Evidence map›Paper›PMID 28862659›Full record

ReviewChildren (Basel, Switzerland)2017

Fever in Children: Pearls and Pitfalls.

Egidio Barbi, Pierluigi Marzuillo, Elena Neri, Samuele Naviglio, Baruch S Krauss

Open access · goldAbstract readReview
In one paragraph

Review in Children (Basel, Switzerland), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 4 pooled it
7.3field-weighted citation impact, top 2% 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

50 citing papers in PubMed, 4 syntheses or guidelines pooled it, 127 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. A primary healthcare approach to children with fever.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026
    Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Association of fever and infections with the subsequent risk of atopic diseases in children with genetic susceptibility for T1D: Results from the TEDDY cohort study.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Article
  17. Review
  18. Article
  19. Article
  20. Observational
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

5 authors at 4 institutions in 2 countries.

Egidio BarbiInstitute for Maternal and Child Health IRCCS "Burlo Garofolo", 34137 Trieste, Italy. egidio.barbi@burlo.trieste.it.
Pierluigi MarzuilloDepartment of Woman and Child and General and Specialized Surgery, Università degli Studi della Campania "Luigi Vanvitelli", 80138 Naples, Italy. pierluigi.marzuillo@unicampania.it.
Elena NeriInstitute for Maternal and Child Health IRCCS "Burlo Garofolo", 34137 Trieste, Italy. elena.neri@burlo.trieste.it.
Samuele NaviglioInstitute for Maternal and Child Health IRCCS "Burlo Garofolo", 34137 Trieste, Italy. samuele.naviglio@burlo.trieste.it.
Baruch S KraussDivision of Emergency Medicine, Boston Children's Hospital, Department of Pediatrics, Harvard Medical School, Boston 02115, MA, USA. baruch.krauss@childrens.harvard.edu.
IRCCS Materno Infantile Burlo Garofolo · ITBoston Children's Hospital · USUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fever in children is a common concern for parents and one of the most frequent presenting complaints in emergency department visits, often involving non-pediatric emergency physicians. Although the incidence of serious infections has decreased after the introduction of conjugate vaccines, fever remains a major cause of laboratory investigation and hospital admissions. Furthermore, antipyretics are the most common medications administered to children. We review the epidemiology and measurement of fever, the meaning of fever and associated clinical signs in children of different ages and under special conditions, including fever in children with cognitive impairment, recurrent fevers, and fever of unknown origin. While the majority of febrile children have mild, self-resolving viral illness, a minority may be at risk of life-threatening infections. Clinical assessment differs markedly from adult patients. Hands-off evaluation is paramount for a correct evaluation of breathing, circulation and level of interaction. Laboratory markers and clinical prediction rules provide limited help in identifying children at risk for serious infections; however, clinical examination, prudent utilization of laboratory tests, and post-discharge guidance ("safety netting") remain the cornerstone of safe management of febrile children.

Indexed as

childrenfeverprediction rulesprimary careserious bacterial infection

Identifiers

PMID28862659
PMCPMC5615271
OpenAlexW2750888238

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.