Evidence map›Paper›PMID 26464137›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2015

Clinical severity of pediatric respiratory illness with enterovirus D68 compared with rhinovirus or other enterovirus genotypes.

Dominik Mertz, Abdulsalam Alawfi, Jeffrey M Pernica, Candy Rutherford, Kathy Luinstra, Marek Smieja

Abstract readComparative Study
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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. Article
  2. Enterovirus D68 respiratory infection in a children's hospital in Japan in 2015.Pediatrics international : official journal of the Japan Pediatric Society · 2019
    Article
  3. Article
  4. Article
  5. Severe Respiratory Illness Associated With Rhinovirus During the Enterovirus D68 Outbreak in the United States, August 2014-November 2014.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Article
  6. Article
  7. Review
  8. What happened to enterovirus D68 infections in 2015?Canada communicable disease report = Releve des maladies transmissibles au Canada · 2016
    Article
  9. Article
  10. Article
  11. Enterovirus D68 and disease severity: more questions than answers.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2015
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Dominik MertzDepartments of Medicine (Mertz, Alawfi, Smieja), Clinical Epidemiology and Biostatistics (Mertz, Smieja), Pathology and Molecular Medicine (Mertz, Smieja); Michael G. DeGroote Institute for Infectious Diseases Research (Mertz, Smieja); Department of Pediatrics (Pernica, Smieja), McMaster University; Hamilton Regional Laboratory Medicine Program (Rutherford, Smieja); Department of Laboratory Medicine (Luinstra, Smieja), St. Joseph's Healthcare, Hamilton, Ont. mertzd@mcmaster.ca.
Abdulsalam AlawfiDepartments of Medicine (Mertz, Alawfi, Smieja), Clinical Epidemiology and Biostatistics (Mertz, Smieja), Pathology and Molecular Medicine (Mertz, Smieja); Michael G. DeGroote Institute for Infectious Diseases Research (Mertz, Smieja); Department of Pediatrics (Pernica, Smieja), McMaster University; Hamilton Regional Laboratory Medicine Program (Rutherford, Smieja); Department of Laboratory Medicine (Luinstra, Smieja), St. Joseph's Healthcare, Hamilton, Ont.
Jeffrey M PernicaDepartments of Medicine (Mertz, Alawfi, Smieja), Clinical Epidemiology and Biostatistics (Mertz, Smieja), Pathology and Molecular Medicine (Mertz, Smieja); Michael G. DeGroote Institute for Infectious Diseases Research (Mertz, Smieja); Department of Pediatrics (Pernica, Smieja), McMaster University; Hamilton Regional Laboratory Medicine Program (Rutherford, Smieja); Department of Laboratory Medicine (Luinstra, Smieja), St. Joseph's Healthcare, Hamilton, Ont.
Candy RutherfordDepartments of Medicine (Mertz, Alawfi, Smieja), Clinical Epidemiology and Biostatistics (Mertz, Smieja), Pathology and Molecular Medicine (Mertz, Smieja); Michael G. DeGroote Institute for Infectious Diseases Research (Mertz, Smieja); Department of Pediatrics (Pernica, Smieja), McMaster University; Hamilton Regional Laboratory Medicine Program (Rutherford, Smieja); Department of Laboratory Medicine (Luinstra, Smieja), St. Joseph's Healthcare, Hamilton, Ont.
Kathy LuinstraDepartments of Medicine (Mertz, Alawfi, Smieja), Clinical Epidemiology and Biostatistics (Mertz, Smieja), Pathology and Molecular Medicine (Mertz, Smieja); Michael G. DeGroote Institute for Infectious Diseases Research (Mertz, Smieja); Department of Pediatrics (Pernica, Smieja), McMaster University; Hamilton Regional Laboratory Medicine Program (Rutherford, Smieja); Department of Laboratory Medicine (Luinstra, Smieja), St. Joseph's Healthcare, Hamilton, Ont.
Marek SmiejaDepartments of Medicine (Mertz, Alawfi, Smieja), Clinical Epidemiology and Biostatistics (Mertz, Smieja), Pathology and Molecular Medicine (Mertz, Smieja); Michael G. DeGroote Institute for Infectious Diseases Research (Mertz, Smieja); Department of Pediatrics (Pernica, Smieja), McMaster University; Hamilton Regional Laboratory Medicine Program (Rutherford, Smieja); Department of Laboratory Medicine (Luinstra, Smieja), St. Joseph's Healthcare, Hamilton, Ont.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnterovirus D68 (EV-D68) resulted in a reported increase in the number of children needing hospital or critical care admission because of respiratory insufficiency during 2014. It remains unclear, however, whether EV-D68 infections were more severe than rhinovirus or non-EV-D68 enterovirus infections.

methodsWe evaluated consecutive children presenting to a pediatric hospital between Aug. 1 and Oct. 31, 2014, with positive nasopharyngeal swabs for rhinovirus or enterovirus that were sent automatically for EV-D68 testing. We compared characteristics and outcomes of patients with EV-D68 with those with rhinovirus or non-EV-D68 enterovirus in a matched cohort study.

resultsA total of 93/297 (31.3%) of rhinovirus or enterovirus samples tested positive for EV-D68, and it was possible to compare 87 matched pairs. Children with EV-D68 infection were more likely to have difficulty breathing (odds ratio [OR] 3.00, 95% confidence interval [CI] 1.47-6.14). There was no significant difference in admission to the critical care unit or death among children with EV-D68 infection compared with those with other rhinovirus or enterovirus infections (adjusted OR 1.47, 95% CI 0.61-3.52). Children with EV-D68 infection were more often admitted to hospital, but not significantly so (adjusted OR 2.29, 95% CI 0.96-5.46).

interpretationEnterovirus D68 seems to be a more virulent pulmonary pathogen than rhinovirus or non-EV-D68 enterovirus, but we did not find a significant difference in death or need for critical care.

Indexed as

Enterovirus D, HumanChildChild, PreschoolEnterovirusEnterovirus InfectionsFemaleHumansInfantMalePicornaviridae InfectionsRespiratory InsufficiencyRhinovirusSeverity of Illness Index

Identifiers

PMID26464137
PMCPMC4646747

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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.