Evidence map›Paper›PMID 29565992›Full record

ArticlePloS one2018

Clinical characteristics and complications of rotavirus gastroenteritis in children in east London: A retrospective case-control study.

Konstantinos Karampatsas, Leanne Osborne, May-Li Seah, Cheuk Y W Tong, Andrew J Prendergast

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 39 citations in OpenAlex.

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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 2 institutions in 1 country.

Konstantinos KarampatsasDepartment of Paediatrics, The Royal London Hospital, Barts Health NHS Trust, London, United Kingdom.ORCID 0000-0002-5313-9482
Leanne OsborneDepartment of Paediatrics, The Royal London Hospital, Barts Health NHS Trust, London, United Kingdom.
May-Li SeahDepartment of Paediatrics, The Royal London Hospital, Barts Health NHS Trust, London, United Kingdom.
Cheuk Y W TongDepartment of Virology, The Royal London Hospital, Barts Health NHS Trust, London, United Kingdom.
Andrew J PrendergastDepartment of Paediatrics, The Royal London Hospital, Barts Health NHS Trust, London, United Kingdom.
Barts Health NHS Trust · GBQueen Mary University of London · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundRotavirus is the leading cause of acute gastroenteritis in children and is associated with neurological complications such as seizures and encephalopathy. The aim of this study was to investigate the presentation and complications of rotavirus compared to non-rotavirus gastroenteritis in UK children.

methodsThis was a retrospective, case-control, hospital-based study conducted at three sites in east London, UK. Cases were children aged 1 month to 16 years diagnosed with acute gastroenteritis between 1 June 2011 and 31 December 2013, in whom stool virology investigations confirmed presence of rotavirus by PCR. They were matched by age, gender and month of presentation to controls with rotavirus-negative gastroenteritis.

resultsData were collected from 116 children (50 cases and 66 controls). Children with rotavirus gastroenteritis tended to present more frequently with metabolic acidosis (pH 7.30 vs 7.37, P = 0.011) and fever (74% versus 46%; P = 0.005) and were more likely to require hospitalisation compared to children with non-rotavirus gastroenteritis (93% versus 73%; P = 0.019). Neurological complications were the most common extra-intestinal manifestations, but did not differ significantly between children with rotavirus-positive gastroenteritis (RPG) and rotavirus-negative gastroenteritis (RNG) (24% versus 15%, respectively; P = 0.24). Encephalopathy occurred only in children with rotavirus infection (n = 3, 6%).

conclusionRotavirus causes longer and more severe disease compared to other viral pathogens. Seizures and milder neurological signs were surprisingly common and associated with multiple pathogens, but encephalopathy occurred only in children with rotavirus gastroenteritis. Rotavirus vaccination may reduce seizures and presentation to hospital, but vaccines against other pathogens causing gastroenteritis are required.

Indexed as

AdolescentCase-Control StudiesChildChild, PreschoolFecesFemaleGastroenteritisHospitalizationHumansInfantInfant, NewbornLondonMaleRetrospective StudiesRotavirusRotavirus InfectionsRotavirus Vaccines

Identifiers

PMID29565992
PMCPMC5863974
OpenAlexW2790186255

What OpenQuestion holds

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LicenceCC BY
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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.