Evidence map›Paper›PMID 42106053›Full record

Observational studyMediators of inflammation2026

Admission Serum Ferritin Levels as a Predictor of Severe Disease in Hospitalized Pediatric Patients in Mexico.

Grecia Abigayl Turrubiates-Hernandez, Jose Eduardo Mares-Gil, Carlos de la Cruz-de la Cruz, Oscar Tamez-Rivera

Abstract readObservational Study
In one paragraph

Observational study in Mediators of inflammation, 2026. 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. Observational
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

4 authors.

Grecia Abigayl Turrubiates-HernandezTecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Avenue Morones Prieto 3000, Monterrey, 64710, Nuevo León, Mexico, tec.mx.ORCID https://orcid.org/0000-0002-9179-3047
Jose Eduardo Mares-GilTecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Avenue Morones Prieto 3000, Monterrey, 64710, Nuevo León, Mexico, tec.mx.
Carlos de la Cruz-de la CruzHematology Department, Facultad de Medicina y Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico, uanl.mx.
Oscar Tamez-RiveraTecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Avenue Morones Prieto 3000, Monterrey, 64710, Nuevo León, Mexico, tec.mx.ORCID https://orcid.org/0000-0002-1199-7884

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBiomarkers that predict the severity of a disease on admission would be a valuable tool for pediatricians. Ferritin has been proposed as a predictive biomarker for various conditions; however, multiple thresholds have been described depending on the diagnosis. A threshold for severe pediatric disease regardless of the final diagnosis is lacking. MATERIAL AND

methodsWe performed a single-center retrospective observational study of patients admitted to the emergency department (ED) of a pediatric reference hospital in Mexico. Serum ferritin levels were requested to all admitted patients <16 years old and included in the study. Risk prediction models for various clinical outcomes were built using receiver operating characteristic (ROC) curves.

resultsAdmission ferritin levels were significantly higher in patients who required vasopressors (p  < 0.001), blood transfusion (p  < 0.001), and admission to the pediatric intensive care unit (PICU; p  < 0.001). Patients with admission ferritin >500 ng/mL had a longer hospital stay (p = 0.037). Admission ferritin was a predictor of all-cause mortality (area under the curve [AUC] = 0.67, 95% confidence interval [CI]: 0.54-0.80, p = 0.009; sensitivity 55%, specificity 76.3%). A cut-off point of 385 ng/mL was associated with mortality (OR 3.21, 95% CI: 1.29-7.97).

conclusionWe provide evidence that ferritin may be used as a predictive biomarker in the pediatric ED. In our study, ferritin levels on admission predicted all-cause mortality. Multicenter studies are required to validate our findings in a larger sample.

Indexed as

FerritinsAdolescentBiomarkersChildChild, PreschoolFemaleHospitalizationHumansInfantIntensive Care Units, PediatricMaleMexicoRetrospective StudiesROC CurveBiomarkersFerritinsferritinpredictorseverity

Identifiers

PMID42106053
PMCPMC13157303

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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.