Evidence map›Paper›PMID 28104904›Full record

Observational studyRevista espanola de salud publica2017

[Prediction of Severe Course in Infants with RSV Bronchiolitis under 6 Months. Spain].

José Miguel Ramos-Fernández, David Moreno-Pérez, Mario Gutiérrez-Bedmar, Alexandra Hernández-Yuste, Ana María Cordón-Martínez, Guillermo Milano-Manso, Antonio Urda-Cardona

Abstract readObservational Study
In one paragraph

Observational study in Revista espanola de salud publica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Observational
  8. Article
  9. 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

7 authors at 2 institutions in 1 country.

José Miguel Ramos-FernándezUnidad de Gestión Clínica de Pediatría. Hospital Materno-Infantil Regional Universitario de Málaga. Málaga. España.
David Moreno-PérezInfectología Pediátrica e Inmunodeficiencias. Unidad de Gestión Clínica de Pediatría. Hospital Materno-Infantil Regional Universitario de Málaga.
Mario Gutiérrez-BedmarDepartamento de Salud Pública y Psiquiatría. Facultad de Medicina. Universidad de Málaga. Málaga. España.
Alexandra Hernández-YusteUnidad de Gestión Clínica de Pediatría. Grupo de Investigación IBIMA. Hospital Materno-Infantil Regional Universitario de Málaga. Málaga. España.
Ana María Cordón-MartínezUnidad de Gestión Clínica de Pediatría. Grupo de Investigación IBIMA. Hospital Materno-Infantil Regional Universitario de Málaga. Málaga. España.
Guillermo Milano-MansoGrupo de Investigación IBIMA. Departamento de Pediatría y Farmacología. Facultad de Medicina de la Universidad de Málaga. Málaga. España.
Antonio Urda-CardonaUnidad de Gestión Clínica de Pediatría. Hospital Materno-Infantil Regional Universitario de Málaga. Málaga. España.
Hospital Regional Universitario de Málaga · ESDepartamento de Salud · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe need for mechanical ventilation (MV) in acute bronchiolitis (AB) by respiratory syncytial virus (RSV) varies depending on the series (6-18%). Our goal is to determine the admissions to PICU for MV in patients under 6 months with AB and define the risk factors for building a prediction model.

methodsRetrospective study of patients younger than 6 months admitted by BA-VRS between the periods April 1, 2010 and March 31, 2015 was made. The primary variable was the admission to PICU for MV. Related addition, to find risk factors in a model of binary logistic regression clinical variables were collected. A ROC curve model was developed and optimal cutoff point was identified.

resultsIn 695 cases, the need of MV in the PICU (Y) was 56 (8.1%). Risk factors (Xi) included in the equation were: 1. male sex (OR 4.27) 2. postmenstrual age (OR: 0.76) 3. Weight income less than p3 (OR: 5.53) 4. intake lees than 50% (OR: 12.4) 5. Severity by scale (OR: 1.58) 6. apneas before admission (OR: 25.5) 7. bacterial superinfection (OR 5.03) and 8. gestational age more than 37 weeks OR (0.32). The area under the curve, sensitivity and specificity were 0.943, 0.84 and 0.93 respectively.

conclusionsThe PICU admission for MV was 8.1 in every 100 healthy infants hospitalized for AB and year. The prediction model equation can help to predict patients at increased risk of severe evolution.

Indexed as

Decision Support TechniquesRespiration, ArtificialSeverity of Illness IndexAcute DiseaseBronchiolitisCase-Control StudiesFemaleHospitalizationHumansInfantInfant, NewbornIntensive Care Units, PediatricLogistic ModelsMaleRespiratory Syncytial Virus InfectionsRetrospective StudiesBronchiolitis, ViralIncidenceInfant, NewbornIntensive Care Units, PediatricLogistic regression modelMechanical ventilationRespiratory Syncytial VirusesSpain

Identifiers

PMID28104904
PMCPMC11587365
OpenAlexW2735793863

What OpenQuestion holds

Textmetadata
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.