and obstetric factors, fetal events, delivery methods, and other complications over a mean 5-years post-delivery follow-up period.

resultsThere were 1,040 women with CHD (5.35% of all deliveries). Compared to women without CHD, these women had longer hospital stays (7.83 ± 4.65 vs. 4.93 ± 3.26 days) and a higher death rate (1.92 vs. 0.02%). They also had a greater risk of comorbidities, including pre-term delivery (odds ratio: 13.65 vs. 6.71), heart failure (odds ratio: 4.90 vs. 0.40), and arrhythmia (odds ratio 12.69 vs. 4.69). Pulmonary hypertension, New York Heart Association functional class III~IV, and no congenital heart disease surgery prior to pregnancy were associated with adverse events such as cesarean section, pre-term delivery, and heart failure. The fetuses of mothers with CHD were more likely to be born pre-term (odds ratio: 13.65 vs. 6.71) and have low birth weight (odds ratio: 8.56 vs. 4.36). Eleven infants (1.82%) born to mothers with CHD and four infants (0.64%) born to mothers without CHD were diagnosed with CHD.

conclusionsWomen with CHD generally increase maternal and infant risk during pregnancy and the perinatal period. Pulmonary hypertension, decrease in cardiac function, and no previous CHD surgery increase the risk in women with CHD. Greater attention should be paid to pregnant women with CHD and their fetuses, newborns.

Indexed as

congenital heart diseaseheart failurepregnancypulmonary hypertensionwoman

Identifiers

PMID35127849
PMCPMC8813973
OpenAlexW4206667685

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.