Evidence map›Paper›PMID 34179705›Full record

ArticlePediatric investigation2021

Plasma exchange therapy for acute necrotizing encephalopathy of childhood.

Kechun Li, Tao Zhang, Gang Liu, Ping Jin, Yeqing Wang, Lijie Wang, Meixian Xu, Chunyi Liu, Yingchao Liu, Tao Zhou and 6 more

Open access · goldAbstract read
In one paragraph

Article in Pediatric investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 17% 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Clinical and genetic characteristics of RANBP2 mutations in children with acute necrotizing encephalopathy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Pooled it
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  4. [Clinical features and prognosis of influenza-associated encephalopathy in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
    Article
  5. Review
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  10. Severe A(H1N1)pdm09 influenza acute encephalopathy outbreak in children in Tuscany, Italy, December 2023 to January 2024.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
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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

16 authors at 4 institutions in 1 country.

Kechun LiDepartment of Pediatric Intensive Care Unit Beijing Children's Hospital Capital Medical University National Center for Children's Health China.
Tao ZhangDepartment of Pediatrics Shengjing Hospital of China Medical University Shenyang Liaoning China.
Gang LiuDepartment of Pediatric Intensive Care Unit Hebei Children's Hospital Hebei Medical University Shijiazhuang Hebei China.
Ping JinDepartment of Pediatric Intensive Care Unit Bao'an Maternity & Child Health Hospital Shenzhen Guangdong China.
Yeqing WangDepartment of Pediatric Intensive Care Unit Beijing Children's Hospital Capital Medical University National Center for Children's Health China.
Lijie WangDepartment of Pediatrics Shengjing Hospital of China Medical University Shenyang Liaoning China.
Meixian XuDepartment of Pediatric Intensive Care Unit Hebei Children's Hospital Hebei Medical University Shijiazhuang Hebei China.
Chunyi LiuDepartment of Pediatric Intensive Care Unit Bao'an Maternity & Child Health Hospital Shenzhen Guangdong China.
Yingchao LiuDepartment of Pediatric Intensive Care Unit Beijing Children's Hospital Capital Medical University National Center for Children's Health China.
Tao ZhouDepartment of Pediatric Intensive Care Unit Bao'an Maternity & Child Health Hospital Shenzhen Guangdong China.
Yan XuDepartment of Pediatric Intensive Care Unit Beijing Children's Hospital Capital Medical University National Center for Children's Health China.
Ying YangDepartment of Pediatric Intensive Care Unit Beijing Children's Hospital Capital Medical University National Center for Children's Health China.
Boliang FangDepartment of Pediatric Intensive Care Unit Beijing Children's Hospital Capital Medical University National Center for Children's Health China.
Xin YangDepartment of Pediatric Intensive Care Unit Beijing Children's Hospital Capital Medical University National Center for Children's Health China.
Chunfeng LiuDepartment of Pediatrics Shengjing Hospital of China Medical University Shenyang Liaoning China.
Suyun QianDepartment of Pediatric Intensive Care Unit Beijing Children's Hospital Capital Medical University National Center for Children's Health China.
Capital Medical University · CNMaternal and Child Health Care Hospital of Bao'an · CNChina Medical University · CNHebei Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importanceAcute necrotizing encephalopathy (ANE) is a rare disease with high mortality. Plasma exchange (PLEX) has recently been reported to treat ANE of childhood (ANEC), but its efficacy is uncertain.

objectiveThis study aimed to investigate the effectiveness of PLEX on ANEC.

methodsA retrospective study was conducted in four pediatric intensive care units from December 2014 to December 2020. All patients who were diagnosed with ANEC were included; however, these patients were excluded if their length of stay was less than 24 h. Participants were classified into PLEX and non-PLEX groups.

resultsTwenty-nine patients with ANEC were identified, 10 in the PLEX group and 19 in the non-PLEX group. In the PLEX group, C-reactive protein, procalcitonin, alanine aminotransferase, and aspartate aminotransaminase levels were significantly lower after 3 days of treatment than before treatment (13.1

interpretationPLEX may reduce serum C-reactive protein and procalcitonin levels and improve liver function in the short term. PLEX may improve the prognosis of ANEC, and further studies are needed.

Indexed as

Acute necrotizing encephalopathyChildrenPlasma exchangePrognosis

Identifiers

PMID34179705
PMCPMC8212728
OpenAlexW3174500238

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.