Evidence map›Paper›PMID 37068899›Full record

ArticleBMJ open2023

Hypothermia or hyperthermia, which is associated with patient outcomes in critically ill children with sepsis? -A retrospective study.

Huabin Wang, Yanhua Chang, Meiyun Xin, Tongshu Hou, Lei Han, Ruipin Zhang, Ziying Liu, Bing Sun, Lijun Gan

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. The Importance of Accurately Assessing Hypothermia.Turkish archives of pediatrics · 2025
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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

9 authors at 4 institutions in 1 country.

Huabin Wang *Department of Pediatrics, Affiliated Hospital of Jining Medical University, Jining, People's Republic of China.ORCID 0000-0002-3725-3584
Yanhua Chang *Department of Pediatrics, Affiliated Hospital of Jining Medical University, Jining, People's Republic of China.
Meiyun Xin *Department of Pediatrics, Affiliated Hospital of Jining Medical University, Jining, People's Republic of China.
Tongshu HouThe Second Medical College, Binzhou Medical University, Yantai, People's Republic of China.
Lei HanDepartment of Pediatrics, Affiliated Hospital of Jining Medical University, Jining, People's Republic of China.
Ruipin ZhangDepartment of Pediatrics, Affiliated Hospital of Jining Medical University, Jining, People's Republic of China.
Ziying LiuDepartment of Pediatrics, Affiliated Hospital of Jining Medical University, Jining, People's Republic of China 13792336453@163.com sdsunb@163.com lzyjyfy@163.com.
Bing SunCollege of Integrated Traditional Chinese and Westen Medicine, Jining Medical University, Jining, People's Republic of China 13792336453@163.com sdsunb@163.com lzyjyfy@163.com.
Lijun GanDepartment of Cardiology, Affiliated Hospital of Jining Medical University, Jining, People's Republic of China 13792336453@163.com sdsunb@163.com lzyjyfy@163.com.
Affiliated Hospital of Jining Medical University · CNBinzhou Medical University · CNJining Medical University · CNShandong University of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIn the early stage of sepsis, identifying high-risk paediatric patients with a poor prognosis and providing timely and adequate treatment are critical. This study aimed to evaluate the effect of average body temperature within 24 hours of admission on the short-term prognosis of paediatric patients with sepsis.

designA retrospective cohort study.

settingA single-centre, tertiary care hospital in China, containing patient data from 2010 to 2018.

participants1144 patients with sepsis were included.

interventionNone. PRIMARY AND SECONDARY OUTCOME MEASURES: The main outcome measure was in-hospital mortality, which was defined as death from any cause during hospitalisation. The secondary outcome was the length of hospital stay.

resultsThe LOWESS method showed a roughly 'U'-shaped relationship between body temperature on the first day and in-hospital mortality. Multivariate logistic regression showed that severe hypothermia (OR 14.72, 95% CI 4.84 to 44.75), mild hypothermia (OR 3.71, 95% CI 1.26 to 10.90), mild hyperthermia (OR 3.41, 95% CI 1.17 to 9.90) and severe hyperthermia (OR 5.15, 95% CI 1.84 to 14.43) were independent risk factors for in-hospital mortality. Compared with other variables, the Wald χ

conclusionsWhether hypothermic or hyperthermic, the more abnormal the temperature on the first day is, the higher the risk of in-hospital death in children with sepsis.

Indexed as

Hyperthermia, InducedHypothermiaSepsisChildCritical IllnessHospital MortalityHumansHyperthermiaIntensive Care UnitsRetrospective StudiesPaediatric infectious disease & immunisationPaediatric intensive & critical carePAEDIATRICS

Identifiers

PMID37068899
PMCPMC10111912
OpenAlexW4366084684

What OpenQuestion holds

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LicenceCC BY-NC
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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.