Evidence map›Paper›PMID 28176888›Full record

Observational studyInternational journal of chronic obstructive pulmonary disease2017

Seasonality, risk factors and burden of community-acquired pneumonia in COPD patients: a population database study using linked health care records.

Nicholas P Williams, Ngaire A Coombs, Matthew J Johnson, Lynn K Josephs, Lucy A Rigge, Karl J Staples, Mike Thomas, Tom Ma Wilkinson

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in International journal of chronic obstructive pulmonary disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 4 pooled it
5.9field-weighted citation impact, top 3% 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

42 citing papers in PubMed, 4 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Seasonal variations in exacerbations and deaths in patients with COPD during the TIOSPIRInternational journal of chronic obstructive pulmonary disease · 2018
    Trial
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Review
  11. Twenty years of changes in the definition of early chronic obstructive pulmonary disease.Chinese medical journal pulmonary and critical care medicine · 2023
    Review
  12. Review
  13. Article
  14. Clinical Concepts for Triple Therapy Use in Patients with COPD: A Delphi Consensus.International journal of chronic obstructive pulmonary disease · 2023
    Article
  15. Article
  16. Article
  17. Review
  18. Discordant diagnostic criteria for pneumonia in COPD trials: a review.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  19. Article
  20. Review
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

8 authors at 3 institutions in 1 country.

Nicholas P WilliamsSouthampton NIHR Respiratory Biomedical Research Unit, Southampton General Hospital; Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton General Hospital.
Ngaire A CoombsPrimary Care and Population Sciences, Faculty of Medicine, Southampton General Hospital.
Matthew J JohnsonNIHR CLAHRC Wessex, Faculty of Health Sciences, University of Southampton, Southampton General Hospital, Southampton, UK.
Lynn K JosephsPrimary Care and Population Sciences, Faculty of Medicine, Southampton General Hospital; NIHR CLAHRC Wessex, Faculty of Health Sciences, University of Southampton, Southampton General Hospital, Southampton, UK.
Lucy A RiggeClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton General Hospital; NIHR CLAHRC Wessex, Faculty of Health Sciences, University of Southampton, Southampton General Hospital, Southampton, UK.
Karl J StaplesClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton General Hospital.
Mike ThomasSouthampton NIHR Respiratory Biomedical Research Unit, Southampton General Hospital; Primary Care and Population Sciences, Faculty of Medicine, Southampton General Hospital; NIHR CLAHRC Wessex, Faculty of Health Sciences, University of Southampton, Southampton General Hospital, Southampton, UK.
Tom Ma WilkinsonSouthampton NIHR Respiratory Biomedical Research Unit, Southampton General Hospital; Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton General Hospital; NIHR CLAHRC Wessex, Faculty of Health Sciences, University of Southampton, Southampton General Hospital, Southampton, UK.
Southampton General Hospital · GBUniversity of Southampton · GBUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunity-acquired pneumonia (CAP) is more common in patients with COPD than in the adult general population, with studies of hospitalized CAP patients consistently reporting COPD as a frequent comorbidity. However, despite an increasing recognition of its importance, large studies evaluating the incidence patterns over time, risk factors and burden of CAP in COPD are currently lacking.

methodsA retrospective observational study using a large UK-based database of linked primary and secondary care records was conducted. Patients with a diagnosis of COPD aged ≥40 years were followed up for 5 years from January 1, 2010. CAP and exacerbation episodes were identified from hospital discharge data and primary care coding records, and rates were calculated per month, adjusting for mortality, and displayed over time. In addition, baseline factors predicting future risk of CAP and hospital admission with CAP were identified.

resultsA total of 14,513 COPD patients were identified: 13.4% (n=1,938) had ≥1 CAP episode, of whom 18.8% suffered from recurrent (≥2) CAP. Highest rates of both CAP and exacerbations were seen in winter. A greater proportion of frequent, compared to infrequent, exacerbators experienced recurrent CAP (5.1% versus 2.0%, respectively,

conclusionCAP in COPD demonstrates clear seasonal patterns, with patient characteristics predictive of the odds of future CAP and hospital admission with CAP. Highlighting this burden of COPD-associated CAP during the winter period informs us of the likely triggers and the need for more effective preventive strategies.

Indexed as

Electronic Health RecordsMedical Record LinkagePatient ReadmissionSeasonsAdministration, InhalationAdrenal Cortex HormonesAdultAgedAged, 80 and overBody Mass IndexChi-Square DistributionCommunity-Acquired InfectionsComorbidityDatabases, FactualDisease ProgressionFemaleAdrenal Cortex Hormonescommunity-acquired pneumoniacomorbidityCOPD exacerbationsexacerbation frequency

Identifiers

PMID28176888
PMCPMC5261550
OpenAlexW2560129299

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.