Evidence map›Paper›PMID 35771382›Full record

ReviewWorld journal of pediatrics : WJP2022

Diagnosis, treatment, and prevention of severe acute hepatitis of unknown etiology in children.

Ying-Hu Chen, Jin-Gan Lou, Zi-Hao Yang, Qing-Jiang Chen, Chun-Zhen Hua, Sheng Ye, Chen-Mei Zhang, Jie Chen, Zong-Wei Huang, Jin-Dan Yu and 2 more

Open access · hybridAbstract readReview
In one paragraph

Review in World journal of pediatrics : WJP, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 12% of its field
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

8 citing papers in PubMed, 19 citations in OpenAlex.

  1. Enterovirus infections in children.Pediatric investigation · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Monkeypox Virus and Other Emerging Outbreaks: An Overview and Future Perspective.Inquiry : a journal of medical care organization, provision and financing
    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

12 authors at 1 institution in 1 country.

Ying-Hu ChenInfectious Disease Department, National Clinical Research Center for Child Health, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, 310052, China.
Jin-Gan LouGastroenterology Department, National Clinical Research Center for Child Health, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, 310052, China.
Zi-Hao YangPICU, National Clinical Research Center for Child Health, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, 310052, China.
Qing-Jiang ChenGeneral Surgery Department, National Clinical Research Center for Child Health, Children's Hospital, Zhejiang University School of Medicine, Binsheng Road 3333, Hangzhou, 310052, China.
Chun-Zhen HuaInfectious Disease Department, National Clinical Research Center for Child Health, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, 310052, China.
Sheng YePICU, National Clinical Research Center for Child Health, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, 310052, China.
Chen-Mei ZhangPICU, National Clinical Research Center for Child Health, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, 310052, China.
Jie ChenGastroenterology Department, National Clinical Research Center for Child Health, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, 310052, China.
Zong-Wei HuangGeneral Surgery Department, National Clinical Research Center for Child Health, Children's Hospital, Zhejiang University School of Medicine, Binsheng Road 3333, Hangzhou, 310052, China.
Jin-Dan YuGastroenterology Department, National Clinical Research Center for Child Health, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, 310052, China.
Zhi-Gang GaoGeneral Surgery Department, National Clinical Research Center for Child Health, Children's Hospital, Zhejiang University School of Medicine, Binsheng Road 3333, Hangzhou, 310052, China. ebwk@zju.edu.cn.
Qiang ShuGeneral Surgery Department, National Clinical Research Center for Child Health, Children's Hospital, Zhejiang University School of Medicine, Binsheng Road 3333, Hangzhou, 310052, China. shuqiang@zju.edu.cn.
Children's Hospital of Zhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere acute hepatitis of unknown etiology in children has recently exhibited a global trend of concentrated occurrence. This review aimed to summarize the current available information regarding the outbreak of severe acute hepatitis and introduce our hospital's previous experiences with the diagnosis and treatment of severe acute hepatitis for reference. DATA SOURCES: Websites including the UK Health Security Agency, European Centre for Disease Prevention and Control, CDC, WHO, and databases including PubMed/Medline, Cochrane Library, Embase and Web of Science were searched for articles on severe acute hepatitis in children.

resultsAs of May 26, 2022, a total of 650 cases have been reported in 33 countries; at least 38 (6%) children required liver transplantation, and nine (1%) died. Cases are predominantly aged between 3 and 5 years old, and there are no epidemiological links among them. The common manifestations are jaundice, vomiting and pale stools. Adenovirus tested positive in most cases, and SARS-CoV-2 and other viruses were detected in a few cases, but virus particles were not found in liver tissue. Adenovirus immunohistochemistry showed immunoreactivity in the intrasinusoidal lumen from some liver samples. The hierarchical treatment includes symptomatic and supportive therapy, management of coagulation disorders and hepatic encephalopathy, artificial liver support, and liver transplantation (approximately 6%-10% of cases require liver transplant).

conclusionsThe etiology of this severe acute hepatitis in children is not clear. The clinical features are severe acute hepatitis with significantly elevated liver enzymes. Clinicians need to be alert to children with hepatitis.

Indexed as

HepatitisAcute DiseaseChildChild, PreschoolHumansAcute HepatitisDiagnosisEpidemiologyPediatricsTreatment

Identifiers

PMID35771382
PMCPMC9244883
OpenAlexW4283741297

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.