Evidence map›Paper›PMID 37740208›Full record

ArticleItalian journal of pediatrics2023

Predictive value of chemokines (CCL 2) in bronchoalveolar lavage fluid for refractory mycoplasma pneumonia in children.

Jiangwei Zhu, Xue Liu, Xiaowen Zhan, Mengzhu Wang, Yuling Zhang, Li Na, Shujun Li

Abstract read
In one paragraph

Article in Italian journal of pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  5. Article
  6. Article
  7. Case Report: PositiveFrontiers in pediatrics · 2025
    Article
  8. Biomarkers associated with the diagnosis and prognosis ofFrontiers in cellular and infection microbiology · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Andrographolide AlleviatesIranian journal of pharmaceutical research : IJPR
    Article
  13. 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

7 authors.

Jiangwei ZhuDepartment of Pediatrics, Huanghe Sanmenxia Hospital, Sanmenxia, 472000, China.
Xue LiuDepartment of Pediatrics, The First Affiliated Hospital of Xinxiang Medical University, No.88 of Jiankang road, Weihui, 453100, Henan province, China.
Xiaowen ZhanDepartment of Pediatrics, The First Affiliated Hospital of Xinxiang Medical University, No.88 of Jiankang road, Weihui, 453100, Henan province, China.
Mengzhu WangDepartment of Pediatrics, The First Affiliated Hospital of Xinxiang Medical University, No.88 of Jiankang road, Weihui, 453100, Henan province, China.
Yuling ZhangDepartment of Pediatrics, The First Affiliated Hospital of Xinxiang Medical University, No.88 of Jiankang road, Weihui, 453100, Henan province, China.
Li NaDepartment of Pediatrics, Huanghe Sanmenxia Hospital, Sanmenxia, 472000, China.
Shujun LiDepartment of Pediatrics, The First Affiliated Hospital of Xinxiang Medical University, No.88 of Jiankang road, Weihui, 453100, Henan province, China. lishujun12023@163.com.

Funding

Sanmenxia Science and Technology Research Project No. 2022002088Science and Technology Project of China Water Resources and Hydropower Eleventh Engineering Bureau Co., Ltd. Science and Technology Project of China Water Resources and Hydropower Eleventh Engineering Bureau Co., Ltd.
6 · The paper itself

Abstract

backgroundThere are relatively few studies investigating C-C motif chemokine ligand 2 (CCL2) level in bronchoalveolar lavage fluid (BALF) in children with Mycoplasma pneumoniae pneumonia (MPP), and the relationship between CCL2 level in BALF and refractory mycoplasma pneumoniae pneumonia (RMPP) is unclear. This study aims to explore the relationship between chemokine CCL2 level in BALF and clinical characteristics and clinical outcome in children with MPP.

methodsA total of 51 children with confirmed acute MPP and requiring bronchoalveolar lavage in Department of Pediatrics, Huanghe Sanmenxia Hospital and The First Clinical College of Xinxiang Medical University from October 2021 to February 2023 were selected as the study group. And 11 children with bronchial foreign body were selected as the control group. The study group was divided into the non-refractory mycoplasma pneumoniae pneumonia (NRMPP) group and the RMPP group based on the response to treatment. BALF and clinical data of the patients were collected. And CCL2 levels were tested in the patients. Differences in CCL2 level in BALF and clinical characteristics were tested and compared.

resultsThe CCL2 level in BALF of the study group was higher than that of the control group, with significant difference (P < 0.05). With ROC curve, the area under the curve (AUC) of CCL2 in BALF predicting RMPP was 0.94, the cut-off value was 0.645 ng/ml, the sensitivity was 85%, and the specificity was 94%, and the diagnostic value was better than that of serum CRP and LDH. Logistic regression analysis was used to build the RMPP prediction model, and CCL2 showed good predictive value.

conclusionThe level of CCL2 in BALF was high in children with MPP and had a high predictive value for RMPP. CCL2 can be used as one of the biomarkers for predicting RMPP.

Indexed as

Foreign BodiesPneumonia, MycoplasmaBronchoalveolar Lavage FluidChemokinesChildDimercaprolHumansChemokinesDimercaprolBronchoalveolar lavage fluidCCL2ChildrenMycoplasma pneumoniae pneumoniaRefractory

Identifiers

PMID37740208
PMCPMC10517484

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Registered trials

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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.