Multicentre Delphi study of physicians resulted in quality indicators for young infants with fever without source in emergency departments
Aim Managing febrile infants has evolved without a generally accepted standard of care. We aimed to design quality indicators for managing infants ≤90 days old presenting to emergency departments (EDs) with fever without source. Methods This multicentre Delphi study was carried out by the Febrile In...
Gespeichert in:
| Veröffentlicht in: | Acta Paediatrica 2023-09, Vol.112 (9), p.1962-1969 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext bestellen |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1969 |
|---|---|
| container_issue | 9 |
| container_start_page | 1962 |
| container_title | Acta Paediatrica |
| container_volume | 112 |
| creator | Velasco, Roberto Lejarzegi, Ainara Andina, David Gomez, Borja Izarzugaza, Estíbaliz Mintegi, Santiago Cámara, Amaia Muñoz, Ana González, Andres Pizà, Anna Francisco, Antonio García‐Vao, Carlos Ferrero, Clara Coderch, Clàudia De la Rosa, Daniel Amasorrain, Jone Díaz, Laura González, Leticia Carbonero, Maria José Plana, Mariano Clerigue, Nuria Gilabert, Núria Fernández, Ramón Moya, Sandra Pons, Sara Gómez, Virginia |
| description | Aim
Managing febrile infants has evolved without a generally accepted standard of care. We aimed to design quality indicators for managing infants ≤90 days old presenting to emergency departments (EDs) with fever without source.
Methods
This multicentre Delphi study was carried out by the Febrile Infant Study Group of the Spanish Paediatric Emergency Research Network, from March 2021 to November 2021, and included paediatric emergency physicians from 24 Spanish EDs. A list of care standards was produced, following an extensive literature review and the involvement of all parties. Indicators were essential if they were voted by four panelists and also received a score of ≥4 from at least 95% of the 24 investigators.
Results
We established 20 indicators, including one related to having a protocol, two to triage, nine to diagnostic processes, six to treatment and two to disposition. The following indicators were considered essential: having an ED management protocol, performing urinalysis on every infant, obtaining a blood culture from every infant and administering antibiotics in the ED to any febrile infant who did not appear well.
Conclusion
The Delphi method resulted in a comprehensive list of quality indicators for managing febrile young infants in Spanish EDs. |
| doi_str_mv | 10.1111/apa.16851 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_24P</sourceid><recordid>TN_cdi_proquest_miscellaneous_2816764656</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2847571476</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3531-6324cda0860f393e351a5c24eab291c8972057a17424ef112b5b2b4ac74b6d233</originalsourceid><addsrcrecordid>eNp1kU1P3DAQhq2Kqiy0h_6ByhKXcgj429njCgpUomoP7TlynAlrlMTBH6D8BX51vSztoVLn4tHo0TMevQh9pOSMljo3szmjqpb0DVpRJWnFGNMHaEVqwivJJD9ERzHeE8L4Wqh36JBrRjiT9Qo9f8tDchamFABfwjBvHY4pdwv2PZ63S3TWmSniALGA0GE34YdsBpeW0nbOmuRDxL0PePF5uivD3kwp4ieXtriHRwgvrc8JR5-DhZ0BRgh3MNkFdzCbkMayP75Hb3szRPjw-h6jX1dffl7cVLffr79ebG4ryyWnleJM2M6QWpGerzlwSY20TIBp2Zrael1uk9pQLcqsp5S1smWtMFaLVnWM82P0ee-dg3_IEFMzumhhGMwEPseG1VRpJZRUBT35B70vN0zld4USWmoq9I463VM2-BgD9M0c3GjC0lDS7AJqSkDNS0CF_fRqzO0I3V_yTyIFON8DT26A5f-mZvNjs1f-BpWzm_o</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2847571476</pqid></control><display><type>article</type><title>Multicentre Delphi study of physicians resulted in quality indicators for young infants with fever without source in emergency departments</title><source>Wiley Online Library Open Access</source><creator>Velasco, Roberto ; Lejarzegi, Ainara ; Andina, David ; Gomez, Borja ; Izarzugaza, Estíbaliz ; Mintegi, Santiago ; Cámara, Amaia ; Muñoz, Ana ; González, Andres ; Pizà, Anna ; Francisco, Antonio ; García‐Vao, Carlos ; Ferrero, Clara ; Coderch, Clàudia ; De la Rosa, Daniel ; Amasorrain, Jone ; Díaz, Laura ; González, Leticia ; Carbonero, Maria José ; Plana, Mariano ; Clerigue, Nuria ; Gilabert, Núria ; Fernández, Ramón ; Moya, Sandra ; Pons, Sara ; Gómez, Virginia</creator><creatorcontrib>Velasco, Roberto ; Lejarzegi, Ainara ; Andina, David ; Gomez, Borja ; Izarzugaza, Estíbaliz ; Mintegi, Santiago ; Cámara, Amaia ; Muñoz, Ana ; González, Andres ; Pizà, Anna ; Francisco, Antonio ; García‐Vao, Carlos ; Ferrero, Clara ; Coderch, Clàudia ; De la Rosa, Daniel ; Amasorrain, Jone ; Díaz, Laura ; González, Leticia ; Carbonero, Maria José ; Plana, Mariano ; Clerigue, Nuria ; Gilabert, Núria ; Fernández, Ramón ; Moya, Sandra ; Pons, Sara ; Gómez, Virginia ; Spanish Pediatric Emergency Research Network Febrile Infant Study Group ; the Spanish Pediatric Emergency Research Network Febrile Infant Study Group</creatorcontrib><description>Aim
Managing febrile infants has evolved without a generally accepted standard of care. We aimed to design quality indicators for managing infants ≤90 days old presenting to emergency departments (EDs) with fever without source.
Methods
This multicentre Delphi study was carried out by the Febrile Infant Study Group of the Spanish Paediatric Emergency Research Network, from March 2021 to November 2021, and included paediatric emergency physicians from 24 Spanish EDs. A list of care standards was produced, following an extensive literature review and the involvement of all parties. Indicators were essential if they were voted by four panelists and also received a score of ≥4 from at least 95% of the 24 investigators.
Results
We established 20 indicators, including one related to having a protocol, two to triage, nine to diagnostic processes, six to treatment and two to disposition. The following indicators were considered essential: having an ED management protocol, performing urinalysis on every infant, obtaining a blood culture from every infant and administering antibiotics in the ED to any febrile infant who did not appear well.
Conclusion
The Delphi method resulted in a comprehensive list of quality indicators for managing febrile young infants in Spanish EDs.</description><identifier>ISSN: 0803-5253</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.16851</identifier><identifier>PMID: 37203258</identifier><language>eng</language><publisher>Norway: Wiley Subscription Services, Inc</publisher><subject>Antibiotics ; Babies ; bacterial infection ; Blood culture ; Delphi method ; emergency ; Emergency medical care ; Fever ; infant ; Infants ; Literature reviews ; Pediatrics ; quality ; Urinalysis</subject><ispartof>Acta Paediatrica, 2023-09, Vol.112 (9), p.1962-1969</ispartof><rights>2023 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd</rights><rights>2023 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.</rights><rights>2023 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3531-6324cda0860f393e351a5c24eab291c8972057a17424ef112b5b2b4ac74b6d233</citedby><cites>FETCH-LOGICAL-c3531-6324cda0860f393e351a5c24eab291c8972057a17424ef112b5b2b4ac74b6d233</cites><orcidid>0000-0003-0073-2650</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fapa.16851$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fapa.16851$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,11562,27924,27925,45574,45575,46052,46476</link.rule.ids><linktorsrc>$$Uhttps://onlinelibrary.wiley.com/doi/abs/10.1111%2Fapa.16851$$EView_record_in_Wiley-Blackwell$$FView_record_in_$$GWiley-Blackwell</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37203258$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Velasco, Roberto</creatorcontrib><creatorcontrib>Lejarzegi, Ainara</creatorcontrib><creatorcontrib>Andina, David</creatorcontrib><creatorcontrib>Gomez, Borja</creatorcontrib><creatorcontrib>Izarzugaza, Estíbaliz</creatorcontrib><creatorcontrib>Mintegi, Santiago</creatorcontrib><creatorcontrib>Cámara, Amaia</creatorcontrib><creatorcontrib>Muñoz, Ana</creatorcontrib><creatorcontrib>González, Andres</creatorcontrib><creatorcontrib>Pizà, Anna</creatorcontrib><creatorcontrib>Francisco, Antonio</creatorcontrib><creatorcontrib>García‐Vao, Carlos</creatorcontrib><creatorcontrib>Ferrero, Clara</creatorcontrib><creatorcontrib>Coderch, Clàudia</creatorcontrib><creatorcontrib>De la Rosa, Daniel</creatorcontrib><creatorcontrib>Amasorrain, Jone</creatorcontrib><creatorcontrib>Díaz, Laura</creatorcontrib><creatorcontrib>González, Leticia</creatorcontrib><creatorcontrib>Carbonero, Maria José</creatorcontrib><creatorcontrib>Plana, Mariano</creatorcontrib><creatorcontrib>Clerigue, Nuria</creatorcontrib><creatorcontrib>Gilabert, Núria</creatorcontrib><creatorcontrib>Fernández, Ramón</creatorcontrib><creatorcontrib>Moya, Sandra</creatorcontrib><creatorcontrib>Pons, Sara</creatorcontrib><creatorcontrib>Gómez, Virginia</creatorcontrib><creatorcontrib>Spanish Pediatric Emergency Research Network Febrile Infant Study Group</creatorcontrib><creatorcontrib>the Spanish Pediatric Emergency Research Network Febrile Infant Study Group</creatorcontrib><title>Multicentre Delphi study of physicians resulted in quality indicators for young infants with fever without source in emergency departments</title><title>Acta Paediatrica</title><addtitle>Acta Paediatr</addtitle><description>Aim
Managing febrile infants has evolved without a generally accepted standard of care. We aimed to design quality indicators for managing infants ≤90 days old presenting to emergency departments (EDs) with fever without source.
Methods
This multicentre Delphi study was carried out by the Febrile Infant Study Group of the Spanish Paediatric Emergency Research Network, from March 2021 to November 2021, and included paediatric emergency physicians from 24 Spanish EDs. A list of care standards was produced, following an extensive literature review and the involvement of all parties. Indicators were essential if they were voted by four panelists and also received a score of ≥4 from at least 95% of the 24 investigators.
Results
We established 20 indicators, including one related to having a protocol, two to triage, nine to diagnostic processes, six to treatment and two to disposition. The following indicators were considered essential: having an ED management protocol, performing urinalysis on every infant, obtaining a blood culture from every infant and administering antibiotics in the ED to any febrile infant who did not appear well.
Conclusion
The Delphi method resulted in a comprehensive list of quality indicators for managing febrile young infants in Spanish EDs.</description><subject>Antibiotics</subject><subject>Babies</subject><subject>bacterial infection</subject><subject>Blood culture</subject><subject>Delphi method</subject><subject>emergency</subject><subject>Emergency medical care</subject><subject>Fever</subject><subject>infant</subject><subject>Infants</subject><subject>Literature reviews</subject><subject>Pediatrics</subject><subject>quality</subject><subject>Urinalysis</subject><issn>0803-5253</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp1kU1P3DAQhq2Kqiy0h_6ByhKXcgj429njCgpUomoP7TlynAlrlMTBH6D8BX51vSztoVLn4tHo0TMevQh9pOSMljo3szmjqpb0DVpRJWnFGNMHaEVqwivJJD9ERzHeE8L4Wqh36JBrRjiT9Qo9f8tDchamFABfwjBvHY4pdwv2PZ63S3TWmSniALGA0GE34YdsBpeW0nbOmuRDxL0PePF5uivD3kwp4ieXtriHRwgvrc8JR5-DhZ0BRgh3MNkFdzCbkMayP75Hb3szRPjw-h6jX1dffl7cVLffr79ebG4ryyWnleJM2M6QWpGerzlwSY20TIBp2Zrael1uk9pQLcqsp5S1smWtMFaLVnWM82P0ee-dg3_IEFMzumhhGMwEPseG1VRpJZRUBT35B70vN0zld4USWmoq9I463VM2-BgD9M0c3GjC0lDS7AJqSkDNS0CF_fRqzO0I3V_yTyIFON8DT26A5f-mZvNjs1f-BpWzm_o</recordid><startdate>202309</startdate><enddate>202309</enddate><creator>Velasco, Roberto</creator><creator>Lejarzegi, Ainara</creator><creator>Andina, David</creator><creator>Gomez, Borja</creator><creator>Izarzugaza, Estíbaliz</creator><creator>Mintegi, Santiago</creator><creator>Cámara, Amaia</creator><creator>Muñoz, Ana</creator><creator>González, Andres</creator><creator>Pizà, Anna</creator><creator>Francisco, Antonio</creator><creator>García‐Vao, Carlos</creator><creator>Ferrero, Clara</creator><creator>Coderch, Clàudia</creator><creator>De la Rosa, Daniel</creator><creator>Amasorrain, Jone</creator><creator>Díaz, Laura</creator><creator>González, Leticia</creator><creator>Carbonero, Maria José</creator><creator>Plana, Mariano</creator><creator>Clerigue, Nuria</creator><creator>Gilabert, Núria</creator><creator>Fernández, Ramón</creator><creator>Moya, Sandra</creator><creator>Pons, Sara</creator><creator>Gómez, Virginia</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0073-2650</orcidid></search><sort><creationdate>202309</creationdate><title>Multicentre Delphi study of physicians resulted in quality indicators for young infants with fever without source in emergency departments</title><author>Velasco, Roberto ; Lejarzegi, Ainara ; Andina, David ; Gomez, Borja ; Izarzugaza, Estíbaliz ; Mintegi, Santiago ; Cámara, Amaia ; Muñoz, Ana ; González, Andres ; Pizà, Anna ; Francisco, Antonio ; García‐Vao, Carlos ; Ferrero, Clara ; Coderch, Clàudia ; De la Rosa, Daniel ; Amasorrain, Jone ; Díaz, Laura ; González, Leticia ; Carbonero, Maria José ; Plana, Mariano ; Clerigue, Nuria ; Gilabert, Núria ; Fernández, Ramón ; Moya, Sandra ; Pons, Sara ; Gómez, Virginia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3531-6324cda0860f393e351a5c24eab291c8972057a17424ef112b5b2b4ac74b6d233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Antibiotics</topic><topic>Babies</topic><topic>bacterial infection</topic><topic>Blood culture</topic><topic>Delphi method</topic><topic>emergency</topic><topic>Emergency medical care</topic><topic>Fever</topic><topic>infant</topic><topic>Infants</topic><topic>Literature reviews</topic><topic>Pediatrics</topic><topic>quality</topic><topic>Urinalysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Velasco, Roberto</creatorcontrib><creatorcontrib>Lejarzegi, Ainara</creatorcontrib><creatorcontrib>Andina, David</creatorcontrib><creatorcontrib>Gomez, Borja</creatorcontrib><creatorcontrib>Izarzugaza, Estíbaliz</creatorcontrib><creatorcontrib>Mintegi, Santiago</creatorcontrib><creatorcontrib>Cámara, Amaia</creatorcontrib><creatorcontrib>Muñoz, Ana</creatorcontrib><creatorcontrib>González, Andres</creatorcontrib><creatorcontrib>Pizà, Anna</creatorcontrib><creatorcontrib>Francisco, Antonio</creatorcontrib><creatorcontrib>García‐Vao, Carlos</creatorcontrib><creatorcontrib>Ferrero, Clara</creatorcontrib><creatorcontrib>Coderch, Clàudia</creatorcontrib><creatorcontrib>De la Rosa, Daniel</creatorcontrib><creatorcontrib>Amasorrain, Jone</creatorcontrib><creatorcontrib>Díaz, Laura</creatorcontrib><creatorcontrib>González, Leticia</creatorcontrib><creatorcontrib>Carbonero, Maria José</creatorcontrib><creatorcontrib>Plana, Mariano</creatorcontrib><creatorcontrib>Clerigue, Nuria</creatorcontrib><creatorcontrib>Gilabert, Núria</creatorcontrib><creatorcontrib>Fernández, Ramón</creatorcontrib><creatorcontrib>Moya, Sandra</creatorcontrib><creatorcontrib>Pons, Sara</creatorcontrib><creatorcontrib>Gómez, Virginia</creatorcontrib><creatorcontrib>Spanish Pediatric Emergency Research Network Febrile Infant Study Group</creatorcontrib><creatorcontrib>the Spanish Pediatric Emergency Research Network Febrile Infant Study Group</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Velasco, Roberto</au><au>Lejarzegi, Ainara</au><au>Andina, David</au><au>Gomez, Borja</au><au>Izarzugaza, Estíbaliz</au><au>Mintegi, Santiago</au><au>Cámara, Amaia</au><au>Muñoz, Ana</au><au>González, Andres</au><au>Pizà, Anna</au><au>Francisco, Antonio</au><au>García‐Vao, Carlos</au><au>Ferrero, Clara</au><au>Coderch, Clàudia</au><au>De la Rosa, Daniel</au><au>Amasorrain, Jone</au><au>Díaz, Laura</au><au>González, Leticia</au><au>Carbonero, Maria José</au><au>Plana, Mariano</au><au>Clerigue, Nuria</au><au>Gilabert, Núria</au><au>Fernández, Ramón</au><au>Moya, Sandra</au><au>Pons, Sara</au><au>Gómez, Virginia</au><aucorp>Spanish Pediatric Emergency Research Network Febrile Infant Study Group</aucorp><aucorp>the Spanish Pediatric Emergency Research Network Febrile Infant Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multicentre Delphi study of physicians resulted in quality indicators for young infants with fever without source in emergency departments</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2023-09</date><risdate>2023</risdate><volume>112</volume><issue>9</issue><spage>1962</spage><epage>1969</epage><pages>1962-1969</pages><issn>0803-5253</issn><eissn>1651-2227</eissn><abstract>Aim
Managing febrile infants has evolved without a generally accepted standard of care. We aimed to design quality indicators for managing infants ≤90 days old presenting to emergency departments (EDs) with fever without source.
Methods
This multicentre Delphi study was carried out by the Febrile Infant Study Group of the Spanish Paediatric Emergency Research Network, from March 2021 to November 2021, and included paediatric emergency physicians from 24 Spanish EDs. A list of care standards was produced, following an extensive literature review and the involvement of all parties. Indicators were essential if they were voted by four panelists and also received a score of ≥4 from at least 95% of the 24 investigators.
Results
We established 20 indicators, including one related to having a protocol, two to triage, nine to diagnostic processes, six to treatment and two to disposition. The following indicators were considered essential: having an ED management protocol, performing urinalysis on every infant, obtaining a blood culture from every infant and administering antibiotics in the ED to any febrile infant who did not appear well.
Conclusion
The Delphi method resulted in a comprehensive list of quality indicators for managing febrile young infants in Spanish EDs.</abstract><cop>Norway</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37203258</pmid><doi>10.1111/apa.16851</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-0073-2650</orcidid></addata></record> |
| fulltext | fulltext_linktorsrc |
| identifier | ISSN: 0803-5253 |
| ispartof | Acta Paediatrica, 2023-09, Vol.112 (9), p.1962-1969 |
| issn | 0803-5253 1651-2227 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2816764656 |
| source | Wiley Online Library Open Access |
| subjects | Antibiotics Babies bacterial infection Blood culture Delphi method emergency Emergency medical care Fever infant Infants Literature reviews Pediatrics quality Urinalysis |
| title | Multicentre Delphi study of physicians resulted in quality indicators for young infants with fever without source in emergency departments |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T13%3A40%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_24P&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Multicentre%20Delphi%20study%20of%20physicians%20resulted%20in%20quality%20indicators%20for%20young%20infants%20with%20fever%20without%20source%20in%20emergency%20departments&rft.jtitle=Acta%20Paediatrica&rft.au=Velasco,%20Roberto&rft.aucorp=Spanish%20Pediatric%20Emergency%20Research%20Network%20Febrile%20Infant%20Study%20Group&rft.date=2023-09&rft.volume=112&rft.issue=9&rft.spage=1962&rft.epage=1969&rft.pages=1962-1969&rft.issn=0803-5253&rft.eissn=1651-2227&rft_id=info:doi/10.1111/apa.16851&rft_dat=%3Cproquest_24P%3E2847571476%3C/proquest_24P%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2847571476&rft_id=info:pmid/37203258&rfr_iscdi=true |