Evidence map›Paper›PMID 41193963›Full record

ReviewInternational journal of emergency medicine2025

Optimizing fever management in pediatric emergency medicine: pathophysiology, diagnostics, and evidence-based strategies.

Mohamed Alsabri, Chibuike Daniel Onyejesi, Aanal Patel, Mandy Elewa, Eslam Moumen Abady, Rashmika Mohunsing, Chinonso Joshua Okolie, Syeda Alisha Zehra, Eric Lusinski

Abstract readReview
In one paragraph

Review in International journal of emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. The cycle of infectious fever - how it affects bacterial infections.Frontiers in cellular and infection microbiology · 2026
    Review
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

9 authors.

Mohamed AlsabriEmergency Department, Al-thawara Modern General Hospital, Sana'a, Yemen. alsabri5000@gmail.com.ORCID http://orcid.org/0000-0002-7278-2289
Chibuike Daniel OnyejesiLincoln Medical Center, Bronx, NY, USA.ORCID http://orcid.org/0000-0002-8645-7487
Aanal PatelDepartment of Pediatrics, The Brooklyn Hospital Center, Brooklyn, NY, USA.
Mandy ElewaDepartment of Pharmacology and Therapeutics, Faculty of Pharmacy, Kuwait University, Al-Shadadiya, Kuwait.ORCID http://orcid.org/0000-0001-9750-4413
Eslam Moumen AbadyFaculty of Medicine, Tanta university, Tanta, Gharbia governerate, Egypt.ORCID http://orcid.org/0009-0007-2087-3297
Rashmika MohunsingSt. George's University, Grenada, West Indies, USA.ORCID http://orcid.org/0000-0002-5701-6906
Chinonso Joshua OkolieSt. Ann Clinic Iyana-Osun, Lusada, Ogun State, Nigeria.
Syeda Alisha ZehraInternal Medicine, Civil Hospital, Karachi, Pakistan.ORCID http://orcid.org/0000-0002-6945-9034
Eric LusinskiSt. Christopher's Hospital for Children, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fever is a prevalent clinical manifestation in pediatrics, representing a significant proportion of emergency department (ED) visits worldwide. While fever is often benign and self-limiting, it can also indicate life-threatening infections requiring immediate intervention, particularly in neonates and immunocompromised children. This comprehensive review delves into the intricate pathophysiology of fever, exploring its dual role as a protective immune mechanism and a potential physiological risk. It critically examines diagnostic challenges, evidence-based management strategies, and global disparities in fever treatment. Special emphasis is placed on parental perceptions, the overuse of antipyretics, and the emerging role of artificial intelligence in fever diagnosis. Future directions include refining diagnostic biomarkers, implementing digital health tools, and advancing antimicrobial stewardship to curb antibiotic resistance. By improving clinical decision-making and public awareness, this review aims to optimize the management of febrile children worldwide and enhance patient outcomes.

Identifiers

PMID41193963
PMCPMC12590594

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.