Evidence map›Paper›PMID 32451578›Full record

Observational studyIntensive care medicine2020

Prognostic relevance and inter-observer reliability of chest-imaging in pediatric ARDS: a pediatric acute respiratory distress incidence and epidemiology (PARDIE) study.

Yolanda M López-Fernández, Lincoln S Smith, Joseph G Kohne, Jason P Weinman, Vicent Modesto-Alapont, Susana B Reyes-Dominguez, Alberto Medina, Byron E Piñeres-Olave, Natalie Mahieu, Margaret J Klein and 4 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Intensive care medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
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  6. 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

14 authors at 10 institutions in 4 countries.

Yolanda M López-FernándezPediatric Intensive Care Unit, Department of Pediatrics, Biocruces Health Research Institute, Cruces University Hospital, Plaza Cruces 12, 48903, Barakaldo, Bizkaia, Basque Country, Spain. yolandamarg.lopezfernandez@osakidetza.eus.ORCID http://orcid.org/0000-0002-3918-1326
Lincoln S SmithDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Seattle Children's Hospital, University of Washington, Seattle, WA, USA.
Joseph G KohneDivision of Pediatric Critical Care Medicine, Department of Pediatrics, University of Michigan CS. Mott Children's Hospital, Ann Arbor, MI, USA.
Jason P WeinmanDepartment of Radiology, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO, USA.
Vicent Modesto-AlapontHospital Universitari I Politécnico La Fé, UCI Pediátrica, Valencia, Spain.
Susana B Reyes-DominguezHospital Universitario Virgen de La Arrixaca, Murcia, Spain.
Alberto MedinaHospital Universitario Central de Asturias, Oviedo, Spain.
Byron E Piñeres-OlaveDepartment of Pediatric Critical Care Medicine, Hospital Pablo Tobón Uribe, Medellín, Colombia.
Natalie MahieuDepartment of Radiology, Children's Hospital of Los Angeles, University of Southern California, Los Angeles, CA, USA.
Margaret J KleinDepartment of Anesthesiology and Critical Care Medicine, Children's Hospital of Los Angeles, University of Southern California, Los Angeles, CA, USA.
Heidi R FloriDivision of Pediatric Critical Care Medicine, Department of Pediatrics, University of Michigan CS. Mott Children's Hospital, Ann Arbor, MI, USA.
Philippe JouvetDepartment of Pediatrics, Centre Hospitalier Universitaire Sainte-Justine, Université de Montréal, Montreal, QC, Canada.
Robinder G KhemaniDepartment of Anesthesiology and Critical Care Medicine, Children's Hospital of Los Angeles, University of Southern California, Los Angeles, CA, USA.
Pediatric Acute Respiratory Distress Syndrome Incidence and Epidemiology (PARDIE) V3 Investigators and the Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network
University of Southern California · USUniversity of Michigan · USCentre Hospitalier Universitaire Sainte-Justine · CAChildren's Hospital Colorado · USHospital Universitario Central de Asturias · ESSeattle Children's Hospital · USBioCruces Health research Institute · ESHospital Pablo Tobon Uribe · COHospital Universitari i Politècnic La Fe · ESHospital Universitario Virgen de la Arrixaca · ES

Funding

Southern California Clinical and Translational Science InstituteUL1TR001855 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Thomas A Buchanan, Michele D. Kipke · 2016 to 2026
$81.3M
Institutional Career Development CoreKL2TR003168 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MILLER, CHARLES C · 2019 to 2023
$4.9M
NCATS NIH HHS KL2 TR003168NCATS NIH HHS UL1 TR001855
6 · The paper itself

Abstract

purposeDefinitions of acute respiratory distress syndrome (ARDS) include radiographic criteria, but there are concerns about reliability and prognostic relevance. This study aimed to evaluate the independent relationship between chest imaging and mortality and examine the inter-rater variability of interpretations of chest radiographs (CXR) in pediatric ARDS (PARDS).

methodsProspective, international observational study in children meeting Pediatric Acute Lung Injury Consensus Conference (PALICC) criteria for PARDS, which requires new infiltrate(s) consistent with pulmonary parenchymal disease, without mandating bilateral infiltrates. Mortality analysis focused on the entire cohort, whereas inter-observer variability used a subset of patients with blinded, simultaneous interpretation of CXRs by intensivists and radiologists.

resultsBilateral infiltrates and four quadrants of alveolar consolidation were associated with mortality on a univariable basis, using CXRs from 708 patients with PARDS. For patients on either invasive (IMV) or non-invasive ventilation (NIV) with PaO

conclusionBilateral infiltrates and quadrants of alveolar consolidation are associated with mortality only for those with PF ratio ≤ 100, although there is high- inter-rater variability in these chest-x ray parameters.

Indexed as

Respiratory Distress SyndromeChildHumansIncidencePrognosisProspective StudiesReproducibility of ResultsARDSChest radiographDiagnostic accuracyInter-rater variabilityOutcome

Identifiers

PMID32451578
PMCPMC7246298
OpenAlexW3032148126

What OpenQuestion holds

Textmetadata
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.