Evidence map›Paper›PMID 21389320›Full record

Trial reportBlood2011

HHV-6 reactivation and its effect on delirium and cognitive functioning in hematopoietic cell transplantation recipients.

Danielle M Zerr, Jesse R Fann, David Breiger, Michael Boeckh, Amanda L Adler, Hu Xie, Colleen Delaney, Meei-Li Huang, Lawrence Corey, Wendy M Leisenring

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 3 pooled it
9.6field-weighted citation impact, top 1% 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

57 citing papers in PubMed, 3 syntheses or guidelines pooled it, 137 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
  5. TNF-inhibition with etanercept for graft-versus-host disease prevention in high-risk HCT: lower TNFR1 levels correlate with better outcomes.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2012
    Trial
  6. Article
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  9. Review
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  11. Article
  12. Article
  13. Article
  14. Article
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  16. Article
  17. Article
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  19. Article
  20. Human Herpesvirus 6 Encephalitis in Immunocompetent and Immunocompromised Hosts.Neurology(R) neuroimmunology & neuroinflammation · 2021
    Article
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

10 authors at 2 institutions in 1 country.

Danielle M ZerrDepartment of Pediatrics, University of Washington, Seattle, WA, USA. danielle.zerr@seattlechildrens.org
Jesse R Fann
David Breiger
Michael Boeckh
Amanda L Adler
Hu Xie
Colleen Delaney
Meei-Li Huang
Lawrence Corey
Wendy M Leisenring
University of Washington · USFred Hutch Cancer Center · US

Funding

VIRUS-MEDIATED MYELOSUPPRESSIONP01CA018029 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Evan Newell · 1985 to 2026
$128.4M
HHV-6 and CNS disease following stem cell transplantR01AI057639 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI ZERR, DANIELLE M · 2004 to 2009
$1.8M
NCI NIH HHS CA18029NCI NIH HHS P01 CA018029NIAID NIH HHS R01 AI057639NIAID NIH HHS R01AI057639
6 · The paper itself

Abstract

Human herpesvirus 6 (HHV-6) is detected in the plasma of approximately 40% of patients undergoing hematopoietic cell transplantation (HCT) and sporadically causes encephalitis in this population. The effect of HHV-6 reactivation on central nervous system function has not been fully characterized. This prospective study aimed to evaluate associations between HHV-6 reactivation and central nervous system dysfunction after allogeneic HCT. Patients were enrolled before HCT. Plasma samples were tested for HHV-6 at baseline and twice weekly after transplantation until day 84. Delirium was assessed at baseline, 3 times weekly until day 56, and weekly on days 56 to 84 using a validated instrument. Neurocognitive testing was performed at baseline and at approximately day 84. HHV-6 was detected in 111 (35%) of the 315 included patients. Patients with HHV-6 were more likely to develop delirium (adjusted odds ratio = 2.5; 95% confidence interval, 1.2-5.3) and demonstrate neurocognitive decline (adjusted odds ratio = 2.6; 95% confidence interval, 1.1-6.2) in the first 84 days after HCT. Cord blood and unrelated transplantation increased risk of HHV-6 reactivation. These data provide the basis to conduct a randomized clinical trial to determine whether prevention of HHV-6 reactivation will reduce neurocognitive morbidity in HCT recipients.

Indexed as

AdultCognition DisordersDeliriumFemaleHematopoietic Stem Cell TransplantationHerpesvirus 6, HumanHumansMaleMiddle AgedNeuropsychological TestsRoseolovirus InfectionsTransplantationVirus ActivationYoung Adult

Identifiers

PMID21389320
PMCPMC3109545
OpenAlexW1985977631

What OpenQuestion 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 OpenQuestion graph.