Evidence map›Paper›PMID 37151932›Full record

ReviewPaediatrics & child health2023

Current recommendations for management of paediatric diabetic ketoacidosis.

Karen E Gripp, Evelyne D Trottier, Sidd Thakore, Jonathan Sniderman, Sarah Lawrence

Open access · bronzeAbstract readReview
In one paragraph

Review in Paediatrics & child health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Adolescent with Diabetic Ketoacidosis, Hypothermia and Pneumomediastinum.Journal of education & teaching in emergency medicine · 2023
    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

5 authors at 1 institution in 1 country.

Karen E GrippCanadian Paediatric Society, Acute Care Committee, Ottawa, Ontario, Canada.
Evelyne D TrottierCanadian Paediatric Society, Acute Care Committee, Ottawa, Ontario, Canada.
Sidd ThakoreCanadian Paediatric Society, Acute Care Committee, Ottawa, Ontario, Canada.
Jonathan SnidermanCanadian Paediatric Society, Acute Care Committee, Ottawa, Ontario, Canada.
Sarah LawrenceCanadian Paediatric Society, Acute Care Committee, Ottawa, Ontario, Canada.
Canadian Paediatric Society · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment of paediatric diabetic ketoacidosis (DKA) includes careful attention to fluids and electrolytes to minimize the risk of complications such as cerebral injury (CI), which is associated with high morbidity and mortality. The incidence of cerebral edema in paediatric DKA has not decreased despite the use of fluid-limiting protocols based on restricting early fluid resuscitation. New evidence suggests that early isotonic fluid therapy does not confer additional risk and may improve outcomes in some patients. Protocols and clinical practice guidelines are being adjusted, with a particular focus on recommendations for initial and ongoing fluids and electrolyte monitoring and replacement. Initial isotonic fluid resuscitation is now recommended for all patients in the first 20 to 30 minutes after presentation, followed by repletion of volume deficit over 36 hours in association with an insulin infusion, electrolyte supplementation, and careful monitoring for and management of potential CI.

Indexed as

Cerebral edemaCerebral injuryDiabetes mellitusDiabetic ketoacidosisPaediatric

Identifiers

PMID37151932
PMCPMC10156932
OpenAlexW4368368114

What OpenQuestion holds

Textmetadata
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.