Evidence map›Paper›PMID 34356592›Full record

ArticleChildren (Basel, Switzerland)2021

Airway Malacia: Clinical Features and Surgical Related Issues, a Ten-Year Experience from a Tertiary Pediatric Hospital.

Michele Ghezzi, Enza D'Auria, Andrea Farolfi, Valeria Calcaterra, Alessandra Zenga, Annalisa De Silvestri, Gloria Pelizzo, Gian Vincenzo Zuccotti

Open access · goldAbstract read
In one paragraph

Article in Children (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

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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

8 authors at 4 institutions in 1 country.

Michele GhezziAllergology and Pneumology Unit, V. Buzzi Children's Hospital, 20154 Milan, Italy.ORCID 0000-0002-7434-9112
Enza D'AuriaAllergology and Pneumology Unit, V. Buzzi Children's Hospital, 20154 Milan, Italy.ORCID 0000-0003-2750-5810
Andrea FarolfiAllergology and Pneumology Unit, V. Buzzi Children's Hospital, 20154 Milan, Italy.
Valeria CalcaterraDepartment of Pediatrics, V. Buzzi Children's Hospital, 20154 Milan, Italy.ORCID 0000-0002-2137-5974
Alessandra ZengaAllergology and Pneumology Unit, V. Buzzi Children's Hospital, 20154 Milan, Italy.
Annalisa De SilvestriBiometry & Clinical Epidemiology, Scientific Direction, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0003-3128-8441
Gloria PelizzoDepartment of Pediatric Surgery, V. Buzzi Children's Hospital, 20154 Milan, Italy.
Gian Vincenzo ZuccottiDepartment of Pediatrics, V. Buzzi Children's Hospital, 20154 Milan, Italy.ORCID 0000-0002-2795-9874
Ospedale dei Bambini Vittore Buzzi · ITUniversity of Milan · ITPoliclinico San Matteo Fondazione · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew studies have been carried out with the aim of describing the clinical course and follow-up of patients with tracheomalacia. We aim to describe the symptoms at diagnosis and the post-treatment clinical course of patients affected by airway malacia.

methodsWe retrospectively analyzed characteristics of pediatric patients with a diagnosis of airway malacia. Patients were classified into three groups: bronchomalacia (BM), tracheomalacia (TM) and tracheo-bronchomalacia (TBM). Demographic and clinical data, diagnostic work-up and surgical treatment were recorded.

results13/42 patients were affected by congenital syndromes (30.9%). Esophageal atresia with or without tracheal-esophageal fistula (EA/TEF) was detected in 7/42 patients (16.7%). Cardiovascular anomalies were found in 9/42 (21.4%) and idiopathic forms in 13/42 (30.9%). BM occurred in 7/42 (16.6%), TM in 23/42 (54.7%) and TBM in 12/42 (28.6%). At the diagnosis stage, a chronic cough was reported in 50% of cases with a higher prevalence in EA/TEF (

conclusionthe management of tracheomalacia remains a challenge for pediatricians. Clinical manifestations, such as a barking cough and acute respiratory failure may suggest the need for surgery. Follow-up is crucial, especially in those patients affected by comorbidities, so as to be able to manage effectively the possible persistence of symptoms, including those that may continue after surgical treatment.

Indexed as

airway malaciachildrenpediatric surgery

Identifiers

PMID34356592
PMCPMC8307910
OpenAlexW3188853926

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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.