Evidence map›Paper›PMID 31437421›Full record

SynthesisJornal de pediatria

Risk factors associated with the outcomes of pediatric bacterial meningitis: a systematic review.

Daniela Caldas Teixeira, Lilian Martins Oliveira Diniz, Nathalia Sernizon Guimarães, Henrique Morávia de Andrade Santos Moreira, César Caldas Teixeira, Roberta Maia de Castro Romanelli

Abstract readSystematic Review
In one paragraph

Synthesis in Jornal de pediatria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  10. Geography and public health: analysis of the epidemiological dynamics of meningitis in Brazil, between 2010 and 2019.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2024
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  15. Review
  16. Observational
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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

6 authors.

Daniela Caldas TeixeiraUniversidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil; Fundação Hospitalar do Estado de Minas Gerais, Hospital Infantil João Paulo II, Belo Horizonte, MG, Brazil. Electronic address: caldas.dani@gmail.com.
Lilian Martins Oliveira DinizFundação Hospitalar do Estado de Minas Gerais, Hospital Infantil João Paulo II, Belo Horizonte, MG, Brazil; Faculdade de Medicina de Barbacena, Barbacena, MG, Brazil.
Nathalia Sernizon GuimarãesUniversidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Henrique Morávia de Andrade Santos MoreiraUniversidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
César Caldas TeixeiraFaculdade de Medicina de Barbacena, Barbacena, MG, Brazil.
Roberta Maia de Castro RomanelliUniversidade Federal de Minas Gerais, Faculdade de Medicina, Departamento de Pediatria, Belo Horizonte, MG, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to systematically review the literature and answer the following central question: "What are the risk factors associated with worse clinical outcomes of pediatric bacterial meningitis patients?"

methodsThe articles were obtained through literary search using electronic bibliographic databases: Web of Science, Scopus, MEDLINE, and LILACS; they were selected using the international guideline outlined by the Preferred Reporting Items for Systematic Reviews and Meta-analysis Protocols.

resultsThe literature search identified 1,244 articles. After methodological screening, 17 studies were eligible for this systematic review. A total of 9,581 patients aged between 0 days and 18 years were evaluated in the included studies, and several plausible and important prognostic factors are proposed for prediction of poor outcomes after bacterial meningitis in childhood. Late diagnosis reduces the chances for a better evolution and reinforces the importance of a high diagnostic suspicion of meningitis, especially in febrile pictures with nonspecific symptomatology. S. pneumoniae as a causative pathogen was demonstrated to be related to clinical severity.

conclusionsEarly prediction of an adverse outcome may help determine which children require more intensive or longer follow-up and may provide the physician with rationale for parental counseling about their child's prognosis in an early phase of the disease.

Indexed as

Meningitis, BacterialAdolescentChildChild, PreschoolHumansInfantInfant, NewbornMass ScreeningPrognosisRisk FactorsBacterial infectionChildComplicaçõesComplicationsCriançaCriança hospitalizadaHospitalized childInfecção bacterianaMortalidadeMortalityPediatriaPediatrics

Identifiers

PMID31437421
PMCPMC9432045

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.