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. 2019 Aug 19;96(2):159–167. doi: 10.1016/j.jped.2019.07.003

Table 2.

Summary of studies considering risk factors associated with the outcome of pediatric bacterial meningitis.

Quality assessment Quality
Studies Study design Methodological bias Inconsistency Indirect evidence Imprecision Publication bias
Risk factors associated with the outcome of pediatric bacterial meningitis
17 8 prospective cohort No severe limitationa Severe inconsistencyb No important indirect evidencec Severe imprecisiond No important publication biase Very lowf
6 retrospective cohort
2 case-control
1 cross-sectional
a

All the studies were observational, presenting a greater risk of bias.

b

Given that these were not meta-analyses, I2 was not calculated.

c

Although the studies presented methodological differences between themselves and based on the population, exposition, comparison, outcome, and study type (PECOS) analysis of the review, no important indirect evidence was observed.

d

The absolute effect (difference between the exposed and non-exposed groups) was not calculated because the studies did not present effect measures.

e

Despite few studies found, an extensive search was conducted in several databases and the references of the studies. There was no language restriction.

f

The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) quality of evidence in the review was very low, since it had already begun with a low level of evidence, given that only observational studies were found.