Evidence map›Paper›PMID 33318088›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2021

Respiratory infections in children: an appropriateness study of when parents should home care or seek medical help.

Louise Newbould, Stephen M Campbell, George Edwards, Rebecca L Morris, Gail Hayward, Emma C Hughes, Alastair D Hay

Open access · hybridAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. 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

7 authors at 5 institutions in 1 country.

Louise NewbouldSocial Policy Research Unit, University of York, York.ORCID 0000-0001-5234-4866
Stephen M CampbellNational Institute for Health Research Greater Manchester Patient Safety Translational Research Centre, School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester.ORCID 0000-0002-2328-4136
George EdwardsNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.ORCID 0000-0002-0048-4178
Rebecca L MorrisNational Institute for Health Research Greater Manchester Patient Safety Translational Research Centre, School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester.ORCID 0000-0003-1587-0802
Gail HaywardNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.ORCID 0000-0003-0852-627X
Emma C HughesManchester University NHS Foundation Trust, Manchester.
Alastair D HayCentre for Academic Primary Care, NIHR School for Primary Care Research, Bristol Medical School; Population Health Sciences, University of Bristol, Bristol.ORCID 0000-0003-3012-375X
Manchester Academic Health Science Centre · GBUniversity of Oxford · GBManchester University NHS Foundation Trust · GBUniversity of Bristol · GBUniversity of York · GB

Funding

Department of Health NIHR300105
6 · The paper itself

Abstract

backgroundChildren with respiratory tract infections (RTIs) use more primary care appointments than any other group, but many parents are unsure if, and when, they should seek medical help and report that existing guidance is unclear.

aimTo develop symptom-based criteria to support parental medical help seeking for children with RTIs. DESIGN AND

settingA research and development/University of California Los Angeles (RAND/UCLA) appropriateness study to obtain consensus on children's RTI symptoms appropriate for home, primary, or secondary health care in the UK.

methodA multidisciplinary panel of 12 healthcare professionals - six GPs, two pharmacists, two NHS 111 nurses, and two emergency paediatric consultants - rated the appropriateness of care setting for 1134 scenarios in children aged >12 months.

resultsPanellists agreed that home care would be appropriate for children with ≤1 week of 'normal' infection symptoms (cough, sore throat, ear pain, and/or runny nose, with or without eating adequately and normal conscious level). The presence of ≥2 additional symptoms generally indicated the need for a same-day GP consultation, as did the presence of shortness of breath. Assessment in the emergency department was considered appropriate when ≥3 symptoms were present and included shortness of breath or wheezing.

conclusionThe authors have defined the RTI symptoms that parents might regard as 'normal' and therefore suitable for care at home. These results could help parents decide when to home care and when to seek medical help for children with RTIs.

Indexed as

Home Care ServicesPharyngitisRespiratory Tract InfectionsChildHumansParentsPrimary Health Careconsensusgeneral practicehealthcare utilisationprimary health carerespiratory tract infections

Identifiers

PMID33318088
PMCPMC7744039
OpenAlexW3108272916

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.