Evidence map›Paper›PMID 32106821›Full record

ArticleBMC infectious diseases2020

The cause of death in bacterial meningitis.

A Sharew, J Bodilsen, B R Hansen, H Nielsen, C T Brandt

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
4.2field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Non-corticosteroid adjuvant therapies for acute bacterial meningitis.The Cochrane database of systematic reviews · 2021
    Pooled it
  4. Pooled it
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  10. Middle ear secretions following spontaneous CSF leak repair may represent effusion rather than CSF leak.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  11. Article
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  15. Article
  16. [The new 15-valent pneumococcal conjugate vaccine for the prevention ofJournal of preventive medicine and hygiene · 2023
    Article
  17. Article
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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 3 institutions in 1 country.

A SharewDepartment of pulmonary and Infectious Diseases, Nordsjællands Hospital, University of Copenhagen, Dyrehavevej 29, 3400, Hilleroed, Denmark.
J BodilsenDepartment of Infectious Diseases, Aalborg University Hospital, Aalborg, Denmark.
B R HansenDepartment of Infectious Diseases, University Hospital Copenhagen Hvidovre, Hvidovre, Denmark.
H NielsenDepartment of Infectious Diseases, Aalborg University Hospital, Aalborg, Denmark.
C T BrandtDepartment of pulmonary and Infectious Diseases, Nordsjællands Hospital, University of Copenhagen, Dyrehavevej 29, 3400, Hilleroed, Denmark. Christian.thomas.brandt.01@regionh.dk.ORCID http://orcid.org/0000-0003-0201-0440
Aalborg University Hospital · DKUniversity of Copenhagen · DKHvidovre Hospital · DK

Funding

Nordsjællands Hospital Not applicaple
6 · The paper itself

Abstract

backgroundDeath from bacterial meningitis is rarely attributed to the actual event causing death. The present study therefore categorized and characterized the cause and time of death due to bacterial meningitis.

methodsIn a cohort of patients > 15 years of age with community acquired bacterial meningitis the medical records were reviewed, and a clinical cause of death categorized into six main categories: 1) CNS complications, 2) Systemic complications, 3) Combination of systemic and CNS complications, 4) Sudden death, 5) Withdrawal of care, or 6) Unknown.

resultsWe identified 358 patients of which 84 (23%) died in-hospital. Causes of death were ascribed to CNS complications in 43%, Systemic complications in 39%, Combined CNS and systemic complications in 4%, Sudden death in 7% and withdrawal of care in 5%. Brain herniation, circulatory failure, intractable seizures and other brain injury were the most common specific causes of death within 14 days from admission (55%).

conclusionFatal complications due to the primary infection - meningitis - is most common within 14 days of admission. The diversity of complications causing death in meningitis suggest that determining the clinical cause of death is essential to the evaluation of novel treatment strategies.

Indexed as

AdolescentAdultAgedAged, 80 and overBrain DiseasesCause of DeathCentral Nervous System DiseasesFemaleHospital MortalityHumansMaleMeningitis, BacterialMiddle AgedRetrospective StudiesShockYoung AdultBacterial meningitisBrain herniationCause of deathCentral nervous system complicationsSepsisSystemic complications

Identifiers

PMID32106821
PMCPMC7045616
OpenAlexW3009454563

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.