Evidence map›Paper›PMID 39074954›Full record

SynthesisBMJ paediatrics open2024

Signs and symptoms of serious illness in infants aged up to 6 months: rapid review of clinical guidelines.

Inocencio Daniel Cortes Maramba, Emma Lim, Julie Christine Menzies, Ruud Nijman, ShangMing Zhou, Jos M Latour

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ paediatrics open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Inocencio Daniel Cortes MarambaSchool of Nursing and Midwifery, Faculty of Health, University of Plymouth, Plymouth, UK.ORCID http://orcid.org/0000-0002-5464-6021
Emma LimPaediatric Immunology, Infectious Diseases & Allergy, Great North Children's Hospital, Newcastle Upon Tyne, UK.
Julie Christine MenziesInstitute of Clinical Sciences, University of Birmingham College of Medical and Dental Sciences, Birmingham, UK julie.menzies@uhbw.nhs.uk.ORCID http://orcid.org/0000-0003-2080-3364
Ruud NijmanDepartment of Paediatric Emergency Medicine, Imperial College Healthcare NHS Trust Paediatrics, London, UK.
ShangMing ZhouSchool of Nursing and Midwifery, Faculty of Health, University of Plymouth, Plymouth, UK.
Jos M LatourSchool of Nursing and Midwifery, Faculty of Health, University of Plymouth, Plymouth, UK.ORCID http://orcid.org/0000-0002-8087-6461

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a need to empower parents and carers of young infants to recognise signs of serious illness and to act on these appropriately. Compiling the signs and symptoms of serious illness in infants found in clinical guidelines will support the evidence-based update of the 30+-year-old content of the Baby Check App to empower parents and carers.

objectiveTo systematically review clinical guidelines for signs and symptoms related to serious illness in infants aged 6 months and below.

methodsA rapid review was carried out by searching PubMed, CINAHL, NICE, Cochrane and Embase for clinical guidelines reporting signs and symptoms of serious illness in young infants. The time period was restricted from 2018 to 2023. Only guidelines published in English were included.

resultsFourteen clinical guidelines from 2307 retrieved articles were reviewed. Sixty signs and symptoms indicative of serious illness in infants were identified from the clinical guidelines. The guidelines originated from the UK (n=9, 65%), Italy (n=1, 7%), South Africa (n=1, 7%), Switzerland (n=1, 7%), USA (n=1, 7%), UK and USA (n=1, 7%). The 10 most frequent signs and symptoms were decreased consciousness, tachypnoea, looks seriously unwell to a health professional, high fever, central cyanosis, apnoea, seizures, frequent vomiting, non-blanching rash and noisy breathing.

conclusionsKnowledge of the most frequently occurring signs and symptoms that were found in the reviewed guidelines will contribute to the update of the content of the Baby Check App. This will ensure that guidance for parents and carers is consistent with the current evidence base.

Indexed as

Practice Guidelines as TopicCritical IllnessHumansInfantInfant, Newbornchild healthinfantinformation technology

Identifiers

PMID39074954
PMCPMC11288158

What OpenQuestion holds

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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.