Evidence map›Paper›PMID 36560711›Full record

SynthesisViruses2022

First-Trimester Influenza Infection Increases the Odds of Non-Chromosomal Birth Defects: A Systematic Review and Meta-Analysis.

Ákos Mátrai, Brigitta Teutsch, Alex Váradi, Péter Hegyi, Boglárka Pethő, Akari Fujisawa, Szilárd Váncsa, Balázs Lintner, Zsolt Melczer, Nándor Ács

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Viruses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 14% 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, 12 citations in OpenAlex.

  1. Review
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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

10 authors at 2 institutions in 1 country.

Ákos MátraiDepartment of Obstetrics and Gynecology, Semmelweis University, 1085 Budapest, Hungary.ORCID 0000-0003-4483-5483
Brigitta TeutschCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.ORCID 0000-0002-9530-7886
Alex VáradiInstitute for Translational Medicine, Medical School, University of Pécs, 7621 Pécs, Hungary.ORCID 0000-0001-8229-6340
Péter HegyiCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.
Boglárka PethőDepartment of Obstetrics and Gynecology, Semmelweis University, 1085 Budapest, Hungary.
Akari FujisawaCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.
Szilárd VáncsaCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.ORCID 0000-0002-9347-8163
Balázs LintnerDepartment of Obstetrics and Gynecology, Semmelweis University, 1085 Budapest, Hungary.
Zsolt MelczerDepartment of Obstetrics and Gynecology, Semmelweis University, 1085 Budapest, Hungary.
Nándor ÁcsDepartment of Obstetrics and Gynecology, Semmelweis University, 1085 Budapest, Hungary.
Semmelweis University · HUUniversity of Pecs · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Viral infections during pregnancy raise several clinical challenges, including birth defects in the offspring. Thus, this systematic review and meta-analysis aims to prove and highlight the risk of birth defects after first-trimester maternal influenza infection. Our systematic search was performed on 21 November 2022. Studies that reported maternal influenza infection in the first trimester and non-chromosomal congenital abnormalities were considered eligible. We used odds ratios (OR) with 95% confidence intervals (CIs) to measure the effect size. Pooled ORs were calculated with a random effects model. Heterogeneity was measured with I² and Cochran's Q tests. We found that first-trimester maternal influenza was associated with increased odds of developing any type of birth defects (OR: 1.5, CI: 1.30-1.70). Moreover, newborns were more than twice as likely to be diagnosed with neural tube defects (OR: 2.48, CI: 1.95-3.14) or cleft lip and palate (OR: 2.48, CI: 1.87-3.28). We also found increased odds of developing congenital heart defects (OR: 1.63, CI: 1.27-2.09). In conclusion, influenza increases the odds of non-chromosomal birth defects in the first trimester. The aim of the present study was to estimate the risk of CAs in the offspring of mothers affected by first-trimester influenza infection.

Indexed as

Cleft LipCleft PalateInfluenza, HumanFemaleHumansInfant, NewbornMothersPregnancyPregnancy Trimester, Firstcongenital malformationspregnancyviral infection

Identifiers

PMID36560711
PMCPMC9781815
OpenAlexW4311522350

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.