Evidence map›Paper›PMID 24786780›Full record

ArticlePloS one2014

Population-based hospitalization burden of influenza a virus subtypes and antigenic drift variants in children in Hong Kong (2004-2011).

Susan S Chiu, Janice Y C Lo, Kwok-Hung Chan, Eunice L Y Chan, Lok-Yee So, Peng Wu, Benjamin J Cowling, Robin Chen, J S Malik Peiris

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Population-Based Pediatric Hospitalization Burden of Lineage-Specific Influenza B in Hong Kong, 2004-2014.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
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

9 authors at 4 institutions in 2 countries.

Susan S ChiuDepartment of Pediatrics & Adolescent Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
Janice Y C LoPublic Health Laboratory Services Branch, Centre for Health Protection, Department of Health, Kowloon, Hong Kong.
Kwok-Hung ChanDepartment of Microbiology, The University of Hong Kong, Pokfulam, Hong Kong.
Eunice L Y ChanDepartment of Pediatrics & Adolescent Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
Lok-Yee SoDepartment of Pediatrics and Adolescent Medicine, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong.
Peng WuDivision of Epidemiology and Biostatistics, School of Public Health, The University of Hong Kong, Pokfulam, Hong Kong.
Benjamin J CowlingDivision of Epidemiology and Biostatistics, School of Public Health, The University of Hong Kong, Pokfulam, Hong Kong.
Robin ChenDepartment of Pediatrics & Adolescent Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
J S Malik PeirisCentre of Influenza Research, School of Public Health, The University of Hong Kong, Pokfulam, Hong Kong.
University of Hong Kong · HKDepartment of Health · CNHKU-Pasteur Research Pole · HKPamela Youde Nethersole Eastern Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe aim to document and analyze influenza hospitalization burden in light of antigenic changes in circulating influenza viruses in Hong Kong.

methodsThe pediatric age-specific rates of influenza A hospitalization in Hong Kong for 2004-2011 which encompassed the emergence of H1N1pdm09 were extrapolated from admissions to 2 hospitals that together catered for 72.5% of all pediatric admissions on Hong Kong Island. Influenza A was detected by immunofluorescence, culture and/or PCR on nasopharyngeal aspirates.

resultsInfluenza A caused high rates of hospitalization in children with year to year fluctuations. The highest hospitalization burden was seen with H1N1pdm09 in 2009. Additional factors affecting hospitalization were the proportion of viral circulation among different subtypes, and antigenic drifts. Taking these into effect, an H3N2 dominated year was not always associated with more hospitalizations than a 'seasonal' H1N1 year. Hospitalization burden was higher in seasons when drifted viruses of H1N1 or H3N2 dominated. No hospitalization was documented in infants <6 months of age during years when an undrifted virus circulated (2006 for H1N1 and 2008 for H3N2) but significant hospitalization was observed with a drifted or shifted virus (2004, 2005, 2007 and 2010 for H3N2, and 2009 for H1N1pdm09).

conclusionsWe documented a consistently high pediatric hospitalization burden of influenza A. Knowledge of antigenic changes and their proportion of circulation aids in the interpretation of impact of the subtypes. Year-to-year variation in hospitalization rates in young infants appeared to correlate with antigenic variation, lending support to the role of protection from maternal antibodies.

Indexed as

HospitalizationAnimalsAntigens, ViralBase SequenceCell LineChildDNA PrimersHong KongHumansInfluenza A Virus, H1N1 SubtypeInfluenza, HumanReverse Transcriptase Polymerase Chain ReactionAntigens, ViralDNA Primers

Identifiers

PMID24786780
PMCPMC4005733
OpenAlexW2057222143

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.