Evidence map›Paper›PMID 38255334›Full record

ReviewChildren (Basel, Switzerland)2023

Update on Fever of Unknown Origin in Children: Focus on Etiologies and Clinical Approach.

Sandra Trapani, Adele Fiordelisi, Mariangela Stinco, Massimo Resti

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Children (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07074912 (Prescription Antipyretics to Decrease Unscheduled Return Visits In A Pediatric Emergency Department), which is not on this 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
6.6field-weighted citation impact, top 3% 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.

NCT07074912 narecruitingnot on this mapstarted 2024, after this paper: background citation

Prescription Antipyretics to Decrease Unscheduled Return Visits In A Pediatric Emergency Department

TypeinterventionalSponsorUniversity of Texas at AustinRan2024 to 2026Enrolled440ConditionsFeverArmsPrescription for weight-based dosing of antipyretic, Standard discharge instructions
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Guideline
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  3. Review
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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

4 authors at 1 institution in 1 country.

Sandra TrapaniDepartment of Health Sciences, University of Florence, 50139 Florence, Italy.ORCID 0000-0003-1105-1500
Adele FiordelisiPediatric Unit, Meyer Children's Hospital IRCCS, 50139 Florence, Italy.
Mariangela StincoLiver Unit, Meyer Children's Hospital IRCCS, 50139 Florence, Italy.
Massimo RestiPediatric Unit, Meyer Children's Hospital IRCCS, 50139 Florence, Italy.
Meyer Children's Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fever of unknown origin (FUO) can be caused by four etiological categories of diseases. The most common cause of FUO in children is represented by infections, followed by inflammatory conditions and neoplastic causes; a decreasing quote remains still without diagnosis. Despite the fact that several diagnostic and therapeutic approaches have been proposed since the first definition of FUO, none of them has been fully validated in pediatric populations. A focused review of the patient's history and a thorough physical examination may offer helpful hints in suggesting a likely diagnosis. The diagnostic algorithm should proceed sequentially, and invasive testing should be performed only in select cases, possibly targeted by a diagnostic suspect. Pioneering serum biomarkers have been developed and validated; however, they are still far from becoming part of routine clinical practice. Novel noninvasive imaging techniques have shown promising diagnostic accuracy; however, their positioning in the diagnostic algorithm of pediatric FUO is still not clear. This narrative review aims to provide a synopsis of the existent literature on FUO in children, with its major causes and possible diagnostic workup, to help the clinician tackle the complex spectrum of pediatric FUO in everyday clinical practice.

Indexed as

childrenfever of unknown origininfectiousinflammatoryneoplasticworkup

Identifiers

PMID38255334
PMCPMC10814770
OpenAlexW4390176489

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.