Evidence map›Paper›PMID 32198862›Full record

ArticleIndian pediatrics2020

Clinical Profile of Critical Pertussis in Children at a Pediatric Intensive Care Unit in Northern India.

T K Kavitha, Madhusudan Samprathi, Muralidharan Jayashree, Vikas Gautam, Lucky Sangal

Abstract read
In one paragraph

Article in Indian pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Critical pertussis infection in the paediatric intensive care unit: A case series in an outbreak.The Southern African journal of critical care : the official journal of the Critical Care Society · 2025
    Article
  9. Article
  10. Observational
  11. [Research advances in the treatment strategies for severe pertussis in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2021
    Review
  12. 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

5 authors.

T K KavithaPediatric Emergency and Intensive Care Units, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Madhusudan SamprathiPediatric Emergency and Intensive Care Units, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Muralidharan JayashreePediatric Emergency and Intensive Care Units, Post Graduate Institute of Medical Education and Research, Chandigarh, India. Correspondence to: Dr Muralidharan Jayashree, Professor, Pediatric Emergency and Intensive Care Units, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India.
Vikas GautamMedical Microbiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Lucky SangalNPO-VPD laboratories, WHO Country Office for India.

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectiveTo delineate the clinical profile, complications, intensive care needs, and predictors of mortality in children with critical pertussis.

methodsRetrospective analysis of case records of children in the pediatric intensive care unit of a tertiary-care hospital, with a diagnosis of critical pertussis over 3 years. Diagnostic criteria included CDC case definition and confirmation by polymerase chain reaction (PCR), when available. Survivors and non-survivors were compared to identify predictors of mortality.

results36 records were analysed, most cases were infants (31, 86.1%). 10 (27.7%) were (below 6 weeks of age). In the rest, 16 (61.5%) were partially immunized or unimmunized against pertussis. Rapid breathing (88.9%), paroxysmal cough (86.1%) and apnea (41.7%) were common presenting complaints. Hypoxemia (97.2%), hyperleukocytosis (61.1%) and encephalopathy (52.8%) were common complications. Intensive care needs were mechanical ventilation in 11 (30.6%), vasoactive support in 7 (19.4%) and exchange transfusion in 3 (8.3%). Female gender, apnea, hyperleukocytosis, encephalopathy, need for vasoactive support, and mechanical ventilation predicted mortality.

conclusionsPertussis demands attention due to its varied presentation, increased complications and higher mortality.

Indexed as

ChildChild, PreschoolCritical IllnessFemaleHumansIndiaInfantIntensive Care Units, PediatricMalePrognosisRetrospective StudiesTertiary Care CentersWhooping Cough

Identifiers

PMID32198862
PMCPMC7223409

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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.