Evidence map›Paper›PMID 36114734›Full record

ArticleActa paediatrica (Oslo, Norway : 1992)2022

SBI is uncommon in the absence of paediatricians' gut feeling and abnormal respiratory pattern.

Giorgio Cozzi, Antimo Tessitore, Manuela Giangreco, Paola Cogo, Elena Valentini, Simona Salis, Paola Pascolo, Egidio Barbi

Open access · hybridAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Acta paediatrica (Oslo, Norway : 1992), 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
0.2field-weighted citation impact, top 48% 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

8 authors at 5 institutions in 1 country.

Giorgio CozziInstitute for Maternal and Child Health - IRCCS Burlo Garofolo, Trieste, Italy.
Antimo TessitoreUniversity of Trieste, Trieste, Italy.ORCID 0000-0002-1865-7700
Manuela GiangrecoInstitute for Maternal and Child Health - IRCCS Burlo Garofolo, Trieste, Italy.
Paola CogoDepartment of Medicine, University Hospital of Udine, Udine, Italy.
Elena ValentiniDepartment of Medicine, University Hospital of Udine, Udine, Italy.
Simona SalisPediatric Clinic, Maternal and Child Department, Sant'Antonio Hospital, San Daniele del Friuli, Italy.
Paola PascoloPediatric Clinic, Maternal and Child Department, San Polo Hospital, Monfalcone, Italy.
Egidio BarbiInstitute for Maternal and Child Health - IRCCS Burlo Garofolo, Trieste, Italy.ORCID 0000-0002-6343-846X
IRCCS Materno Infantile Burlo Garofolo · ITUniversity of Trieste · ITUniversity of Udine · ITOspedale di Monfalcone · ITOspedale Sant Antonio · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimAccording to the Italian national statistical institute, severe bacterial infections (SBI) in Italy are responsible for 1.7% of mortality under 5 years of age and their recognition is often challenging, especially in the first stages of the disease. We tried to estimate the prevalence of SBI in our target population and to identify signs and symptoms that could guide in the initial evaluation of a child with a possible SBI.

methodsWe designed a prospective, multicentre study and enrolled patients aged 0-14 years at the first evaluation to the emergency department with an acute illness lasting a maximum of 5 days. The presence of variables suggestive of SBI was collected for every enrolled patient. One week after the enrolment, every patient was followed up by telephone.

resultsSBI is more likely to be detected with the 'gut feeling' in both univariate and multivariate models (univariate OR: 7.16, 95% CI: 4.08-12.56; multivariate OR: 5.34, 95% CI: 2.78-10.25), while abnormal breathing pattern resulted significative only in univariate model (OR 3.83, 95% CI: 1.98-7.40). Nevertheless, their associated sensitivity is low.

conclusionSBI is uncommon in the absence of paediatricians' gut feeling and abnormal respiratory pattern.

Indexed as

Bacterial InfectionsChildChild, PreschoolEmergency Service, HospitalHumansInfantItalyPediatriciansProspective Studiesabnormal respiratory patternemergency departmentgut feelingpaediatric patientssevere bacterial infection

Identifiers

PMID36114734
PMCPMC9826455
OpenAlexW4296129418

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.