Evidence map›Paper›PMID 35765310›Full record

ArticleJournal of the American College of Emergency Physicians open2022

Clinical management and outcomes for febrile infants 29-60 days evaluated in community emergency departments.

Patrick J Van Winkle, Samantha N Lee, Qiaoling Chen, Aileen S Baecker, Dustin W Ballard, David R Vinson, Tara L Greenhow, Tran H P Nguyen, Beverly R Young, Amy L Alabaster and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2022. 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
0.4field-weighted citation impact, top 38% 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, 1 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

13 authors at 4 institutions in 1 country.

Patrick J Van WinkleDepartment of Pediatrics Kaiser Permanente Southern California, Anaheim Medical Center Anaheim California USA.ORCID https://orcid.org/0000-0002-8299-6870
Samantha N LeeUndergraduate in Biological Sciences University of CA, Los Angeles Los Angeles California USA.
Qiaoling ChenDepartment of Research and Evaluation Southern California Permanente Medical Group Pasadena California USA.
Aileen S BaeckerDepartment of Research and Evaluation Southern California Permanente Medical Group Pasadena California USA.
Dustin W BallardDepartment of Emergency Medicine and the Division of Research The Permanente Medical Group, Kaiser Permanente Northern California Oakland California USA.
David R VinsonDepartment of Emergency Medicine and the Division of Research The Permanente Medical Group, Kaiser Permanente Northern California Oakland California USA.
Tara L GreenhowDepartment of Pediatric Infectious Diseases Kaiser Permanente Northern CA San Francisco California USA.
Tran H P NguyenDepartment of Inpatient Pediatrics Kaiser Permanente Northern CA Roseville California USA.
Beverly R YoungDepartment of Inpatient Pediatrics Kaiser Permanente Northern CA Roseville California USA.
Amy L AlabasterDivision of Research Kaiser Permanente Northern California Oakland California USA.
Jie HuangDivision of Research Kaiser Permanente Northern California Oakland California USA.
Stacy ParkDepartment of Research and Evaluation Southern California Permanente Medical Group Pasadena California USA.
Adam L SharpDepartment of Clinical Science Kaiser Permanente Bernard J. Tyson School of Medicine Pasadena California USA.
Kaiser Permanente · USColorado Permanente Medical Group · USKaiser Permanente Roseville Medical Center · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Describe emergency department (ED) management and patient outcomes for febrile infants 29-60 days of age who received a lumbar puncture (LP), with focus on timing of antibiotics and type of physician performing LP. Methods: Retrospective observational study of 35 California EDs from January 1, 2010 through December 31, 2019. Primary analysis was among patients with successful LP and primary outcome was hospital length of stay (LOS). Logistic regression analysis included variables associated with LOS of at least 2 days. Secondary outcomes were bacterial meningitis, hospital admission, length of antibiotics, and readmission. Results: Among 2569 febrile infants (median age 39 days), 667 underwent successful LP and 633 received intravenous antibiotics. Most infants ( Conclusions: Febrile infants in the ED had no deaths and few cases of bacterial meningitis. In community EDs, where a pediatrician is often not available, successful LP by emergency physician was associated with reduced inpatient LOS.

Indexed as

emergency medicinefeverinfantlumbar puncturemeningitispediatrics

Identifiers

PMID35765310
PMCPMC9206108
OpenAlexW4283067997

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.