Evidence map›Paper›PMID 36865598›Full record

ArticleBulletin of the World Health Organization2023

Cardiovascular abnormalities in chest radiographs of children with pneumonia, Uganda.

Eva Nabawanuka, Faith Ameda, Geoffrey Erem, Samuel Bugeza, R O Opoka, Sarah Kiguli, Denis Amorut, Florence Aloroker, P Olupot-Olupot, Hellen Mnjalla and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Bulletin of the World Health Organization, 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 30% 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, 3 citations in OpenAlex.

  1. Trial
  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

12 authors at 4 institutions in 2 countries.

Eva NabawanukaDepartment of Radiology, School of Medicine, Makerere University, PO Box 7051, Kampala, Uganda.
Faith AmedaDepartment of Radiology, School of Medicine, Makerere University, PO Box 7051, Kampala, Uganda.
Geoffrey EremDepartment of Radiology, School of Medicine, Makerere University, PO Box 7051, Kampala, Uganda.
Samuel BugezaDepartment of Radiology, School of Medicine, Makerere University, PO Box 7051, Kampala, Uganda.
R O OpokaDepartment of Paediatrics, School of Medicine, Makerere University, Kampala, Uganda.
Sarah KiguliMbale Clinical Research Institute, Mbale, Uganda.
Denis AmorutSoroti Regional Referral Hospital, Soroti, Uganda.
Florence AlorokerSoroti Regional Referral Hospital, Soroti, Uganda.
P Olupot-OlupotMbale Clinical Research Institute, Mbale, Uganda.
Hellen MnjallaKenya Medical Research Institute-Wellcome Trust Research Programme, Kilifi, Kenya.
Ayub MpoyaKenya Medical Research Institute-Wellcome Trust Research Programme, Kilifi, Kenya.
Kathryn MaitlandDepartment of Infectious Disease and Institute of Global Health and Innovation, Imperial College, London, England.
Kenya Medical Research Institute · KEMbale Hospital · UGSoroti Hospital · UGMakerere University · UG

Funding

Medical Research Council MR/L004364/1Wellcome Trust
6 · The paper itself

Abstract

Objective: To describe chest radiograph findings among children hospitalized with clinically diagnosed severe pneumonia and hypoxaemia at three tertiary facilities in Uganda. Methods: The study involved clinical and radiograph data on a random sample of 375 children aged 28 days to 12 years enrolled in the Children's Oxygen Administration Strategies Trial in 2017. Children were hospitalized with a history of respiratory illness and respiratory distress complicated by hypoxaemia, defined as a peripheral oxygen saturation (SpO Findings: Overall, 45.9% (172/375) of children had radiological pneumonia, 36.3% (136/375) had a normal chest radiograph and 32.8% (123/375) had other radiograph abnormalities, with or without pneumonia. In addition, 28.3% (106/375) had a cardiovascular abnormality, including 14.9% (56/375) with both pneumonia and another abnormality. There was no significant difference in the prevalence of radiological pneumonia or of cardiovascular abnormalities or in 28-day mortality between children with severe hypoxaemia (SpO Conclusion: Cardiovascular abnormalities were relatively common among children hospitalized with severe pneumonia in Uganda. The standard clinical criteria used to identify pneumonia among children in resource-poor settings were sensitive but lacked specificity. Chest radiographs should be performed routinely for all children with clinical signs of severe pneumonia because it provides useful information on both cardiovascular and respiratory systems.

Indexed as

Cardiovascular AbnormalitiesPneumoniaChildDyspneaHumansHypoxiaUganda

Identifiers

PMID36865598
PMCPMC9948502
OpenAlexW4322743003

What OpenQuestion holds

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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.