Evidence map›Paper›PMID 37205701›Full record

ArticlePLoS neglected tropical diseases2023

Visual findings in children exposed to Zika in utero in Nicaragua.

Evelin Martinez, Ryan Max, Filemón Bucardo, Elizabeth M Stringer, Sylvia Becker-Dreps, Christian Toval-Ruíz, Meylin Chavarria, María J Meléndez-Balmaceda, Carlos Nuñez, Matthew H Collins and 7 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 89% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Review
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

17 authors at 5 institutions in 2 countries.

Evelin MartinezDepartment of Microbiology, Faculty of Medical Science, National Autonomous University of Nicaragua, León (UNAN-León, Managua), Nicaragua.ORCID 0000-0003-2380-299X
Ryan MaxDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Filemón BucardoDepartment of Microbiology, Faculty of Medical Science, National Autonomous University of Nicaragua, León (UNAN-León, Managua), Nicaragua.
Elizabeth M StringerDepartment of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Sylvia Becker-DrepsDepartment of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Christian Toval-RuízDepartment of Microbiology, Faculty of Medical Science, National Autonomous University of Nicaragua, León (UNAN-León, Managua), Nicaragua.
Meylin ChavarriaDepartment of Microbiology, Faculty of Medical Science, National Autonomous University of Nicaragua, León (UNAN-León, Managua), Nicaragua.
María J Meléndez-BalmacedaDepartment of Microbiology, Faculty of Medical Science, National Autonomous University of Nicaragua, León (UNAN-León, Managua), Nicaragua.
Carlos NuñezOphthalmology Clinic, Victoria Mota Hospital, Jinotega, Nicaragua.
Matthew H CollinsDepartment of Medicine, Emory University, Atlanta, Georgia, United States of America.
Michael BoivinDepartment of Psychiatry, Michigan State University, East Lansing, Michigan, United States of America.
Shiara Ortiz-PujolsObesity Medicine Medical Director at Med Express/Optum, Minneapolis, Minnesota, United States of America.
Omar ZepedaDepartment of Microbiology, Faculty of Medical Science, National Autonomous University of Nicaragua, León (UNAN-León, Managua), Nicaragua.
Kaitlyn CrossDepartment of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Emily W GowerDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Natalie M BowmanDepartment of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Sara F GraceNorth Carolina Eye Ear Nose and Throat/Duke health Durham, North Carolina, United States of America.
National Autonomous University of Nicaragua · NIUniversity of North Carolina at Chapel Hill · USEmory University · USMichigan United · USOptum (United States) · US

Funding

Understanding Maternal-Fetal Zika Virus Transmission and its Complications in NicaraguaR01HD094009 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI STRINGER, ELIZABETH MCPHILLIPS · 2018 to 2022
$2.7M
Understanding protection against norovirus at the maternal-child interfaceK24AI141744 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Sylvia Irene Becker-Dreps · 2019 to 2026
$1.4M
Nicaraguan Emerging and Endemic Diseases (NEED) Training ProgramD43TW010923 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BECKER-DREPS, SYLVIA IRENE · 2018 to 2023
$1.4M
Implications of Congenital Zika Virus InfectionR21AI137902 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BECKER-DREPS, SYLVIA IRENE, BOWMAN, NATALIE MCCARTER · 2019 to 2020
$355k
FIC NIH HHS D43 TW010923NIAID NIH HHS K24 AI141744NIAID NIH HHS R21 AI137902NICHD NIH HHS R01 HD094009
6 · The paper itself

Abstract

Knowledge regarding the frequency of ocular abnormalities and abnormal visual function in children exposed to Zika virus (ZIKV) in utero but born without congenital Zika syndrome (CZS) is limited. We hypothesized that children exposed to ZIKV in utero born without CZS may have visual impairments in early childhood. We performed ophthalmic examination between 16 and 21 months of age and neurodevelopment assessment at 24 months of age with the Mullen Scales of Early Learning test (MSEL) on children enrolled in a cohort born to women pregnant during and shortly after the ZIKV epidemic in Nicaragua (2016-2017). ZIKV exposure status was defined based on maternal and infant serological testing. Visual impairment was defined as abnormal if the child had an abnormal ophthalmic exam and/or low visual reception score in the MSEL assessment. Of 124 children included in the analysis, 24 (19.4%) were classified as ZIKV-exposed and 100 (80.6%) unexposed according to maternal or cord blood serology. Ophthalmic examination showed that visual acuity did not differ significantly between groups, thus, 17.4% of ZIKV-exposed and 5.2% of unexposed had abnormal visual function (p = 0.07) and 12.5% of the ZIKV-exposed and 2% of the unexposed had abnormal contrast testing (p = 0.05). Low MSEL visual reception score was 3.2-fold higher in ZIKV-exposed than unexposed children, but not statistically significant (OR 3.2, CI: 0.8-14.0; p = 0.10). Visual impairment (a composite measure of visual function or low MESL visual reception score) was present in more ZIKV-exposed than in unexposed children (OR 3.7, CI: 1.2, 11.0; p = 0.02). However, the limited sample size warrants future investigations to fully assess the impact of in utero ZIKV exposure on ocular structures and visual function in early childhood, even in apparently healthy children.

Indexed as

Pregnancy Complications, InfectiousZika VirusZika Virus InfectionChildChild, PreschoolFemaleHumansInfantNicaraguaPregnancyVision Disorders

Identifiers

PMID37205701
PMCPMC10234517
OpenAlexW4377115699

What OpenQuestion holds

Textmetadata
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.