Evidence map›Paper›PMID 35352871›Full record

SynthesisBJOG : an international journal of obstetrics and gynaecology2022

Birthweight and isolated congenital heart defects - A systematic review and meta-analysis.

Moska Aliasi, Maartje C Snoep, Nan van Geloven, Monique C Haak

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BJOG : an international journal of obstetrics and gynaecology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Birthweight and isolated congenital heart defects - A systematic review and meta-analysis.BJOG : an international journal of obstetrics and gynaecology · 2022
    Pooled it
  2. Article
  3. Article
  4. Risk of minor congenital heart defect in infants conceived via assisted reproductive technology: cohort study from the Copenhagen Baby Heart Study.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Adverse fetal/neonatal and obstetric outcomes in pregnancies with both maternal and fetal heart disease.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  12. 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

4 authors.

Moska AliasiDepartment of Obstetrics and Fetal Medicine, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0001-6728-0068
Maartje C SnoepDepartment of Obstetrics and Fetal Medicine, Leiden University Medical Centre, Leiden, The Netherlands.
Nan van GelovenDepartment of Biomedical Data Sciences, Leiden University Medical Centre, Leiden, The Netherlands.
Monique C HaakDepartment of Obstetrics and Fetal Medicine, Leiden University Medical Centre, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBirthweight (BW) is an important prognostic factor in newborns with congenital heart defects (CHD).

objectivesTo give an overview of the literature on BW z-score in children with isolated CHD. SEARCH STRATEGY: A systematic search was performed on isolated CHD and BW in PubMed, Embase, Web of Science, COCHRANE Library and Emcare. SELECTION CRITERIA: Neonates with isolated CHD were included if a BW percentile, BW z-score or % small-or-gestational age (SGA) was reported. DATA COLLECTION AND ANALYSIS: BW z-score and percentage SGA were pooled with random-effect meta-analysis. Quality and risk of bias were assessed using the modified Newcastle Ottawa Scale. MAIN

resultsTwenty-three articles (27 893 cases) were included. BW z-scores were retrieved from 11 articles, resulting in a pooled z-score of -0.20 (95% CI -0.50 to 0.11). The overall pooled prevalence of SGA <10th percentile was 16.0% (95% CI 11.4-20.5; 14 studies). Subgroup analysis of major CHD showed similar results (BW z-score -0.23 and percentage SGA 16.2%).

conclusionsOverall BW in isolated CHD is within range of normality but impaired, with a 1.6-fold higher risk of SGA, irrespective of the type of CHD (major CHD vs all CHD combined). Our findings underline the association between CHD and BW. The use of BW z-scores provides insight into growth of all fetuses with CHD. TWEETABLE ABSTRACT: Infants with a congenital heart defect (CHD) have a lower birthweight z-score and a higher incidence of small-for-gestational age (<10th percentile). This was encountered both in the major CHD-group as well as in all-CHD combined group analysis. Future research on the association between birthweight and CHD should include all types of CHDs (including mild cardiac defects) and placental-related disease, such as pre-eclampsia. We advocate the use of international standardised fetal growth and birthweight charts in CHD research.

Indexed as

Heart Defects, CongenitalPlacentaBirth WeightChildFemaleFetal Growth RetardationHumansInfantInfant, NewbornInfant, Small for Gestational AgePregnancybirthweightcongenital heart defectsfetal growthintrauterine growthmeta-analysissmall for gestational agesystematic review

Identifiers

PMID35352871
PMCPMC9542320

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.