Evidence map›Paper›PMID 27310438›Full record

Observational studyPloS one2016

Predictors of RSV LRTI Hospitalization in Infants Born at 33 to 35 Weeks Gestational Age: A Large Multinational Study (PONI).

Zbyněk Straňák, Elie Saliba, Paraskevi Kosma, Klara Posfay-Barbe, Khalid Yunis, Teresa Farstad, Kristina Unnebrink, Jean van Wyk, Colleen Wegzyn, Gerard Notario and 2 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 4 pooled it
4.8field-weighted citation impact, top 5% 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

36 citing papers in PubMed, 4 syntheses or guidelines pooled it, 67 citations in OpenAlex.

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  19. Burden of illness in infants and young children hospitalized for respiratory syncytial virus: A rapid review.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2021
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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

12 authors at 9 institutions in 9 countries.

Zbyněk StraňákInstitute for the Care of Mother and Child, Third Faculty of Medicine, Charles University, Prague, Czech Republic.ORCID http://orcid.org/0000-0001-7095-3198
Elie SalibaInserm U930, Université François Rabelais, and Department of Neonatology, University Hospital Clocheville, Tours, France.
Paraskevi KosmaDepartment of Woman and Child Health, Karolinska Institutet, Stockholm, Sweden.
Klara Posfay-BarbeDepartment of Pediatrics, Geneva Medical School and University Hospitals of Geneva, Geneva, Switzerland.
Khalid YunisDepartment of Pediatrics and Adolescent Medicine, American University of Beirut, Riad El Solh, Beirut, Lebanon.
Teresa FarstadDepartment of Pediatrics, Akershus University Hospital, Lørenskog, Norway.
Kristina UnnebrinkData and Statistical Sciences, AbbVie Deutschland GmbH & Co. KG, Ludwigshafen, Germany.
Jean van WykVirology, AbbVie Inc., North Chicago, IL, United States of America.
Colleen WegzynNeonatology, AbbVie Inc., North Chicago, IL, United States of America.
Gerard NotarioVirology, AbbVie Inc., North Chicago, IL, United States of America.
Stefanie KalusBiostatistics, GKM Gesellschaft für Therapieforschung mbH, Munich, Germany.
Fiona J CampbellNeonatology and HIV, AbbVie Ltd, Dublin, Ireland.
AbbVie (United States) · USAbbVie (Germany) · DEAbbVie (Ireland) · IEAkershus University Hospital · NOAmerican University of Beirut · LBCharles University · CZKarolinska Institutet · SEUniversité de Tours · FRUniversity Hospital of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreterm infants are at high risk of developing respiratory syncytial virus (RSV)-associated lower respiratory tract infection (LRTI). This observational epidemiologic study evaluated RSV disease burden and risk factors for RSV-associated LRTI hospitalization in preterm infants 33 weeks+0 days to 35 weeks+6 days gestational age not receiving RSV prophylaxis.

methodsPreterm infants ≤6 months of age during RSV season (1 October 2013-30 April 2014) were followed at 72 sites across 23 countries from September 2013-July 2014 (study period). RSV testing was performed according to local clinical practice. Factors related to RSV-associated hospitalization for LRTI were identified using multivariable logistic regression with backward selection.

resultsOf the 2390 evaluable infants, 204 and 127 were hospitalized for LRTI during the study period and RSV season, respectively. Among these subjects, 64/204 and 46/127, respectively, were hospitalized for confirmed RSV LRTI. Study period and RSV season normalized RSV hospitalization rates (per 100 infant years) were 4.1 and 6.1, respectively. Factors associated with an increased risk of RSV-related LRTI hospitalization in multivariable analyses were smoking of family members (P<0.0001), non-hemodynamically significant congenital heart disease diagnosis (P = 0.0077), maternal age of ≤25 years at delivery (P = 0.0009), low maternal educational level (P = 0.0426), household presence of children aged 4 to 5 years (P = 0.0038), age on 1 October ≤3 months (P = 0.0422), and presence of paternal atopy (P<0.0001).

conclusionsDuring the 2013-2014 RSV season across 23 countries, for preterm infants 33-35 weeks gestation ≤6 months old on 1 October not receiving RSV prophylaxis, confirmed RSV LRTI hospitalization incidence was 4.1 per 100 infant years during the study period and 6.1 per 100 infant years during the RSV season. This study enhances the findings of single-country studies of common risk factors for severe RSV infection in preterm infants and suggests that combinations of 4-6 risk factors may be used to accurately predict risk of RSV hospitalization. These findings may be useful in the identification of infants most at risk of severe RSV infection.

Indexed as

Educational StatusEuropeFemaleGestational AgeHeart Defects, CongenitalHospitalizationHumansInfantInfant, NewbornInfant, PrematureMaternal AgeMiddle EastMultivariate AnalysisPrognosisRespiratory Syncytial VirusesRespiratory Syncytial Virus InfectionsTobacco Smoke Pollution

Identifiers

PMID27310438
PMCPMC4910988
OpenAlexW2443858981

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.