Evidence map›Paper›PMID 35820195›Full record

ArticleAnaesthesia2022

Severe maternal morbidity in Scotland.

J A Masterson, I Adamestam, M Beatty, J P Boardman, P Johnston, J Joss, H Lawrence, K Litchfield, T S Walsh, A Wise and 4 more

Abstract read
In one paragraph

Article in Anaesthesia, 2022. 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
–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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

14 authors.

J A MastersonDepartment of Anaesthesia, Critical Care and Pain Medicine, University of Edinburgh, UK.ORCID 0000-0003-1409-2164
I AdamestamUsher Institute, University of Edinburgh, UK.
M BeattyDepartment of Anaesthesia, Critical Care and Pain Medicine, Royal Infirmary of Edinburgh, UK.
J P BoardmanMRC Centre for Reproductive Health, Queen's Medical Research Institute, University of Edinburgh, UK.ORCID 0000-0003-3904-8960
P JohnstonDepartment of Anaesthesia, Critical Care and Pain Medicine, Ninewells Hospital, Dundee, UK.
J JossDepartment of Anaesthesia, Critical Care and Pain Medicine, Ninewells Hospital, Dundee, UK.
H LawrenceUniversity of Edinburgh, UK.
K LitchfieldDepartment of Anaesthesia, Critical Care and Pain Medicine, Glasgow Royal Infirmary, Glasgow, UK.
T S WalshDepartment of Anaesthesia, Critical Care and Pain Medicine, Royal Infirmary of Edinburgh, UK.
A WiseDepartment of Anaesthesia, Critical Care and Pain Medicine, Royal Infirmary of Edinburgh, UK.
R WoodUsher Institute, University of Edinburgh, UK.
C J WeirUsher Institute, University of Edinburgh, UK.ORCID 0000-0002-6494-4903
F C DenisonMRC Centre for Reproductive Health, Queen's Medical Research Institute, University of Edinburgh, UK.
N I LoneDepartment of Anaesthesia, Critical Care and Pain Medicine, Royal Infirmary of Edinburgh, UK.ORCID 0000-0003-2707-2779

Funding

Obstetric Anaesthetists' Association
6 · The paper itself

Abstract

Using a cohort study design, we analysed 17 diagnoses and 9 interventions (including critical care admission) as a composite measure of severe maternal morbidity for pregnancies recorded over 14 years in Scotland. There were 762,918 pregnancies, of which 7947 (10 in 1000 pregnancies) recorded 9345 severe maternal morbidity events, 2802 episodes of puerperal sepsis being the most common (30%). Severe maternal morbidity incidence increased from 9 in 1000 pregnancies in 2012 to 17 in 1000 pregnancies in 2018, due in part to puerperal sepsis recording. The odds ratio (95%CI) for severe maternal morbidity was higher for: older women, for instance 1.22 (1.13-1.33) for women aged 35-39 years and 1.44 (1.27-1.63) for women aged > 40 years compared with those aged 25-29 years; obese women, for instance 1.13 (1.06-1.21) for BMI 30-40 kg.m

Indexed as

HospitalizationSepsisAgedCohort StudiesFemaleHumansIncidenceLength of StayMaternal MortalityMorbidityPregnancymaternal critical carerisk factorssevere maternal morbidity

Identifiers

PMID35820195
PMCPMC9544155

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.