Evidence map›Paper›PMID 26017150›Full record

ArticleJournal of medical virology2015

Impact of rapid influenza PCR testing on hospitalization and antiviral use: A retrospective cohort study.

Helen Y Chu, Janet A Englund, Dandi Huang, Emily Scott, Jeanne D Chan, Rupali Jain, Paul S Pottinger, John B Lynch, Timothy H Dellit, Keith R Jerome and 1 more

Abstract read
In one paragraph

Article in Journal of medical virology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  4. Trial
  5. Trial
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  7. Clinical impact of rapid molecular detection of respiratory pathogens in patients with acute respiratory infection.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2018
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  13. Molecular Testing for Acute Respiratory Tract Infections: Clinical and Diagnostic Recommendations From the IDSA's Diagnostics Committee.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  14. Re: 'Syndromic panels or "panel syndrome"? A perspective through the lens of respiratory-tract infections' by Zanella et al.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2020
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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

11 authors at 2 institutions in 1 country.

Helen Y ChuDepartment of Medicine, University of Washington, Seattle, Washington.
Janet A EnglundDepartment of Pediatrics, Seattle Children's Hospital, Seattle, Washington.
Dandi HuangDepartment of Medicine, University of Washington, Seattle, Washington.
Emily ScottDepartment of Medicine, University of Washington, Seattle, Washington.
Jeanne D ChanDepartment of Pharmacy, University of Washington, Seattle, Washington.
Rupali JainDepartment of Pharmacy, University of Washington, Seattle, Washington.
Paul S PottingerDepartment of Medicine, University of Washington, Seattle, Washington.
John B LynchDepartment of Medicine, University of Washington, Seattle, Washington.
Timothy H DellitDepartment of Medicine, University of Washington, Seattle, Washington.
Keith R JeromeDepartment of Laboratory Medicine, University of Washington, Seattle, Washington.
Jane KuypersDepartment of Laboratory Medicine, University of Washington, Seattle, Washington.
University of Washington · USSeattle Children's Hospital · US

Funding

HOST DEFENSE TRAINING IN ALLERGY AND INFECTIOUS DISEASEST32AI007044 · NIAID · UNIVERSITY OF WASHINGTON · PI DAVID Neal FREDRICKS · 1985 to 2026
$14.6M
Prospective Community-Based Study of RSV Risk Factors in Nepalese ChildrenK23AI103105 · NIAID · UNIVERSITY OF WASHINGTON · PI CHU, HELEN YING-HUI · 2013 to 2017
$897k
NIAID NIH HHS K23 AI103105NIAID NIH HHS K23-AI103105NIAID NIH HHS L30 AI107833NIAID NIH HHS T32 AI007044
6 · The paper itself

Abstract

Rapid PCR-based influenza tests are increasingly used as point-of-care diagnostics in hospitals and clinics. To our knowledge, no prior studies have described clinical outcomes with implementation of rapid PCR-based influenza tests in hospitalized adult inpatients. Electronic medical records were used to assess differences in laboratory testing time and antiviral use among a subset of 175 consecutive adult inpatients tested for influenza in two respiratory seasons before and after implementation of rapid PCR-based influenza testing at an academic medical center. Of the 350 hospitalized inpatients included in this analysis, 96 (27%) were over 65 years of age and 308 (88%) had a comorbid condition. The overall time to result decreased significantly from 25.2 to 1.7 hr (P < 0.001) after implementation of rapid PCR-based influenza testing. Among influenza-negative patients, the frequency of oseltamivir initiation remained unchanged (before: 43% vs. after: 45%; P = 0.60), though the median duration of oseltamivir was significantly decreased from 1.1 to 0.0 days (P < 0.001). By providing an earlier result to clinicians, rapid PCR-based influenza tests may decrease unnecessary antiviral use among adult inpatients who test negative for influenza.

Indexed as

HospitalizationAdolescentAdultAgedAged, 80 and overAntiviral AgentsFemaleHumansInfluenza, HumanMaleMiddle AgedMolecular Diagnostic TechniquesOseltamivirPolymerase Chain ReactionPregnancyRetrospective StudiesAntiviral AgentsOseltamivirinfection controlinfluenzaoseltamivirPCR

Identifiers

PMID26017150
PMCPMC4594176
OpenAlexW2169502504

What OpenQuestion holds

Textmetadata
LicenceTDM
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.