Evidence map›Paper›PMID 40501008›Full record

ArticleClinical pediatrics2025

Clinical Yield of Acute Inflammatory Markers in the Pediatric Emergency Department.

Brandon Trandai, Dalia Husainy, Andrea Rivera-Sepulveda

Abstract read
In one paragraph

Article in Clinical pediatrics, 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

3 authors.

Brandon TrandaiDepartment of Pediatrics, Nemours Children's Health, Orlando, FL, USA.
Dalia HusainyUniversity of Central Florida College of Medicine, Orlando, FL, USA.
Andrea Rivera-SepulvedaDivision of Emergency Medicine and Urgent Care, Department of Pediatrics, Nemours Children's Health, Orlando, FL, USA.ORCID 0000-0002-8423-3981

Funding

AHRQ HHS K12 HS026393
6 · The paper itself

Abstract

The use of inflammatory markers (IMs) in the pediatric emergency department (PED) is broad and non-specific. This retrospective, cross-sectional study of children aged 3 months to 18 years evaluated the use of IMs in the PED. The reasons for IM use were provider practice (38%), ruling out a differential diagnosis (36%), and presence of comorbidities (18%). IMs are commonly used for gastroenterology, infectious diseases, and orthopedic diseases. A third had IMs without an indication. Forty-six percent of IM testing was indicated based on medical documentation, of which only 21% had abnormal IMs. Compared to the abnormal IM values by the on-site laboratory, the IM assessment using a receiver operating characteristic (ROC) curve threshold criterion had improved specificity and negative predictive value (NPV) based on the reason for IM use. This study suggests that the rate of abnormal IMs is low and does not affect patient outcomes in the PED.

Indexed as

Emergency Service, HospitalInflammationAdolescentBiomarkersChildChild, PreschoolCross-Sectional StudiesDiagnosis, DifferentialFemaleHumansInfantMaleRetrospective StudiesSensitivity and SpecificityBiomarkersc-reactive proteindiagnostic stewardshiperythrocyte sedimentation rateinflammatory markerspediatric emergency medicine

Identifiers

PMID40501008
PMCPMC12160580

What Socratic holds

Textmetadata
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.