Evidence map›Paper›PMID 41180631›Full record

ArticleAnnals of medicine and surgery (2012)2025

Clinical decision-making in pediatric pneumonia: when to consider interventional: procedures? A retrospective cross-sectional study.

Sarah Khosropanah, Hamid Kermanshahi, Leila Ameri, Seyed Javad Seyedi, Mohammad Kheirkhah, Mohsen Rahmanian, Mahdi Parvizi Mashhadi

Abstract read
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Article in Annals of medicine and surgery (2012), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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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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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

7 authors.

Sarah KhosropanahSchool of Medicine, North Khorasan University of Medical Sciences, Bojnord, Iran.
Hamid KermanshahiDepartment of General Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
Leila AmeriParsian Imaging Center.
Seyed Javad SeyediDepartment of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Mohammad KheirkhahAkbar children's hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Mohsen RahmanianSchool of Medicine, North Khorasan University of Medical Sciences, Bojnord, Iran.
Mahdi Parvizi MashhadiClinical Research Development Unit of Akbar Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID https://orcid.org/0000-0003-2982-8744

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Complicated community-acquired pneumonia (CCAP) in children often leads to severe complications such as pleural effusion and empyema, which may require surgical intervention. This study aimed to identify clinical, laboratory, and imaging predictors of surgical management among hospitalized pediatric pneumonia cases, including both uncomplicated and complicated presentations, to reflect the real-world clinical scenario. Methods: We conducted a cross-sectional study over 3 years (May 2020-May 2023) including 500 pediatric patients hospitalized with pneumonia. The cohort included both uncomplicated and complicated cases to capture predictors of progression to surgical intervention. Patients were categorized into those requiring surgery ( Results: Key factors associated with surgical intervention included the presence of pleural effusion (odds ratio [OR] = 11.679, Conclusions: Pleural effusion, pleural peel, and thrombocytopenia are key early predictors of surgical intervention in pediatric pneumonia, especially in cases progressing to CCAP. Including the full spectrum of hospitalized pneumonia cases allows for identification of prognostic factors before complications become clinically overt. These findings emphasize the importance of comprehensive assessment to guide timely surgical management. Further multicenter studies are needed to validate these predictors and improve early identification of severe pediatric pneumonia.

Indexed as

cross-sectional studypediatric pneumoniapredictorssurgical interventionthrombocytopenia

Identifiers

PMID41180631
PMCPMC12578054

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