Evidence map›Paper›PMID 29307960›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2017

Tropical Fevers in Indian Intensive Care Units: A Prospective Multicenter Study.

Sunit Singhi, Narendra Rungta, Karthi Nallasamy, Ashish Bhalla, J V Peter, Dhruva Chaudhary, Rajesh Mishra, Prakash Shastri, Rajesh Bhagchandani, T D Chugh and 1 more

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In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Observational
  7. Article
  8. Article
  9. Article
  10. The symptomatology of fever: A step towards qualitative definition of fever.Journal of family medicine and primary care · 2022
    Article
  11. Article
  12. An Approach to a Patient with Tropical Infection in the Intensive Care Unit.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021
    Article
  13. Tropical Infections in the Indian Intensive Care Units: The Tip of the Iceberg!Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021
    Article
  14. Article
  15. Article
  16. Clinical Profile and Predictors of Intensive Care Unit Admission in Pediatric Scrub Typhus: A Retrospective Observational Study from North India.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020
    Article
  17. Article
  18. 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

11 authors at 6 institutions in 3 countries.

Sunit SinghiProfessor Emeritus Pediatrics, PGIMER, Chandigarh, Haryana, India.
Narendra RungtaCritical Care Medicine, Jeevanrekha Critical Care and Trauma Hospital, Jaipur, Rajasthan, India.
Karthi NallasamyDepartment of Pediatrics, PGIMER, Chandigarh, Haryana, India.
Ashish BhallaDepartment of Internal Medicine, PGIMER, Chandigarh, Haryana, India.
J V PeterCritical Care Medicine, Christian Medical College, Vellore, Tamil Nadu, India.
Dhruva ChaudharyDepartment of Pulmonology and Critical Care, PGIMS, Haryana, India.
Rajesh MishraCritical Care Medicine, Sanjivani Super Speciality Hospital, Ahmedabad, Gujarat, India.
Prakash ShastriCritical Care Medicine, Sir Ganga Ram Hospital, New Delhi, India.
Rajesh BhagchandaniCritical Care Medicine, Apex Hospital, Bhopal, Madhya Pradesh, India.
T D ChughProfessor Emeritus Pathology, PGIMS, Rohtak, Haryana, India.
for Indian Society of Critical Care Medicine Research Group
Apex Heart Institute · INChristian Medical College · INPandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences · INPost Graduate Institute of Medical Education and Research · INSir Ganga Ram Hospital · PKSociety of Critical Care Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsInfections in tropics often present as undifferentiated fevers with organ failures. We conducted this nationwide study to identify the prevalence, profile, resource utilization, and outcome of tropical fevers in Indian Intensive Care Units (ICUs). MATERIALS AND

methodsThis was a multicenter prospective observational study done in 34 ICUs across India (July 2013-September 2014). Critically ill adults and children with nonlocalizing fever >48 h and onset < 14 days with any of the following: thrombocytopenia/rash, respiratory distress, renal failure, encephalopathy, jaundice, or multiorgan failure were enrolled consecutively.

resultsOf 456 cases enrolled, 173 were children <12 years. More than half of the participants (58.7%) presented in postmonsoon months (August-October). Thrombocytopenia/rash was the most common presentation (60%) followed by respiratory distress (46%), encephalopathy (28.5%), renal failure (23.5%), jaundice (20%), and multiorgan failure (19%). An etiology could be established in 365 (80.5%) cases. Dengue (

conclusionsDengue, scrub typhus, encephalitis, and malaria are the major tropical fevers in Indian ICUs. The data support a syndromic approach, point of care tests, and empiric antimicrobial therapy recommended by Indian Society of Critical Care Medicine in 2014.

Indexed as

DengueencephalitisIndiaIntensive Care Unitmalariascrub typhustropical infections

Identifiers

PMID29307960
PMCPMC5752788
OpenAlexW2780554370

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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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.