Evidence map›Paper›PMID 26180044›Full record

ArticleThe Journal of infectious diseases2016

Respiratory Viral Detection in Children and Adults: Comparing Asymptomatic Controls and Patients With Community-Acquired Pneumonia.

Wesley H Self, Derek J Williams, Yuwei Zhu, Krow Ampofo, Andrew T Pavia, James D Chappell, Weston C Hymas, Chris Stockmann, Anna M Bramley, Eileen Schneider and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 156 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
156citing papers in PubMed, 4 pooled it
22.7field-weighted citation impact, top 1% 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

156 citing papers in PubMed, 4 syntheses or guidelines pooled it, 267 citations in OpenAlex.

  1. Pooled it
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  4. Systematic review of respiratory viral pathogens identified in adults with community-acquired pneumonia in Europe.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2017
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  18. Clinical Characteristics and Cytokines of Children With Lower Respiratory Tract Infection Caused by Influenza A After COVID-19.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2026
    Article
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96 more citing papers are in PubMed but not listed here.

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

15 authors at 5 institutions in 1 country.

Wesley H SelfDepartment of Emergency Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee.
Derek J WilliamsDepartment of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Yuwei ZhuDepartment of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Krow AmpofoDepartment of Pediatrics.
Andrew T PaviaDepartments of Pediatrics and Internal Medicine.
James D ChappellDepartment of Pathology, Microbiology & Immunology, Vanderbilt University School of Medicine, Nashville, Tennessee.
Weston C HymasARUP Institute for Clinical and Experimental Pathology.
Chris StockmannDepartment of Pediatrics, University of Utah Health Sciences Center, Salt Lake City.
Anna M BramleyCenters for Disease Control and Prevention, Atlanta, Georgia.
Eileen SchneiderCenters for Disease Control and Prevention, Atlanta, Georgia.
Dean ErdmanCenters for Disease Control and Prevention, Atlanta, Georgia.
Lyn FinelliCenters for Disease Control and Prevention, Atlanta, Georgia.
Seema JainCenters for Disease Control and Prevention, Atlanta, Georgia.
Kathryn M EdwardsDepartment of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Carlos G GrijalvaDepartment of Health Policy, Vanderbilt University School of Medicine, Nashville, Tennessee.
Centers for Disease Control and Prevention · USVanderbilt University · USARUP Institute for Clinical and Experimental PathologyUniversity of Utah · USVanderbilt Health · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)KL2TR000446 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$2.8M
The Incidence and Etiology of Influenza-Associated Pneumonia in Hospitalized PersU18IP000299 · IP · VANDERBILT UNIVERSITY · PI EDWARDS, KATHRYN MARGARET · 2009 to 2010
$2.4M
Development and Validation of a Clinical Prediction Rule for Pediatric PneumoniaK23AI104779 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WILLIAMS, DEREK J. · 2013 to 2016
$688k
Salivary Cortisol as a Marker of Community-Acquired Pneumonia Severity in AdultsK23GM110469 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SELF, WESLEY H · 2015 to 2018
$683k
The Impact of Infant Vaccination with a 13-valent Pneumococcal Conjugate VaccineR03HS022342 · AHRQ · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GRIJALVA, CARLOS G · 2014 to 2015
$100k
AHRQ HHS R03 HS022342NCATS NIH HHS KL2 TR000446NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1TR000445NCIRD CDC HHS U18 IP000299NIAID NIH HHS K23 AI104779NIGMS NIH HHS K23 GM110469
6 · The paper itself

Abstract

backgroundThe clinical significance of viruses detected in patients with community-acquired pneumonia (CAP) is often unclear.

methodsWe conducted a prospective study to identify the prevalence of 13 viruses in the upper respiratory tract of patients with CAP and concurrently enrolled asymptomatic controls with real-time reverse-transcriptase polymerase chain reaction. We compared age-stratified prevalence of each virus between patients with CAP and controls and used multivariable logistic regression to calculate attributable fractions (AFs).

resultsWe enrolled 1024 patients with CAP and 759 controls. Detections of influenza, respiratory syncytial virus, and human metapneumovirus were substantially more common in patients with CAP of all ages than in controls (AFs near 1.0). Parainfluenza and coronaviruses were also more common among patients with CAP (AF, 0.5-0.75). Rhinovirus was associated with CAP among adults (AF, 0.93) but not children (AF, 0.02). Adenovirus was associated with CAP only among children <2 years old (AF, 0.77).

conclusionsThe probability that a virus detected with real-time reverse-transcriptase polymerase chain reaction in patients with CAP contributed to symptomatic disease varied by age group and specific virus. Detections of influenza, respiratory syncytial virus, and human metapneumovirus among patients with CAP of all ages probably indicate an etiologic role, whereas detections of parainfluenza, coronaviruses, rhinovirus, and adenovirus, especially in children, require further scrutiny.

Indexed as

AdolescentAdultAgedAge FactorsAsymptomatic DiseasesChildChild, PreschoolCommunity-Acquired InfectionsFemaleHumansInfantMaleMiddle AgedPneumonia, ViralProspective StudiesReal-Time Polymerase Chain Reactionasymptomatic infectionattributable fractionetiologypneumoniavirus

Identifiers

PMID26180044
PMCPMC4721902
OpenAlexW2286875509

What OpenQuestion holds

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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.