Evidence map›Paper›PMID 33215021›Full record

ReviewPediatric gastroenterology, hepatology & nutrition2020

Differential Diagnosis of Acute Liver Failure in Children: A Systematic Review.

Giuliana Berardi, Lynnia Tuckfield, Michael T DelVecchio, Stephen Aronoff

Abstract readReview
In one paragraph

Review in Pediatric gastroenterology, hepatology & nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Pediatric acute liver failure: Current perspective in etiology and management.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Review
  6. Pediatric Acute Liver Failure.Pediatric reports · 2023
    Article
  7. Review
  8. Nutritional Support in Acute Liver Failure.Diseases (Basel, Switzerland) · 2022
    Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. 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

4 authors.

Giuliana BerardiDepartment of Pediatrics, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.ORCID https://orcid.org/0000-0001-5802-2008
Lynnia TuckfieldDepartment of Pediatrics, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.ORCID https://orcid.org/0000-0002-1360-8061
Michael T DelVecchioDepartment of Pediatrics, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.ORCID https://orcid.org/0000-0003-2415-7179
Stephen AronoffDepartment of Pediatrics, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.ORCID https://orcid.org/0000-0001-6291-8528

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo develop a probability-based differential diagnosis for pediatric acute liver failure (PALF) based on age and socioeconomic status of the country of origin.

methodsComprehensive literature search using PubMed, EMBASE, and SCOPUS databases was performed. Children 0-22 years of age who met PALF registry criteria were included. Articles included >10 children, and could not be a case report, review article, or editorial. No language filter was utilized, but an English abstract was required. Etiology of PALF, age of child, and country of origin was extracted from included articles.

results32 full text articles were reviewed in detail; 2,982 children were included. The top diagnosis of PALF in developed countries was acetaminophen toxicity (9.24%; 95% CredI 7.99-10.6), whereas in developing countries it was Hepatitis A (28.9%; 95% CredI 26.3-31.7). In developed countries, the leading diagnosis of PALF in children aged <1 year was metabolic disorder (17.2%; 95% CredI 10.3-25.5), whereas in developing countries it was unspecified infection (39.3%; CredI 27.6-51.8). In developed countries, the leading diagnosis in children aged >1 year was Non-A-B-C Hepatitis (8.18%; CredI 5.28-11.7), whereas in developing countries it was Hepatitis A (32.4%; CredI 28.6-36.3).

conclusionThe leading causes of PALF in children aged 0-22 years differ depending on the age and developmental status of their country of origin, suggesting that these factors must be considered in the evaluation of children with PALF.

Indexed as

Acute liver failureDeveloped countriesDeveloping countriesPediatricSystematic review

Identifiers

PMID33215021
PMCPMC7667230

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.