Evidence map›Paper›PMID 37869403›Full record

ArticleOpen forum infectious diseases2023

Impact of SARS-CoV-2 Infection on the Association Between Laboratory Tests and Severe Outcomes Among Hospitalized Children.

Jianling Xie, Nathan Kuppermann, Todd A Florin, Daniel J Tancredi, Anna L Funk, Kelly Kim, Marina I Salvadori, Adriana Yock-Corrales, Nipam P Shah, Kristen A Breslin and 43 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

53 authors at 20 institutions in 10 countries.

Jianling XieUniversity of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0002-0986-154X
Nathan KuppermannDavis School of Medicine, University of California, Sacramento, California, USA.
Todd A FlorinAnn and Robert H. Lurie Children's Hospital of Chicago, Northwestern University, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0002-4387-2605
Daniel J TancrediDavis School of Medicine, University of California, Sacramento, California, USA.
Anna L FunkUniversity of Calgary, Calgary, Alberta, Canada.
Kelly KimUniversity of Calgary, Calgary, Alberta, Canada.
Marina I SalvadoriPublic Health Agency of Canada, Ottawa, Ontario, Canada.
Adriana Yock-CorralesHospital Nacional de Niños ¨Dr. Carlos Sáenz Herrera", CCSS, San José, Costa Rica.
Nipam P ShahUniversity of Alabama at Birmingham, Birmingham, Alabama, USA.
Kristen A BreslinChildren's National Hospital, Washington, DC, USA.
Pradip P ChaudhariUniversity of Southern California, Los Angeles, California, USA.
Kelly R BergmannChildren's Minnesota, Minneapolis, Minnesota, USA.
Fahd A AhmadWashington University School of Medicine, St.Louis, Missouri, USA.ORCID https://orcid.org/0000-0001-5919-6835
Jasmine R NebhrajaniSt.Mary's Medical Center, West Palm Beach, Florida, USA.
Santiago MintegiUniversity of the Basque Country, UPV/EHU Bilbao, Basque Country, Spain.
Iker GangoitiUniversity of the Basque Country, UPV/EHU Bilbao, Basque Country, Spain.
Amy C PlintUniversity of Ottawa, Ottawa, Ontario, Canada.
Usha R AvvaMontefiore-Nyack Hospital, Nyack, NewYork, New York, USA.
Michael A GardinerUniversity of California San Diego, San Diego, California, USA.
Richard MalleyHarvard Medical School, Boston, Massachusetts, USA.
Yaron FinkelsteinHospital for Sick Children, Toronto, Ontario, Canada.
Stuart R DalzielUniversity of Auckland, Auckland, Auckland, New Zealand.
Maala BhattChildren's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Nirupama KannikeswaranCentral Michigan University, Detroit, Michigan, USA.
Kerry CaperellUniversity of Louisville, Louisville, Kentucky, USA.
Carmen CamposHospital Universitario Miguel Servet, Zaragoza, Spain.
Vikram J SabhaneyUniversity of British Columbia, Vancouver, British Columbia, Canada.
Shu-Ling ChongDuke-NUS Medical School, SingHealth Duke-NUS Global Health Institute, Singapore.ORCID https://orcid.org/0000-0003-4647-0019
Maren M LunoeUPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Alexander J RogersUniversity of Michigan School of Medicine, Ann Arbor, Michigan, USA.
Sarah M BeckerPrimary Children's Hospital, Intermountain Healthcare, Salt Lake City, Utah, USA.
Meredith L BorlandUniversity of Western Australia, Perth, Western Australia, Australia.
Laura F SartoriChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Viviana PavlicichUniversidad Privada del Pacífico, San Lorenzo, Paraguay.
Pedro B RinoHospital de Pediatría "Prof. Dr. Juan P. Garrahan," RIDEPLA, Buenos Aires, Argentina.
Andrea K MorrisonMedical College of Wisconsin, Milwaukee, Wisconsin, USA.
Mark I NeumanHarvard Medical School, Boston, Massachusetts, USA.
Naveen PoonaiSchulich School of Medicine & Dentistry, London, Ontario, Canada.
Norma-Jean E SimonAnn and Robert H Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
April J KamMcMaster Children's Hospital, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0002-9977-0966
Maria Y KwokColumbia University Irving Medical Center, NewYork, New York, USA.
Claudia R MorrisChildren's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Georgia, USA.
Laura PalumboASST Spedali Civili di Brescia-Pronto Soccorso Pediatrico, Brescia, Italy.
Lilliam AmbroggioUniversity of Colorado, Aurora, Colorado, USA.
Nidhya NavanandanUniversity of Colorado, Aurora, Colorado, USA.
Michelle EckerleUniversity of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Terry P KlassenUniversity of Manitoba, Winnipeg, Manitoba, Canada.
Daniel C PayneCenters for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-5871-911X
Jonathan C CherryDalhousie University, Halifax, Nova Scotia, Canada.
Muhammad WaseemLincoln Medical Center, Bronx NewYork, New York, USA.
Andrew C DixonUniversity of Alberta, Edmonton, Alberta, Canada.
Isabel Beneyto FerreHospital Francesc de Borja, Gandia, Spain.
Stephen B FreedmanUniversity of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0003-2319-6192
University of Calgary · CAHarvard University · USUniversity of California, Davis · USUniversity of Colorado Denver · USUniversity of the Basque Country · ESAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITCenters for Disease Control and Prevention · USCentral Michigan University · USChildren's Hospital of Eastern Ontario · CAChildren's Hospital of Philadelphia · USChildren's Hospital of Pittsburgh · USChildren's National · USColumbia University Irving Medical Center · USDalhousie University · CAEmory University · USGarrahan Hospital · ARHospital for Sick Children · CAHospital Nacional de Niños · CRHospital Universitario Miguel Servet · ESIntermountain Healthcare · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To assist clinicians with identifying children at risk of severe outcomes, we assessed the association between laboratory findings and severe outcomes among severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-infected children and determined if SARS-CoV-2 test result status modified the associations. Methods: We conducted a cross-sectional analysis of participants tested for SARS-CoV-2 infection in 41 pediatric emergency departments in 10 countries. Participants were hospitalized, had laboratory testing performed, and completed 14-day follow-up. The primary objective was to assess the associations between laboratory findings and severe outcomes. The secondary objective was to determine if the SARS-CoV-2 test result modified the associations. Results: We included 1817 participants; 522 (28.7%) SARS-CoV-2 test-positive and 1295 (71.3%) test-negative. Seventy-five (14.4%) test-positive and 174 (13.4%) test-negative children experienced severe outcomes. In regression analysis, we found that among SARS-CoV-2-positive children, procalcitonin ≥0.5 ng/mL (adjusted odds ratio [aOR], 9.14; 95% CI, 2.90-28.80), ferritin >500 ng/mL (aOR, 7.95; 95% CI, 1.89-33.44), D-dimer ≥1500 ng/mL (aOR, 4.57; 95% CI, 1.12-18.68), serum glucose ≥120 mg/dL (aOR, 2.01; 95% CI, 1.06-3.81), lymphocyte count <1.0 × 10 Conclusions: Specific laboratory parameters are associated with severe outcomes in SARS-CoV-2-infected children, and elevated serum procalcitonin, CRP, and D-dimer and low absolute lymphocyte and platelet counts were more strongly associated with severe outcomes in children testing positive compared with those testing negative.

Indexed as

childCOVID-19C-reactive proteinlymphopeniaprocalcitoninSARS-CoV-2

Identifiers

PMID37869403
PMCPMC10588618
OpenAlexW4387312781

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.