Evidence map›Paper›PMID 32387716›Full record

Trial reportThe Journal of pediatrics2020

Hypertension during Diabetic Ketoacidosis in Children.

Andrew DePiero, Nathan Kuppermann, Kathleen M Brown, Jeff E Schunk, Julie K McManemy, Arleta Rewers, Michael J Stoner, Leah Tzimenatos, Aris Garro, Sage R Myers and 9 more

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Observational
  4. Article
  5. Article
  6. Serum Troponin I Level in Children with Diabetic Ketoacidosis.The journal of Tehran Heart Center · 2022
    Article
  7. Review
  8. 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

19 authors at 13 institutions in 1 country.

Andrew DePieroDivision of Emergency Medicine, Department of Pediatrics, Nemours/A.I. DuPont Hospital for Children, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.
Nathan KuppermannDepartment of Emergency Medicine, University of California Davis Health, University of California Davis, School of Medicine, Sacramento, CA; Department of Pediatrics, University of California Davis Health, University of California Davis, School of Medicine, Sacramento, CA.
Kathleen M BrownDivision of Emergency Medicine, Department of Pediatrics, Children's National Medical Center, The George Washington School of Medicine and Health Sciences, Washington, DC.
Jeff E SchunkDepartment of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT.
Julie K McManemyDivision of Emergency Medicine, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, TX.
Arleta RewersDivision of Emergency Medicine, Department of Pediatrics, The Colorado Children's Hospital, University of Colorado-Denver School of Medicine, Denver, CO.
Michael J StonerDivision of Emergency Medicine, Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University School of Medicine, Columbus, OH.
Leah TzimenatosDepartment of Emergency Medicine, University of California Davis Health, University of California Davis, School of Medicine, Sacramento, CA.
Aris GarroDepartments of Emergency Medicine and Pediatrics, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI.
Sage R MyersDivision of Emergency Medicine, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Kimberly S QuayleDivision of Emergency Medicine, Department of Pediatrics, St. Louis Children's Hospital, Washington University School of Medicine in St. Louis, St. Louis, MO.
Jennifer L TrainorDivision of Emergency Medicine, Department of Pediatrics, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL.
Maria Y KwokDivision of Emergency Medicine, Department of Pediatrics, New York Presbyterian Morgan Stanley Children's Hospital, Columbia University College of Physicians and Surgeons, New York, NY.
Lise E NigrovicDivision of Emergency Medicine, Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Cody S OlsenDepartment of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT.
T Charles CasperDepartment of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT.
Simona GhettiDepartment of Psychology, University of California Davis, Sacramento, CA.
Nicole S GlaserDepartment of Pediatrics, University of California Davis Health, University of California Davis, School of Medicine, Sacramento, CA. Electronic address: nsglaser@ucdavis.edu.
Pediatric Emergency Care Applied Research Network (PECARN) DKA FLUID Study Group
University of California, Davis · USUniversity of Utah · USAlfred I. duPont Hospital for Children · USBoston Children's Hospital · USChildren's National · USColumbia University · USNorthwestern University · USRhode Island Hospital · USSt. Louis Children's Hospital · USTexas Children's Hospital · USThe Ohio State University · USUniversity of Colorado Denver · USUniversity of Pennsylvania · US

Funding

Fluid Therapy and Cerebral Injury in Pediatric Diabetic KetoacidosisU01HD062417 · NICHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI GLASER, NICOLE S, KUPPERMANN, NATHAN · 2012 to 2014
$1.7M
NICHD NIH HHS U01 HD062417
6 · The paper itself

Abstract

objectivesTo characterize hemodynamic alterations occurring during diabetic ketoacidosis (DKA) in a large cohort of children and to identify clinical and biochemical factors associated with hypertension. STUDY

designThis was a planned secondary analysis of data from the Pediatric Emergency Care Applied Research Network Fluid Therapies Under Investigation in DKA Study, a randomized clinical trial of fluid resuscitation protocols for children in DKA. Hemodynamic data (heart rate, blood pressure) from children with DKA were assessed in comparison with normal values for age and sex. Multivariable statistical modeling was used to explore clinical and laboratory predictors of hypertension.

resultsAmong 1258 DKA episodes, hypertension was documented at presentation in 154 (12.2%) and developed during DKA treatment in an additional 196 (15.6%), resulting in a total of 350 DKA episodes (27.8%) in which hypertension occurred at some time. Factors associated with hypertension at presentation included more severe acidosis, (lower pH and lower pCO

conclusionsDespite dehydration, hypertension occurs in a substantial number of children with DKA. Factors associated with hypertension include greater severity of acidosis, lower pCO

Indexed as

EmergenciesBlood PressureChildDiabetic KetoacidosisEmergency Service, HospitalFemaleFluid TherapyHumansHypertensionMalePrognosisRisk Factors

Identifiers

PMID32387716
PMCPMC7414786
OpenAlexW3023796985

What OpenQuestion holds

Textmetadata
LicenceTDM
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.