Evidence map›Paper›PMID 37733237›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2023

Task Force for a rapid response to an outbreak of severe acute hepatitis of unknown aetiology in children in Portugal in 2022.

Berta Grau-Pujol, João Vieira Martins, Isabel Goncalves, Fernanda Rodrigues, Rita de Sousa, Dina Oliveira, Joana Bettencourt, Diana Mendes, Inês Mateus de Cunha, Sara Pocinho and 7 more

Open access · diamondAbstract read
In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

17 authors at 5 institutions in 2 countries.

Berta Grau-PujolCenter for Public Health Emergencies, Directorate-General of Health, Lisbon, Portugal.
João Vieira MartinsDirectorate of Information and Analysis, Directorate-General of Health, Lisbon, Portugal.
Isabel GoncalvesHospital Pediátrico, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Fernanda RodriguesHospital Pediátrico, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Rita de SousaInfectious Diseases Department, National Institute of Health Doctor Ricardo Jorge, Lisboa, Portugal.
Dina OliveiraDivision of Sexual, Reproductive, Child and Youth Health, Directorate-General of Health, Lisbon, Portugal.
Joana BettencourtNational Program for Viral Hepatitis, Directorate-General of Health, Lisbon, Portugal.
Diana MendesDivision of Communication and Public Relationships, Directorate-General of Health, Lisbon, Portugal.
Inês Mateus de CunhaCenter for Public Health Emergencies, Directorate-General of Health, Lisbon, Portugal.
Sara PocinhoCentro Hospitalar Lisboa Ocidental, Lisboa, Portugal.
Ana FirmeCenter for Public Health Emergencies, Directorate-General of Health, Lisbon, Portugal.
Benvinda Estela Dos SantosDivision of Disease Prevention and Health Promotion, Directorate-General of Health, Lisbon, Portugal.
André Peralta SantosComprehensive Health Research Centre (CHRC), Escola Nacional de Saúde Pública, Universidade NOVA de Lisboa, Lisboa, Portugal.
Maria João AlbuquerqueDirectorate of Information and Analysis, Directorate-General of Health, Lisbon, Portugal.
Pedro Pinto-LeiteDirectorate of Information and Analysis, Directorate-General of Health, Lisbon, Portugal.
Rui Tato MarinhoCentro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.
Paula VasconcelosCenter for Public Health Emergencies, Directorate-General of Health, Lisbon, Portugal.
Direção Geral do Território · PTHospitais da Universidade de Coimbra · PTCentro Hospitalar de Lisboa Ocidental · PTNational Institute of Health Dr. Ricardo Jorge · PTUniversity of Lisbon · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

On 5 April 2022, the United Kingdom reported an increase of cases of severe acute hepatitis of unknown aetiology in children, several needing hospitalisation and some required liver transplant or died. Thereafter, 35 countries reported probable cases, almost half of them in Europe. Facing the alert, on 28 April, Portugal created a multidisciplinary Task Force (TF) for rapid detection of probable cases and response. The experts of the TF came from various disciplines: clinicians, laboratory experts, epidemiologists, public health experts and national and international communication. Moreover, Portugal adopted the European Centre for Disease Prevention and Control (ECDC) and the World Health Organization (WHO) case definition and recommendations. By 31 December 2022, 28 probable cases of severe acute hepatitis of unknown aetiology were reported: 16 male and 17 aged under 2 years. Of these cases, 23 were hospitalised but none required liver transplant or died. Adenovirus was detected from nine of 26 tested cases. No association was observed between adenovirus infection and hospital admission after adjusting for age, sex and region in a binomial regression model. The TF in Portugal may have contributed to increase awareness among clinicians, enabling early detection and prompt management of the outbreak.

Indexed as

HepatitisLiver TransplantationAcute DiseaseAgedChildDisease OutbreaksEuropeHumansMalePortugalacute hepatitis unknown originadenoviruscross-border threatEuropehospitalisationliver transplantoutbreak responsepaediatrics

Identifiers

PMID37733237
PMCPMC10515495
OpenAlexW4386910268

What OpenQuestion holds

Textmetadata
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.