Evidence map›Paper›PMID 36915162›Full record

SynthesisItalian journal of pediatrics2023

Corticosteroid in anti-inflammatory treatment of pediatric acute myocarditis: a systematic review and meta-analysis.

Qi Yao, Shanshan Zhan

Registry-linked trialOpen access · goldFull text readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Italian journal of pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07175948 (Outcome of Different Clinical Phenotypes of Myocarditis in Children Admitted to Assiut University Children Hospital), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 10% 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.

NCT07175948 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Outcome of Different Clinical Phenotypes of Myocarditis in Children Admitted to Assiut University Children Hospital

TypeobservationalSponsorAssiut UniversityRan2026 to 2027Enrolled100ConditionsMyocarditis, Myocarditis AcuteArmsStandard Medical Therapy
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
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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

2 authors at 2 institutions in 1 country.

Qi YaoDepartment of Cardiology, The First Hospital of Jiaxing / Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China.
Shanshan ZhanDepartment of Pediatrics, The First Hospital of Jiaxing / Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China. 18268358178@163.com.
First Hospital of Jiaxing · CNJiaxing University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the efficacy of corticosteroids in anti-inflammatory treatment of pediatric acute myocarditis.

methodsWe searched PubMed, Embase and Cochrane library and included studies before October 2022 for clinical trials, observational studies and retrospective studies which reported on children with acute myocarditis treated with corticosteroid anti-inflammatory therapy. The quality of the clinical trials was assessed by Jadad score as an exclusion criterion.

resultsThis systematic review included 6 studies involving 604 pediatric patients with acute myocarditis. Corticosteroid therapy was not associated with reduced risk of mortality due to acute myocarditis (P = 0.53; RR = 0.87; 95% CI = 0.58 to 1.33) compared to anti-failure treatment. There was a significant improvement in pediatric patients' left ventricular function measured by left ventricular ejection fraction in the group on corticosteroid anti-inflammatory treatment (P = 0.0009; MD = 11.93%; 95% CI = 4.87% to 18.99%). No conclusion can be drawn due to the high heterogeneity in meta-analyses of risk of getting to a clinical endpoint (death or heart transplantation) and changes in left ventricular end-diastolic diameter (LVEDD).

conclusionsCorticosteroid anti-inflammatory therapy in pediatric acute myocarditis patients showed no significant improvement in reducing the risk of mortality, but showed significant improvement in LVEF.

Indexed as

MyocarditisAdrenal Cortex HormonesAnti-Inflammatory AgentsChildHumansRetrospective StudiesStroke VolumeVentricular Function, LeftAdrenal Cortex HormonesAnti-Inflammatory AgentsAcute myocarditisCorticosteroidsLeft ventricular functionPediatrics

Identifiers

PMID36915162
PMCPMC10012438
OpenAlexW4324026592

What OpenQuestion holds

Textfull text, public
LicenceCC BY
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Read underepoch 390

Registered trials

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.