Evidence map›Paper›PMID 36631339›Full record

ReviewPediatrics and neonatology2023

Critically ill infants with SARS-COV-2 delta variant infection.

Aida Borgi, Assaad Louati, Amal Miraoui, Lilia Lahmar, Ahmed Ayari, Ahmed Hajji, Asma Bouziri, Khaled Menif, Hanen Smaoui, Nejla Ben Jaballah

Open access · diamondAbstract readReview
In one paragraph

Review in Pediatrics and neonatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

10 authors at 1 institution in 1 country.

Aida BorgiPICU of Children's Hospital Béchir Hamza of Tunis - Faculty of Medicine of Tunis-Tunis EL-Manar University, Tunisia.
Assaad LouatiPICU of Children's Hospital Béchir Hamza of Tunis - Faculty of Medicine of Tunis-Tunis EL-Manar University, Tunisia. Electronic address: assaad.louati@fmt.utm.tn.
Amal MiraouiPICU of Children's Hospital Béchir Hamza of Tunis, Tunisia.
Lilia LahmarDepartment of Radiology of Children's Hospital Béchir Hamza of Tunis, Tunisia.
Ahmed AyariPICU of Children's Hospital Béchir Hamza of Tunis - Faculty of Medicine of Tunis-Tunis EL-Manar University, Tunisia.
Ahmed HajjiPICU of Children's Hospital Béchir Hamza of Tunis - Faculty of Medicine of Tunis-Tunis EL-Manar University, Tunisia.
Asma BouziriPICU of Children's Hospital Béchir Hamza of Tunis - Faculty of Medicine of Tunis-Tunis EL-Manar University, Tunisia.
Khaled MenifPICU of Children's Hospital Béchir Hamza of Tunis - Faculty of Medicine of Tunis-Tunis EL-Manar University, Tunisia.
Hanen SmaouiMicrobiology Department of Children's Hospital Béchir Hamza of Tunis - Faculty of Medicine of Tunis- Tunis EL-Manar University, Tunisia.
Nejla Ben JaballahPICU of Children's Hospital Béchir Hamza of Tunis - Faculty of Medicine of Tunis-Tunis EL-Manar University, Tunisia.
Children's Hospital · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSARS-CoV-2 is described to cause mild to moderate symptoms in children. To date, clinical data and symptoms of the Delta variant in pediatric patients are lacking.

aimTo describe clinical characteristics and outcomes of infants admitted in the pediatric intensive care unit (PICU) during the period of Delta variant predominance.

methodsWe performed a retrospective study, between June 23, 2021 and August 16, 2021. We included children aged under 15 years, admitted to PICU with severe and critical form of SARS-CoV-2 infection as confirmed by RT-PCR. We reviewed medical records for all patients.

resultsDuring the study period, 20 infants were included. The median age was 47 days (IQR: 26.5-77). The sex ratio was 0.8 (9 males). No underlying medical conditions were noted. Parents were not vaccinated. Respiratory involvement was the main feature to be observed in our cohort. Eleven patients had pediatric acute respiratory distress (PARDS) with a median oxygen saturation index (OSI) of 9 (IQR: 7-11). PARDS was mild in 4 cases, moderate in 5 cases and severe in 2 cases. Hemodynamic instability was observed in 4 cases. The main radiological finding was ground glass opacities in 11 cases. Seventeen patients were mechanically ventilated and 3 of them were escalated to high-frequency oscillatory ventilation. The median duration of mechanical ventilation was 6 days (IQR 2.5-12.5). The remaining patients were managed with high flow nasal cannula. Four patients died.

conclusionWe report herein a case series of very young infants, with no comorbidities, and with a life-threatening illness due to SARS-CoV-2 Delta variant.

Indexed as

COVID-19Respiratory Distress SyndromeChildCritical IllnessHumansInfantMaleRetrospective StudiesSARS-CoV-2acute respiratory distress syndromedelta variantintensive caremechanical ventilationSARS-CoV-2

Identifiers

PMID36631339
PMCPMC9767656
OpenAlexW4312083279

What OpenQuestion holds

Textmetadata
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.