Evidence map›Paper›PMID 40421904›Full record

ArticleActa paediatrica (Oslo, Norway : 1992)2025

Abnormal Ultrasound Findings After a Urinary Tract Infection in Children.

Mikael Hakkola, Ida Tervo, Oskari Pieviläinen, Johan Heiskanen, Minna Honkila, Tytti Pokka, Niko Paalanne, Mika Venhola, Marja Perhomaa, Terhi Ruuska-Loewald

Abstract read
In one paragraph

Article in Acta paediatrica (Oslo, Norway : 1992), 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

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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

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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

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5 · Who and what money

Authors and funding

10 authors.

Mikael HakkolaResearch Unit of Clinical Medicine and Medical Research Centre Oulu, University of Oulu, Oulu, Finland.ORCID https://orcid.org/0009-0000-5821-0615
Ida TervoResearch Unit of Clinical Medicine and Medical Research Centre Oulu, University of Oulu, Oulu, Finland.
Oskari PieviläinenResearch Unit of Clinical Medicine and Medical Research Centre Oulu, University of Oulu, Oulu, Finland.
Johan HeiskanenResearch Unit of Clinical Medicine and Medical Research Centre Oulu, University of Oulu, Oulu, Finland.
Minna HonkilaResearch Unit of Clinical Medicine and Medical Research Centre Oulu, University of Oulu, Oulu, Finland.
Tytti PokkaResearch Unit of Clinical Medicine and Medical Research Centre Oulu, University of Oulu, Oulu, Finland.
Niko PaalanneResearch Unit of Clinical Medicine and Medical Research Centre Oulu, University of Oulu, Oulu, Finland.ORCID https://orcid.org/0000-0001-7563-6466
Mika VenholaResearch Unit of Clinical Medicine and Medical Research Centre Oulu, University of Oulu, Oulu, Finland.
Marja PerhomaaResearch Unit of Clinical Medicine and Medical Research Centre Oulu, University of Oulu, Oulu, Finland.
Terhi Ruuska-LoewaldResearch Unit of Clinical Medicine and Medical Research Centre Oulu, University of Oulu, Oulu, Finland.

Funding

Orionin TutkimussäätiöPäivikki ja Sakari Sohlbergin Säätiö
6 · The paper itself

Abstract

aimThis study aimed to investigate the occurrence of urinary tract abnormalities detected in the ultrasound screening of children after a urinary tract infection episode, regardless of their age.

methodsThis cohort study included children aged 0-16 years who underwent urinary tract ultrasound screening after a urinary tract infection between January 1, 2004, and December 31, 2015 in a paediatric university hospital in Finland. We excluded children with previously diagnosed pathologies of the urinary tract.

resultsA total of 2050 children were included in this study. Among these, 116 (5.7%, 95% confidence interval 4.7%-6.7%) children had an abnormal ultrasound. In children with pyelonephritis, 70% of the abnormal ultrasounds were found in children younger than 2 years old. Age younger than 2 years was not associated with an increased risk of abnormality (odds ratio: 0.99, 95% confidence interval 0.65-1.52). Boys and children with non-Escherichia coli urinary tract infection or recurrent urinary tract infection were associated with a higher risk of having a urinary tract abnormality.

conclusionLimiting ultrasound screening after pyelonephritis to children under 2 years of age, as recommended in many current treatment guidelines, may miss a significant proportion (30%) of children with urinary tract abnormalities.

Indexed as

Urinary Tract InfectionsAdolescentChildChild, PreschoolCohort StudiesFemaleFinlandHumansInfantInfant, NewbornMalePyelonephritisUltrasonographychildrenultrasoundurinary tract diseasesurinary tract infectionurologic disease

Identifiers

PMID40421904
PMCPMC12420872

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