Evidence map›Paper›PMID 27031702›Full record

Trial reportPloS one2016

Clinical Presentation and Birth Outcomes Associated with Respiratory Syncytial Virus Infection in Pregnancy.

Helen Y Chu, Joanne Katz, James Tielsch, Subarna K Khatry, Laxman Shrestha, Steven C LeClerq, Amalia Magaret, Jane Kuypers, Mark C Steinhoff, Janet A Englund

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 4% 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  7. Article
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  14. Viral Infections During Pregnancy: The Big Challenge Threatening Maternal and Fetal Health.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2022
    Article
  15. Review
  16. Maternal RSV vaccine development. Where to from here?Human vaccines & immunotherapeutics · 2021
    Article
  17. Adverse Outcomes in Pregnant Women Hospitalized With Respiratory Syncytial Virus Infection: A Case Series.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  18. Article
  19. The journey to a respiratory syncytial virus vaccine.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2020
    Review
  20. Article
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

10 authors at 6 institutions in 2 countries.

Helen Y ChuDepartment of Medicine, University of Washington, Seattle, WA, 98102, United States of America.
Joanne KatzDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America.
James TielschDepartment of Global Health, George Washington University, Washington, D.C., United States of America.
Subarna K KhatryNepal Nutrition Intervention Project-Sarlahi, Sarlahi, Nepal.
Laxman ShresthaDepartment of Pediatrics and Child Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Steven C LeClerqNepal Nutrition Intervention Project-Sarlahi, Sarlahi, Nepal.
Amalia MagaretDepartment of Laboratory Medicine, University of Washington, Seattle, WA, 98102, United States of America.
Jane KuypersDepartment of Laboratory Medicine, University of Washington, Seattle, WA, 98102, United States of America.
Mark C SteinhoffGlobal Health Center, Cincinnati Children's Hospital, Cincinnati, OH, 45229, United States of America.
Janet A EnglundDepartment of Infectious Diseases, Seattle Children's Hospital, University of Washington, Seattle, WA, 98105, United States of America.
University of Washington · USCincinnati Children's Hospital Medical Center · USGeorge Washington University · USJohns Hopkins University · USSeattle Children's Hospital · USTribhuvan University · NP

Funding

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 AI107833
6 · The paper itself

Abstract

backgroundRespiratory syncytial virus (RSV) is the most important cause of viral pneumonia in children worldwide. A maternal vaccine may protect both the mother and infant from RSV illness. The epidemiology and clinical presentation of RSV in pregnant and postpartum women is not well-described.

methodsData were collected from a prospective, randomized trial of influenza immunization in pregnant women in rural southern Nepal. Women were enrolled in their second trimester of pregnancy and followed until six months postpartum. Active weekly home-based surveillance for febrile respiratory illness was performed. Mid-nasal swabs collected with episodes of respiratory illness were tested for RSV by real-time polymerase chain reaction.

resultsRSV was detected in 14 (0.4%) illness episodes in 3693 women over 3554 person-years of surveillance from 2011-2014. RSV incidence was 3.9/1000 person-years overall, and 11.8/1000 person-years between September and December. Seven (50%) women sought care for RSV illness; none died. Of the 7 (50%) illness episodes during pregnancy, all had live births with 2 (29%) preterm births and a median birthweight of 3060 grams. This compares to 469 (13%) preterm births and a median birthweight of 2790 grams in women without RSV during pregnancy. Of the 7 mothers with postpartum RSV infection, RSV was detected in 4 (57%) of their infants.

conclusionsRSV was an uncommon cause of febrile respiratory illness in mothers during pregnancy in Nepal. These data will inform prevention and therapeutic strategies against RSV in resource-limited settings.

Indexed as

AdolescentAdultBirth WeightFemaleHumansImmunizationInfantInfant, NewbornInfluenza, HumanNepalPregnancyPregnancy Complications, InfectiousPregnancy OutcomePremature BirthProspective StudiesRespiratory Syncytial Virus, Human

Identifiers

PMID27031702
PMCPMC4816499
OpenAlexW2329982942

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.