Evidence map›Paper›PMID 36703115›Full record

SynthesisBMC infectious diseases2023

Neurological sequelae after encephalitis associated with herpes simplex virus in children: systematic review and meta-analysis.

Natalie Duran Rocha, Sara Kvitko de Moura, Gabriel Aude Bueno da Silva, Rita Mattiello, Douglas Kazutoshi Sato

Open access · goldAbstract readMeta-AnalysisSystematic ReviewCase Reports
In one paragraph

Synthesis in BMC infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 16 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

5 authors at 2 institutions in 1 country.

Natalie Duran RochaPrograma de Pós-Graduação em Pediatria e Saúde da Criança da PUCRS, Pontifícia Universidade Católica do Rio Grande Do Sul, Av. Ipiranga, 6681 - Bairro Partenon, Porto Alegre, RS, 90619-900, Brazil. nata.rocha13@gmail.com.ORCID http://orcid.org/0000-0001-6179-7074
Sara Kvitko de MouraPrograma de Pós-Graduação em Pediatria e Saúde da Criança da PUCRS, Pontifícia Universidade Católica do Rio Grande Do Sul, Av. Ipiranga, 6681 - Bairro Partenon, Porto Alegre, RS, 90619-900, Brazil.
Gabriel Aude Bueno da SilvaCurso de Graduação em Medicina da Escola de Medicina da PUCRS - Pontifícia Universidade Católica do Rio Grande do Sul, Av. Ipiranga, 6681 - Bairro Partenon, Porto Alegre, RS, 90619-900, Brazil.
Rita MattielloPrograma de Pós-Graduação em Epidemiologia Universidade Federal do Rio Grande do Sul, Av. Paulo Gama, n° 110 -Bairro Farroupilha,, Porto Alegre, RS, 90040-060, Brazil.
Douglas Kazutoshi SatoPrograma de Pós-Graduação em Pediatria e Saúde da Criança da PUCRS, Pontifícia Universidade Católica do Rio Grande Do Sul, Av. Ipiranga, 6681 - Bairro Partenon, Porto Alegre, RS, 90619-900, Brazil.
Pontifícia Universidade Católica do Rio Grande do Sul · BRUniversidade Federal do Rio Grande do Sul · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEncephalitis is an inflammation of the cerebral parenchyma manifested by acute symptoms such as fever, headaches, and other neurological disorders. Its etiology is mostly viral, with herpes simplex virus being a frequent etiological agent in children. The development of neurological sequelae is a serious outcome associated with this infection.

objectiveTo assess the general prevalence and types of neurological sequelae in children after a case of acute viral encephalitis caused by HSV.

methodsThis systematic review and meta-analysis was developed following the PRISMA guidelines. The literature search was carried out in the MEDLINE, Embase, SciELO, LILACS, Cochrane, CINAHL, PsycINFO, and Web of Science databases. Studies were included of children with confirmed HSV infection and that presented a description of neurological sequelae associated with that infection. For the meta-analysis of general prevalence and of the types of neurological sequelae a random effects model was used.

resultsOf the 2827 articles chosen in the initial search, nine studies were included in the systematic review and meta-analysis. The general prevalence of neurological sequelae was 50.7% (95% CI 39.2-62.2). The most frequent sequelae were related to mental disability, with a 42.1% prevalence (95% CI 30-55.2); on the other hand, the least frequent sequelae were those related with visual impairment, with a 5.9% prevalence (95% CI 2.2-14.6). The included studies presented regular quality and substantial heterogeneity.

conclusionEven with antiviral therapy, half of patients will develop some type of disability.

Indexed as

EncephalitisEncephalitis, Herpes SimplexEncephalitis, ViralHerpes SimplexChildDisease ProgressionHumansSimplexvirusChildren and adolescentsEncephalitisHerpes simplex virusNeurological manifestations

Identifiers

PMID36703115
PMCPMC9878875
OpenAlexW4318067888

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.