Evidence map›Paper›PMID 24349427›Full record

Trial reportPloS one2013

Mechanical ventilation drives inflammation in severe viral bronchiolitis.

Marije P Hennus, Adrianus J van Vught, Mark Brabander, Frank Brus, Nicolaas J Jansen, Louis J Bont

Open access · goldAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

9 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Observational
  3. Observational
  4. Article
  5. Article
  6. Pulmonary long-term consequences of COVID-19 infections after hospital discharge.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2021
    Article
  7. Article
  8. Article
  9. 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

6 authors at 3 institutions in 2 countries.

Marije P HennusDepartment of Paediatric Intensive Care, Wilhelmina Children's Hospital / University Medical Center Utrecht, Utrecht, The Netherlands.
Adrianus J van VughtDepartment of Paediatric Intensive Care, Wilhelmina Children's Hospital / University Medical Center Utrecht, Utrecht, The Netherlands.
Mark BrabanderDepartment of Paediatric Intensive Care, Wilhelmina Children's Hospital / University Medical Center Utrecht, Utrecht, The Netherlands.
Frank BrusDepartment of Paediatrics, Haga Hospital/Location Juliana Children's Hospital, The Hague, The Netherlands.
Nicolaas J JansenDepartment of Paediatric Intensive Care, Wilhelmina Children's Hospital / University Medical Center Utrecht, Utrecht, The Netherlands.
Louis J BontDepartment of Paediatric Infectious Diseases, Wilhelmina Children's Hospital/University Medical Center Utrecht, Utrecht, The Netherlands.
University Medical Center Utrecht · NLBoston Children's Hospital · USWilhelmina Children's Hospital · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRespiratory insufficiency due to severe respiratory syncytial virus (RSV) infection is the most frequent cause of paediatric intensive care unit admission in infants during the winter season. Previous studies have shown increased levels of inflammatory mediators in airways of mechanically ventilated children compared to spontaneous breathing children with viral bronchiolitis. In this prospective observational multi-center study we aimed to investigate whether this increase was related to disease severity or caused by mechanical ventilation. MATERIALS AND

methodsNasopharyngeal aspirates were collected <1 hour before intubation and 24 hours later in RSV bronchiolitis patients with respiratory failure (n = 18) and non-ventilated RSV bronchiolitis controls (n = 18). Concentrations of the following cytokines were measured: interleukin (IL)-1α, IL-1β, IL-6, monocyte chemotactic protein (MCP)-1 and macrophage inflammatory protein (MIP)-1α.

resultsBaseline cytokine levels were comparable between ventilated and non-ventilated infants. After 24 hours of mechanical ventilation mean cytokine levels, except for MIP-1α, were elevated compared to non-ventilated infected controls: IL-1α (159 versus 4 pg/ml, p<0.01), IL-1β (1068 versus 99 pg/ml, p<0.01), IL-6 (2343 versus 958 pg/ml, p<0.05) and MCP-1 (174 versus 26 pg/ml, p<0.05).

conclusionsUsing pre- and post-intubation observations, this study suggests that endotracheal intubation and subsequent mechanical ventilation cause a robust pulmonary inflammation in infants with RSV bronchiolitis.

Indexed as

Respiratory Syncytial VirusesBronchiolitis, ViralCytokinesFemaleHumansInfantInflammationMaleRespiration, ArtificialRespiratory Syncytial Virus InfectionsSeasonsCytokines

Identifiers

PMID24349427
PMCPMC3859624
OpenAlexW1984804262

What OpenQuestion 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 OpenQuestion graph.