Evidence map›Paper›PMID 36832377›Full record

ArticleChildren (Basel, Switzerland)2023

Emergency Department Admissions of Children with Chest Pain before and during COVID-19 Pandemic.

Riccardo Lubrano, Vanessa Martucci, Alessia Marcellino, Mariateresa Sanseviero, Alessandro Sinceri, Alessia Testa, Beatrice Frasacco, Pietro Gizzone, Emanuela Del Giudice, Flavia Ventriglia and 1 more

Open access · goldAbstract read
In one paragraph

Article in Children (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

5 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

11 authors at 1 institution in 1 country.

Riccardo LubranoDepartment of Paediatrics, Sapienza University of Rome, Viale del Policlinico 155, 00161 Roma, Italy.ORCID 0000-0001-8237-955X
Vanessa MartucciDepartment of Paediatrics, Sapienza University of Rome, Viale del Policlinico 155, 00161 Roma, Italy.ORCID 0000-0002-7583-4574
Alessia MarcellinoDepartment of Paediatrics, Sapienza University of Rome, Viale del Policlinico 155, 00161 Roma, Italy.ORCID 0000-0001-9277-9231
Mariateresa SansevieroDepartment of Paediatrics, Sapienza University of Rome, Viale del Policlinico 155, 00161 Roma, Italy.ORCID 0000-0001-7935-6648
Alessandro SinceriDepartment of Paediatrics, Sapienza University of Rome, Viale del Policlinico 155, 00161 Roma, Italy.
Alessia TestaDepartment of Paediatrics, Sapienza University of Rome, Viale del Policlinico 155, 00161 Roma, Italy.
Beatrice FrasaccoDepartment of Paediatrics, Sapienza University of Rome, Viale del Policlinico 155, 00161 Roma, Italy.ORCID 0000-0001-8379-5889
Pietro GizzoneDepartment of Paediatrics, Sapienza University of Rome, Viale del Policlinico 155, 00161 Roma, Italy.ORCID 0000-0002-3910-7580
Emanuela Del GiudiceDepartment of Paediatrics, Sapienza University of Rome, Viale del Policlinico 155, 00161 Roma, Italy.ORCID 0000-0002-3334-4884
Flavia VentrigliaDepartment of Paediatrics, Sapienza University of Rome, Viale del Policlinico 155, 00161 Roma, Italy.
Silvia BloiseDepartment of Paediatrics, Sapienza University of Rome, Viale del Policlinico 155, 00161 Roma, Italy.ORCID 0000-0002-2853-8318
Policlinico Umberto I · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe compared the number of accesses, causes, and instrumental evaluations of chest pain in children between the pre-COVID-19 era and the COVID-19 period and analyzed the assessment performed in children with chest pain, highlighting unnecessary examinations.

methodsWe enrolled children with chest pain admitted to our emergency department between January 2019 and May 2021. We collected demographic and clinical characteristics and findings on physical examinations, laboratory tests, and diagnostic evaluations. Then, we compared the number of accesses, causes, and instrumental assessments of chest pain between the pre-COVID-19 era and the COVID-19 era.

resultsA total of 111 patients enrolled (mean age: 119.8 ± 40.48 months; 62 males). The most frequent cause of chest pain was idiopathic (58.55%); we showed a cardiac origin in 4.5% of the cases. Troponin determination was performed in 107 patients, and the value was high only in one case; chest X-rays in 55 cases and echocardiograms in 25 cases showed pathological findings, respectively, in 10 and 5 cases. Chest pain accesses increased during the COVID-19 era (

conclusionsThe increase in accesses for chest pain during the COVID-19 pandemic confirms that this symptom generates anxiety among parents. Furthermore, our findings demonstrate that the evaluation of chest pain is still extensive, and new chest pain assessment protocols in the pediatric age group are needed.

Indexed as

causeschest painchildrenCOVID-19emergencyemotional stresspsychogenic origin

Identifiers

PMID36832377
PMCPMC9955104
OpenAlexW4318479412

What OpenQuestion holds

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LicenceCC BY
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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.