Evidence map›Paper›PMID 27052815›Full record

ArticleAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2016

Clinical characteristics of asthmatic patients with influenza-like illness and risk of severe exacerbations in Mexico.

Paulina Paulin-Prado, Katherine Nishimura, Laura Freimanis-Hance, Sally Hunsberger, John Beigel, Arturo Galindo Fraga, Ana A Ortiz Hernandez, Beatriz Llamosas-Gallardo, Sarbelio Moreno-Espinosa, Martin Magaña-Aquino and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Prevalence of respiratory viruses in stable and acute asthma: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. 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

13 authors at 8 institutions in 2 countries.

Paulina Paulin-PradoInstituto Nacional de Enfermedades Respiratorias, Mexico City, Mexico.
Katherine NishimuraNational Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.
Laura Freimanis-HanceWestat, Rockville, Maryland.
Sally HunsbergerNational Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.
John BeigelLeidos Biomedical, Bethesda, Maryland.
Arturo Galindo FragaInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Ana A Ortiz HernandezInstituto Nacional de Pediatría, Mexico City, Mexico.
Beatriz Llamosas-GallardoInstituto Nacional de Pediatría, Mexico City, Mexico.
Sarbelio Moreno-EspinosaHospital Infantil de México "Dr. Federico Gómez," Mexico City, Mexico.
Martin Magaña-AquinoHospital Central "Dr. Ignacio Morones Prieto," San Luis Potosí, México.
Guillermo M Ruiz PalaciosInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Alejandra Ramirez-VenegasInstituto Nacional de Enfermedades Respiratorias, Mexico City, Mexico. Electronic address: aleravas@hotmail.com.
Mexico Emerging Infectious Diseases Clinical Research Network
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXInstituto Nacional de Enfermedades Respiratorias · MXInstituto Nacional de Pediatria · MXNational Institutes of Health · USHospital Central Dr. Ignacio Morones Prieto · MXHospital Infantil de México Federico Gómez · MXLeidos (United States) · USWestat (United States) · US

Funding

CCR NIH HHS HHSN261200800001CIntramural NIH HHS Z99 AI999999NCI NIH HHS HHSN261200800001ENIAID NIH HHS HHSN272200900001CNIAID NIH HHS HHSN272200900031C
6 · The paper itself

Abstract

backgroundPatients with chronic inflammatory lung diseases, such as asthma, are at higher risk for influenza-like illness (ILI) complications. Viral infections are known to trigger asthma exacerbations, but a thorough description of the clinical characteristics of ILI-associated asthma exacerbations and the role of viruses as a risk factor for severe exacerbation (SE) in ILI has not been published yet.

objectiveTo investigate risk factors for SE in patients with ILI and asthma.

methodsPatients with ILI symptoms were recruited from 6 hospitals of Mexico (LaRed sites) during 2010 to 2014. Those with a previous asthma diagnosis and ILI symptoms and who were 5 years or older were included. Patients were assigned as cases or controls based on symptoms reported. SE was defined when participants presented with wheezing or dyspnea and required hospitalization.

resultsA total of 486 patients with ILI and a diagnosis of asthma were included. There were no differences in the proportion, number, or type of viral illness among those with and without SE. Those with SE were less likely to report ILI symptoms. Muscle pain and nasal drip were predictors for patients not progressing to SE. A delay in seeking medical care was associated with SE (odds ratio, 2.93; 95% CI, 1.46-5.88).

conclusionThe presence of a particular virus did not predict SE. ILI symptoms in asthma patients are not associated with severe exacerbation. Patients with asthma should be encouraged to seek early medical care when ILI symptoms are first noticed to prevent serious complications.

Indexed as

AdolescentAsthmaChildChild, PreschoolFemaleHospitalizationHumansMaleMexicoOdds RatioRisk FactorsSeverity of Illness IndexVirus Diseases

Identifiers

PMID27052815
PMCPMC4860073
OpenAlexW2325348363

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.