Evidence map›Paper›PMID 31525232›Full record

ArticlePloS one2019

Understanding parental perspectives on outcomes following paediatric encephalitis: A qualitative study.

Jennifer Lemon, Jessie Cooper, Sylviane Defres, Ava Easton, Manish Sadarangani, Michael J Griffiths, Andrew J Pollard, Tom Solomon, Rachel Kneen

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

9 authors at 4 institutions in 2 countries.

Jennifer LemonInstitute of Infection and Global Health, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0002-0343-8185
Jessie CooperSchool of Health Sciences, Division of Health Services Research and Management, City University of London, London, United Kingdom.ORCID 0000-0002-3295-8593
Sylviane DefresInstitute of Infection and Global Health, University of Liverpool, Liverpool, United Kingdom.
Ava EastonInstitute of Infection and Global Health, University of Liverpool, Liverpool, United Kingdom.
Manish SadaranganiVaccine Evaluation Center, BC Children's Hospital Research Institute, Vancouver, Canada.
Michael J GriffithsInstitute of Infection and Global Health, University of Liverpool, Liverpool, United Kingdom.
Andrew J PollardOxford Vaccine Group, Department of Paediatrics, University of Oxford, Oxford, United Kingdom.
Tom SolomonInstitute of Infection and Global Health, University of Liverpool, Liverpool, United Kingdom.
Rachel KneenInstitute of Infection and Global Health, University of Liverpool, Liverpool, United Kingdom.
University of Liverpool · GBCity, University of London · GBUniversity of British Columbia · CAUniversity of Oxford · GB

Funding

Department of Health 17/63/110Department of Health EME/12/205/28Department of Health IS-HPU-1112-10117Department of Health PRPG-108-10048Department of Health RP-PG-0108-10048Medical Research Council G116/194Medical Research Council MC_PC_15096
6 · The paper itself

Abstract

backgroundEncephalitis, characterised as inflammation of the brain tissue, is an important cause of acquired brain injury in children. Objective clinical outcomes vary significantly between affected patients, however they do not always correlate with quality of life as reported by parents. The aim of this study was to explore how parents experience and interpret outcomes in relation to their child who has been affected by encephalitis.

methodsData were derived from in-depth, semi-structured interviews, with 15 parents of 12 children and young people affected by encephalitis. Paediatric cases were identified from the retrospective arm of the research programme 'ENCEPH-UK-Understanding and Improving the Outcome of Encephalitis', and from the prospective UK childhood meningitis and encephalitis cohort study (UK-ChiMES, 2012 to 2016). Data were analysed thematically.

resultsParents' perspectives on important outcomes for their child and family changed during the different stages of the encephalitis illness trajectory: from acute illness, recovery and rehabilitation, then reintegration into everyday life. Parents' understanding of their children's overall outcome was informed by their own experiences, involving comparisons with other children and reflections on their child's problems before, during and after the acute illness.

conclusionOutcomes in paediatric encephalitis need to be understood in terms of the context of the patient and family experience as well as the timeframe of recovery. The research highlights the need to include more patient, parent and/or carer reported outcome measures during patient assessment, and that assessment should be repeated during recovery as family concerns change. In the longer term, these parameters could be included in clinical and rehabilitation practice to further support child recovery.

Indexed as

ParentsAdolescentAge FactorsChildChild, PreschoolEncephalitisFemaleHumansInfantInfant, NewbornMalePatient Outcome AssessmentProspective StudiesPublic Health SurveillanceQualitative ResearchSocial Support

Identifiers

PMID31525232
PMCPMC6746349
OpenAlexW2974457802

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.