Evidence map›Paper›PMID 25476729›Full record

ArticleThe Journal of allergy and clinical immunology2015

Rhinoviruses significantly affect day-to-day respiratory symptoms of children with asthma.

Euan R Tovey, Sacha Stelzer-Braid, Brett G Toelle, Brian G Oliver, Helen K Reddel, Christiana M Willenborg, Yvonne Belessis, Frances L Garden, Adam Jaffe, Roxanne Strachan and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Prevalence of respiratory viruses in stable and acute asthma: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Pooled it
  3. Review
  4. Common cold.Frontiers in allergy · 2023
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Impact of community respiratory viral infections in urban children with asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2019
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. [Rhinovirus during childhood: Asthma at adolescence? The chicken or the egg causality dilemma].Archives de pediatrie : organe officiel de la Societe francaise de pediatrie · 2016
    Article
  16. Article
  17. Clinical, virological and epidemiological characteristics of rhinovirus infections in early childhood: A comparison between non-hospitalised and hospitalised children.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2015
    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

13 authors at 7 institutions in 1 country.

Euan R ToveyWoolcock Institute of Medical Research, University of Sydney, Sydney, Australia. Electronic address: euan.tovey@sydney.edu.au.
Sacha Stelzer-BraidVirology Research Laboratory, SEALS, Prince of Wales Hospital, Sydney, Australia; School of Medical Sciences, University of New South Wales, Sydney, Australia.
Brett G ToelleWoolcock Institute of Medical Research, University of Sydney, Sydney, Australia; Sydney Local Health District, Sydney, Australia.
Brian G OliverWoolcock Institute of Medical Research, University of Sydney, Sydney, Australia; University of Technology Sydney, Sydney, Australia.
Helen K ReddelWoolcock Institute of Medical Research, University of Sydney, Sydney, Australia.
Christiana M WillenborgVirology Research Laboratory, SEALS, Prince of Wales Hospital, Sydney, Australia.
Yvonne BelessisSchool of Women's and Children's Health, University of New South Wales, Sydney, Australia; Sydney Children's Hospital, Sydney, Australia.
Frances L GardenWoolcock Institute of Medical Research, University of Sydney, Sydney, Australia; Ingham Institute of Applied Medical Research, New South Wales, Sydney, Australia; South Western Sydney Clinical School, University of New South Wales, Sydney, Australia.
Adam JaffeSchool of Women's and Children's Health, University of New South Wales, Sydney, Australia; Sydney Children's Hospital, Sydney, Australia.
Roxanne StrachanSydney Children's Hospital, Sydney, Australia.
Darryl EylesQueensland Brain Institute, University of Queensland, Brisbane, Australia; Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Brisbane, Australia.
William D RawlinsonVirology Research Laboratory, SEALS, Prince of Wales Hospital, Sydney, Australia; Sydney Children's Hospital, Sydney, Australia.
Guy B MarksWoolcock Institute of Medical Research, University of Sydney, Sydney, Australia; South Western Sydney Clinical School, University of New South Wales, Sydney, Australia.
Sydney Children's Hospital · AUWoolcock Institute of Medical Research · AUUniversity of Sydney · AUUNSW Sydney · AUPark Centre for Mental Health · AUPrince of Wales Hospital · AUSouth Western Sydney Local Health District · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundViruses are frequently associated with acute exacerbations of asthma, but the extent to which they contribute to the level of day-to-day symptom control is less clear.

objectiveWe sought to explore the relationship between viral infections, host and environmental factors, and respiratory symptoms in children.

methodsSixty-seven asthmatic children collected samples twice weekly for an average of 10 weeks. These included nasal wash fluid and exhaled breath for PCR-based detection of viral RNA, lung function measurements, and records of medication use and asthma and respiratory symptoms in the previous 3 days. Atopy, mite allergen exposure, and vitamin D levels were also measured. Mixed-model regression analyses were performed.

resultsHuman rhinoviruses (hRVs) were detected in 25.5% of 1232 nasal samples and 11.5% of breath samples. Non-hRV viruses were detected in less than 3% of samples. hRV in nasal samples was associated with asthma symptoms (cough and phlegm: odds ratio = 2.0; 95% CI = 1.4-2.86, P = .0001; wheeze and chest tightness: odds ratio = 2.34, 95% CI = 1.55-3.52, P < .0001) and with cold symptoms, as reported concurrently with sampling and 3 to 4 days later. No differences were found between the 3 hRV genotypes (hRV-A, hRV-B, and hRV-C) in symptom risk. A history of inhaled corticosteroid use, but not atopic status, mite allergen exposure, or vitamin D levels, modified the association between viruses and asthma symptoms.

conclusionThe detection of nasal hRV was associated with a significantly increased risk of day-to-day asthma symptoms in children. Host, virus genotype, and environmental factors each had only a small or no effect on the relationship of viral infections to asthma symptoms.

Indexed as

Adrenal Cortex HormonesAnti-Asthmatic AgentsAntigens, DermatophagoidesAsthmaChildChild, PreschoolCoughFemaleGenotypeHumansMalePicornaviridae InfectionsRegression AnalysisRespiratory Function TestsRespiratory SoundsRhinovirusAdrenal Cortex HormonesAnti-Asthmatic AgentsAntigens, DermatophagoidesVitamin Dasthmaasthma controlchildrenmixed-model analysisrespiratoryrhinovirusVirus

Identifiers

PMID25476729
PMCPMC7173323
OpenAlexW2120384002

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.