Evidence map›Paper›PMID 36109752›Full record

ArticleReproductive health2022

Serum urea acid and urea nitrogen levels are risk factors for maternal and fetal outcomes of pregnancy: a retrospective cohort study.

Lanlan Wu, Yao Liu, Zengyou Liu, Hengying Chen, Siwen Shen, Yuanhuan Wei, Ruifang Sun, Guifang Deng

Open access · goldAbstract read
In one paragraph

Article in Reproductive health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Lanlan WuDepartment of Clinical Nutrition, Union Shenzhen Hospital of Huazhong University of Science and Technology, No. 89 Taoyuan Road, Shenzhen, 518052, Guangdong, People's Republic of China.
Yao LiuDepartment of Clinical Nutrition, Union Shenzhen Hospital of Huazhong University of Science and Technology, No. 89 Taoyuan Road, Shenzhen, 518052, Guangdong, People's Republic of China.
Zengyou LiuDepartment of Obstetrics, Union Shenzhen Hospital Huazhong University of Science and Technology, Shenzhen, People's Republic of China.
Hengying ChenInjury Prevention Research Center, Shantou University Medical College, Shantou, People's Republic of China.
Siwen ShenDepartment of Clinical Nutrition, Union Shenzhen Hospital of Huazhong University of Science and Technology, No. 89 Taoyuan Road, Shenzhen, 518052, Guangdong, People's Republic of China.
Yuanhuan WeiDepartment of Clinical Nutrition, Union Shenzhen Hospital of Huazhong University of Science and Technology, No. 89 Taoyuan Road, Shenzhen, 518052, Guangdong, People's Republic of China.
Ruifang SunDepartment of Clinical Nutrition, Union Shenzhen Hospital of Huazhong University of Science and Technology, No. 89 Taoyuan Road, Shenzhen, 518052, Guangdong, People's Republic of China.
Guifang DengDepartment of Clinical Nutrition, Union Shenzhen Hospital of Huazhong University of Science and Technology, No. 89 Taoyuan Road, Shenzhen, 518052, Guangdong, People's Republic of China. misyfly@163.com.ORCID http://orcid.org/0000-0002-9520-2793
Huazhong University of Science and Technology · CNShantou University · CNShenZhen People’s Hospital · CN

Funding

Guangdong Basic and Applied Basic Project 2019A1515110456National Natural Science Foundation of China 82103821Shenzhen Nanshan District Science and Technology Project 2019007Shenzhen Science and Technology Innovation Committee JCYJ20190809102203602Shenzhen Science and Technology Innovation Committee JCYJ20210324112400002
6 · The paper itself

Abstract

backgroundIn recent years, results on the association between serum uric acid (UA) and pregnancy outcomes have been inconsistent, and the association between urea nitrogen (UN) and adverse pregnancy outcomes in normal pregnant women has not been reported. Thus, we examined the association of UA and UN levels during gestation with the risk of adverse pregnancy outcomes in a relatively large population.

methodsA total of 1602 singleton mothers from Union Shenzhen Hospital of Huazhong University of Science and Technology at January 2015 to December 2018 were included. Both UA and UN levels were collected and measured during the second (16-18th week) and third (28-30th week) trimesters of gestation respectively. Statistical analysis was performed using multivariate logistic regression.

resultsAfter adjustment, the highest quartile of UA in the third trimester increased the risk of premature rupture of membranes (PROM) and small for gestational age infants (SGA) by 48% (odds ratio [OR]: 1.48, 95% confidence interval [CI]: 1.04-2.10) and 99% (95% CI: 1.01-3.89) compared to those in the lowest quartile. The adjusted OR (95% CI) in the highest quartile of UN for the risk of SGA was 2.18 (95% CI: 1.16-4.13) and 2.29 (95% CI: 1.20-4.36) in the second and third trimester, respectively. In the second trimester, when UA and UN levels were both in the highest quartile, the adjusted OR (95% CI) for the risk of SGA was 2.51 (95% CI: 1.23-5.10). In the third trimester, when the group 1 (both indicators are in the first quartile) was compared, the adjusted ORs (95% CI) for the risk of SGA were 1.98 (95% CI: 1.22-3.23) and 2.31 (95% CI: 1.16-4.61) for group 2 (UA or UN is in the second or third quartile) and group 3 (both indicators are in the fourth quartile), respectively.

conclusionsHigher UA and UN levels increased the risk of maternal and fetal outcomes. The simultaneous elevation of UA and UN levels was a high-risk factors for the development of SGA, regardless of whether they were in the second or third trimester.

Indexed as

Premature Rupture of Fetal MembranesUric AcidFemaleHumansNitrogenPregnancyPregnancy OutcomeRetrospective StudiesRisk FactorsUreaNitrogenUreaUric AcidAdverse pregnancy outcomesSmall for gestational age infantsUrea acidUrea nitrogen

Identifiers

PMID36109752
PMCPMC9479307
OpenAlexW4296033898

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LicenceCC BY
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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.