Evidence map›Paper›PMID 26150428›Full record

ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2015

Smoking is associated with aggravated kidney injury in Puumala hantavirus-induced haemorrhagic fever with renal syndrome.

Laura Tervo, Satu Mäkelä, Jaana Syrjänen, Reetta Huttunen, Arja Rimpelä, Heini Huhtala, Olli Vapalahti, Antti Vaheri, Jukka Mustonen

Open access · bronzeAbstract read
In one paragraph

Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  13. Acute hantavirus infection presenting as haemolytic-uraemic syndrome (HUS): the importance of early clinical diagnosis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018
    Article
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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

9 authors at 5 institutions in 1 country.

Laura TervoDepartment of Internal Medicine, Tampere University Hospital, Tampere, Finland.
Satu MäkeläDepartment of Internal Medicine, Tampere University Hospital, Tampere, Finland School of Medicine, University of Tampere, Tampere, Finland.
Jaana SyrjänenDepartment of Internal Medicine, Tampere University Hospital, Tampere, Finland School of Medicine, University of Tampere, Tampere, Finland.
Reetta HuttunenDepartment of Internal Medicine, Tampere University Hospital, Tampere, Finland.
Arja RimpeläTampere School of Health Sciences, University of Tampere, Tampere, Finland Department of Adolescent Psychiatry, Tampere University Hospital, Tampere, Finland.
Heini HuhtalaTampere School of Health Sciences, University of Tampere, Tampere, Finland.
Olli VapalahtiDepartment of Virology, Medical Faculty, University of Helsinki, Helsinki, Finland Department of Virology and Immunology, HUSLAB, Hospital District of Helsinki and Uusimaa, Helsinki, Finland.
Antti VaheriDepartment of Virology, Medical Faculty, University of Helsinki, Helsinki, Finland Department of Virology and Immunology, HUSLAB, Hospital District of Helsinki and Uusimaa, Helsinki, Finland.
Jukka MustonenDepartment of Internal Medicine, Tampere University Hospital, Tampere, Finland School of Medicine, University of Tampere, Tampere, Finland.
Tampere University Hospital · FITampere University · FIHospital District of Helsinki and Uusimaa · FITampere University · FIUniversity of Helsinki · FI

Funding

Technologies for Human Cellular ImmunologyU19AI057319 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI CO, MARYDAWN T · 2003 to 2013
$34.4M
NIAID NIH HHS U19 AI057319NIAID NIH HHS U19 AI57319
6 · The paper itself

Abstract

backgroundPrevious studies indicate that smoking affects the outcome of some infections and is a risk factor for Puumala virus (PUUV) infection. The aim of this study was to assess the effect of smoking on the clinical severity of PUUV infection and the prevalence of smoking in patients with PUUV infection.

methodsA questionnaire on smoking habits was sent to 494 patients in 2012, who had been treated in Tampere University Hospital, Finland, for serologically confirmed PUUV infection during years 1982-2012.

resultsOf all patients, 357 (72%) participated. Maximum plasma creatinine level measured during acute illness was significantly higher in current smokers than in non-smokers (median: 273 versus 184 µmol/L, P < 0.001). Current smokers had a higher maximum blood leucocyte count than non-smokers (median: 10.8 versus 8.9 × 10(9)/L, P < 0.001) and they were younger than non-smokers (38 versus 45 years, P < 0.001). There were no differences between current smokers and non-smokers in the other variables reflecting the severity of PUUV infection. Altogether 51% were current smokers at the time of onset of the illness, 57% of males and 36% of females. During these years in Finland, smoking among males in the same aged population has decreased from 33 to 22% and among females, smoking has varied between 14 and 20%.

conclusionsSmoking is common in patients with PUUV infection. Current smokers suffer from more severe acute kidney injury (AKI) and they have higher leucocyte count than non-smokers in PUUV infection. Smoking cessation decreases the risk of severe AKI to the same level as observed in never-smokers.

Indexed as

Severity of Illness IndexAcute Kidney InjuryAdultFemaleFinlandHemorrhagic Fever with Renal SyndromeHumansMaleMiddle AgedPuumala virusRisk FactorsSmokingacute kidney injuryacute tubulointerstitial nephritishantavirus infectionPuumala virussmoking

Identifiers

PMID26150428
PMCPMC4838005
OpenAlexW2219290946

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.