Evidence map›Paper›PMID 40220126›Full record

ReviewEuropean journal of pediatrics2025

Aspects of triage for infants: a narrative review.

Anouk Hopman, Elise S Talsma, Dennis O Mook-Kanamori, Arjan B Te Pas, Ilona C Narayen

Abstract readReview
In one paragraph

Review in European journal of pediatrics, 2025. 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
–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

1 citing paper in PubMed.

  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

5 authors.

Anouk HopmanDivision of Neonatology, Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands. a.hopman@lumc.nl.ORCID http://orcid.org/0000-0002-7961-5344
Elise S TalsmaDepartment of Pediatrics, Radboud University Medical Center, Nijmegen, The Netherlands.
Dennis O Mook-KanamoriDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Arjan B Te PasDivision of Neonatology, Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands.
Ilona C NarayenDepartment of Pediatrics, Rode Kruis Ziekenhuis, Beverwijk, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infants under 1 year old frequently visit the general practitioner with acute illnesses. Assessing the severity of illness in this group can be challenging as signs and symptoms may be observed in both sick and healthy infants. Current triage systems are primarily designed for older children and adults and have been validated mainly in high-prevalence settings, such as emergency departments. As a result, these systems often result in undertriage, which can lead to delayed treatment and adverse outcomes.

conclusionThis review reports the existing triage and scoring systems, currently used in infants. We discuss the strengths and limitations of this systems. Furthermore, we explore how the integration of clinical features with vital signs, such as heart rate and oxygen saturation, can improve the accuracy of triage for infants. The BabyCheck, validated for use in primary care for infants under 6 months of age, and the use of pulse oximetry offer promising improvements. Further research is essential to develop and validate an optimal triage system for infants under one year of age in the general practitioner setting. WHAT IS KNOWN: • Current triage systems are widely used in emergency departments but show limitations, especially when applied to infants. • These existing triage systems often result in undertriage or overtriage, which can lead to either unnecessary healthcare utilization or delayed treatment for serious conditions. WHAT IS NEW: • Combining vital signs such as heart rate and oxygen saturation with clinical features, may improve the accuracy of triage systems for infants.

Indexed as

TriageEmergency Service, HospitalHumansInfantInfant, NewbornSeverity of Illness IndexVital SignsInfantsPrimary careTriageVital signs

Identifiers

PMID40220126
PMCPMC11993451

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.