Evidence map›Paper›PMID 37815688›Full record

ArticleDigestive diseases and sciences2023

Autoimmune Hepatitis and Obstetrical Outcomes: A Nationwide Assessment.

Yassine Kilani, Iqra Arshad, Mohammad Aldiabat, Rinku Rani Bhatija, Saqr Alsakarneh, Aljabiri Yazan, Ebehiwele Ebhohon, Fnu Vikash, Vikash Kumar, Syeda Ashna Fatima Kamal and 3 more

Open access · greenAbstract read
In one paragraph

Article in Digestive diseases and sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Guideline
  2. 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

13 authors at 8 institutions in 1 country.

Yassine KilaniDepartment of Medicine, Lincoln Medical Center/Weill Cornell Medicine, New York, NY, USA. yassinekilanimd@gmail.com.ORCID 0000-0002-2888-160X
Iqra ArshadDepartment of Medicine, Saint Louis University School of Medicine, St Louis, MO, USA.
Mohammad AldiabatDepartment of Medicine, Washington University in St. Louis, St Louis, MO, USA.
Rinku Rani BhatijaDepartment of Medicine, Lincoln Medical Center/Weill Cornell Medicine, New York, NY, USA.
Saqr AlsakarnehDepartment of Medicine, University of Missouri-Kansas City, Kansas City, MO, USA.
Aljabiri YazanDepartment of Medicine, Saint Louis University School of Medicine, St Louis, MO, USA.
Ebehiwele EbhohonDepartment of Gastroenterology, University of Maryland School of Medicine, Baltimore, MD, USA.
Fnu VikashDepartment of Medicine, Jacobi Medical Center, New York, NY, USA.
Vikash KumarDepartment of Medicine, Brooklyn Hospital Center, New York, NY, USA.
Syeda Ashna Fatima KamalDepartment of Medicine, SIU School of Medicine, Springfield, IL, USA.
Priscila Castro PuelloDepartment of Medicine, Lincoln Medical Center/Weill Cornell Medicine, New York, NY, USA.
Laith NumanDepartment of Gastroenterology, Saint Louis University, St Louis, MO, USA.
Maria KassabDepartment of Gastroenterology and Hepatology, Lincoln Medical Center/Weill Cornell Medicine, New York, NY, USA.
Lincoln Medical Center · USSaint Louis University · USBrooklyn Hospital Center · USJacobi Medical Center · USSouthern Illinois University School of Medicine · USUniversity of Maryland, Baltimore · USUniversity of Missouri–Kansas City · USWashington University in St. Louis · US

Funding

Research Training in Gastroenterology and HepatologyT32DK067872 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI RAUFMAN, JEAN-PIERRE · 2005 to 2024
$7.2M
NIDDK NIH HHS T32 DK067872
6 · The paper itself

Abstract

introductionPrevious research identified AIH as linked to unfavorable obstetrical outcomes in a US nationwide retrospective study from 2012-2016. Our aim is to update the literature and strengthen the AIH-pregnancy outcomes relationship.

methodsUsing the National Inpatient Sample database in the US, from 2016 to 2020, we compared pregnant females with a diagnosis of AIH to those with and without other chronic liver diseases (CLD), using ICD-10-CM codes. Baseline characteristics were analyzed using T-test and Chi-Square, and multivariate regression was used to estimate the differences in maternal outcomes adjusted for age, race, insurance status, geographical location, hospital characteristics, and comorbid conditions.

resultsOut of 19,392,328 hospitalizations for pregnant females ≥ 18 years old from 2016 to 2020, 1095 had AIH, 179,655 had CLD, and 19,206,696 had no CLD. No mortality was observed among individuals with AIH. When compared to individuals without CLD, AIH was associated with an 82% increase in the odds of preterm delivery (AIH: 8% vs. Without CLD: 5%, adjusted Odds Ratio = 1.82, 95% CI 1.06-3.14), with no significant differences in gestational diabetes mellitus, hypertensive complications, and postpartum hemorrhage, and a 0.6 day longer hospital stay. Furthermore, there were no significant differences in outcomes between AIH and CLD.

conclusionsOur study reinforces the association of AIH with adverse obstetrical outcomes (e.g., preterm delivery), however, we found that there is no difference in GDM and hypertensive complications, as suggested in prior studies. Therefore, further investigations are needed to clarify the association between AIH and these obstetrical complications.

Indexed as

Hepatitis, AutoimmuneLiver DiseasesPremature BirthAdolescentFemaleHospitalizationHumansInfant, NewbornPregnancyRetrospective StudiesAutoimmune hepatitisChronic liver diseaseObstetrical complicationsPregnancy

Identifiers

PMID37815688
PMCPMC10947160
OpenAlexW4387473267

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.