Evidence map›Paper›PMID 29302790›Full record

ArticlePaediatric drugs2018

Optimizing the Dosing of Intravenous Theophylline in Acute Severe Asthma in Children.

Gemma L Saint, Malcolm G Semple, Ian Sinha, Daniel B Hawcutt

Open access · hybridAbstract read
In one paragraph

Article in Paediatric drugs, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. 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 at 1 institution in 1 country.

Gemma L SaintDepartment of Women's and Children's Health, Institute of Translational Medicine, University of Liverpool, Eaton Road, Liverpool, L12 2AP, UK.
Malcolm G SempleDepartment of Women's and Children's Health, Institute of Translational Medicine, University of Liverpool, Eaton Road, Liverpool, L12 2AP, UK.
Ian SinhaDepartment of Women's and Children's Health, Institute of Translational Medicine, University of Liverpool, Eaton Road, Liverpool, L12 2AP, UK.
Daniel B HawcuttDepartment of Women's and Children's Health, Institute of Translational Medicine, University of Liverpool, Eaton Road, Liverpool, L12 2AP, UK. Dhawcutt@liverpool.ac.uk.
University of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Optimizing the management of children presenting with acute severe asthma is of utmost importance to minimize hospital stays, morbidity, and mortality. Intravenous medications, including theophyllines, are used as second-line treatments for children experiencing a life-threatening exacerbation. For intravenous theophylline (aminophylline), guidelines and formularies recommend a target therapeutic range between 10 and 20 mg/l, with the commonest regimen being a loading dose of 5 mg/kg followed by an infusion calculated by age and weight. This review assesses the evidence underpinning these recommendations, highlighting the shortcomings in our understanding of the association between serum concentrations achieved, dose given, and clinical improvement experienced. To close the knowledge gap and improve outcomes for children presenting with acute severe asthma, we propose a series of research strategies to improve the assessment of illness severity, ascertain the optimal dose to maximize benefit and minimize risk, prospectively collect adverse events, and to better understand the inter-individual variation in responses to treatments.

Indexed as

Acute DiseaseAdministration, IntravenousAdolescentAsthmaChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleTheophyllineTheophylline

Identifiers

PMID29302790
PMCPMC5954054
OpenAlexW2782432191

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.