Evidence map›Paper›PMID 40917912›Full record

ReviewCureus2025

The Utility of Troponin in Predicting Cardiac Dysfunction in Pediatric Patients: A Meta-Analysis.

Rachna Kadakia, Corneila Muntean, Lauren R Klein, Sarah Eckardt, Cameron E Kalin, Lauren Rothburd, Catherine Caronia, Patricia A Eckardt

Abstract readReview
In one paragraph

Review in Cureus, 2025. 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

8 authors.

Rachna KadakiaPediatric Emergency Medicine, Good Samaritan University Hospital, West Islip, USA.
Corneila MunteanPediatric Emergency Medicine, Good Samaritan University Hospital, West Islip, USA.
Lauren R KleinEmergency Medicine, Good Samaritan University Hospital, West Islip, USA.
Sarah EckardtHospital Administration/Process Improvement, Northwell Health, Huntington, USA.
Cameron E KalinPediatrics, Cohen Children's Medical Center/Long Island Jewish Medical Center, New Hyde Park, USA.
Lauren RothburdTrauma, Good Samaritan University Hospital, West Islip, USA.
Catherine CaroniaPediatrics, Good Samaritan University Hospital, West Islip, USA.
Patricia A EckardtNursing, Good Samaritan University Hospital, West Islip, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the management of adults, troponins are routinely used to detect acute coronary syndrome and to predict increased risk of mortality. However, there is limited information available on the utility of troponin for risk assessment in children with chest pain. This study aimed to investigate whether elevated troponin in pediatric patients (0-21 years of age, as per guidelines during the sampling timeframe) presenting with chest pain has a role as a prognostic biomarker for myocardial dysfunction. In a systematic review and meta-analysis, searches were scoped with language restriction to English on PubMed and Cochrane from their inception to 2023. Evidence included studies reporting the association of elevated troponin with myocardial dysfunction. A summary of odds ratios for the association of elevated troponin with myocardial dysfunction was generated. The Quality in Prognosis Studies tool was used to assess methodological quality. Six studies involving 3,144 patients presenting with chest pain were included in the analysis. The risk of myocardial dysfunction was greater in subjects with elevated troponin than in those without (odds ratio, 3.30; 95% confidence interval, 2.19-4.40). Considerable interstudy heterogeneity (I

Indexed as

cardiacchest painemergency departmentpediatrictroponin

Identifiers

PMID40917912
PMCPMC12409762

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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.