Evidence map›Paper›PMID 26508124›Full record

ArticleThe Journal of infectious diseases2016

Virus Type and Genomic Load in Acute Bronchiolitis: Severity and Treatment Response With Inhaled Adrenaline.

Håvard O Skjerven, Spyridon Megremis, Nikolaos G Papadopoulos, Petter Mowinckel, Kai-Håkon Carlsen, Karin C Lødrup Carlsen, ORAACLE Study Group

2 registry-linked trialsOpen 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. It is linked to 2 registered trials, which are not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
2.8field-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.

NCT00817466 phase4unknown statusnot on this map

Bronchiolitis All-study, SE-Norway What is the Optimal Inhalation Treatment for Children 0-12 Months With Acute Bronchiolitis?

TypeinterventionalSponsorOslo University HospitalRan2010 to 2013Enrolled500ConditionsBronchiolitisArmsRacemic adrenaline, Isotonic saline
NCT06139029 early_phase1completednot on this mapstarted 2022, after this paper: background citation

Comparison of 3% Normal Saline Nebulization Versus Steroid Nebulization in the Treatment of Bronchiolitis

TypeinterventionalSponsorMardan Medical ComplexRan2022 to 2023Enrolled60ConditionsAcute BronchiolitisArms3% normal saline, steroid(beclomethasone dipropionate 400 μg/day) and salbutamol with 0.9% normal saline
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.

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  8. Treatment of Respiratory Viral Coinfections.Epidemiologia (Basel, Switzerland) · 2022
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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

7 authors at 3 institutions in 3 countries.

Håvard O SkjervenInstitute of Clinical Medicine, University of Oslo Department of Pediatrics, Oslo University Hospital, Norway.
Spyridon MegremisDepartment of Allergy, 2nd Pediatric Clinic, University of Athens, Greece Centre for Pediatrics and Child Health, Institute of Human Development, University of Manchester, United Kingdom.
Nikolaos G PapadopoulosDepartment of Allergy, 2nd Pediatric Clinic, University of Athens, Greece Centre for Pediatrics and Child Health, Institute of Human Development, University of Manchester, United Kingdom.
Petter MowinckelDepartment of Pediatrics, Oslo University Hospital, Norway.
Kai-Håkon CarlsenInstitute of Clinical Medicine, University of Oslo Department of Pediatrics, Oslo University Hospital, Norway.
Karin C Lødrup CarlsenInstitute of Clinical Medicine, University of Oslo Department of Pediatrics, Oslo University Hospital, Norway.
ORAACLE Study Group
University of Oslo · NOUniversity of Manchester · GBOslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute bronchiolitis frequently causes infant hospitalization. Studies on different viruses or viral genomic load and disease severity or treatment effect have had conflicting results. We aimed to investigate whether the presence or concentration of individual or multiple viruses were associated with disease severity in acute bronchiolitis and to evaluate whether detected viruses modified the response to inhaled racemic adrenaline.

methodsNasopharyngeal aspirates were collected from 363 infants with acute bronchiolitis in a randomized, controlled trial that compared inhaled racemic adrenaline versus saline. Virus genome was identified and quantified by polymerase chain reaction analyses. Severity was assessed on the basis of the length of stay and the use of supportive care.

resultsRespiratory syncytial virus (83%) and human rhinovirus (34%) were most commonly detected. Seven other viruses were present in 8%-15% of the patients. Two or more viruses (maximum, 7) were detected in 61% of the infants. Virus type or coinfection was not associated with disease severity. A high genomic load of respiratory syncytial virus was associated with a longer length of stay and with an increased frequency of oxygen and ventilatory support use. Treatment effect of inhaled adrenaline was not modified by virus type, load or coinfection. DISCUSSION: In infants hospitalized with acute bronchiolitis, disease severity was not associated with specific viruses or the total number of viruses detected. A high RSV genomic load was associated with more-severe disease. CLINICAL TRIALS REGISTRATION: NCT00817466 and EudraCT 2009-012667-34.

Indexed as

Viral LoadBronchiolitisBronchodilator AgentsEpinephrineFemaleGenome, ViralHumansInfantMalePicornaviridae InfectionsRespiratory Syncytial VirusesRespiratory Syncytial Virus InfectionsRespiratory TherapyRhinovirusBronchodilator AgentsEpinephrinebronchiolitishuman rhinovirusinfantracemic adrenalinerespiratory syncytial virus

Identifiers

PMID26508124
PMCPMC7107341
OpenAlexW1823338768

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.