Evidence map›Paper›PMID 29069373›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2018

Detection of Influenza C Viruses Among Outpatients and Patients Hospitalized for Severe Acute Respiratory Infection, Minnesota, 2013-2016.

Beth K Thielen, Hannah Friedlander, Sarah Bistodeau, Bo Shu, Brian Lynch, Karen Martin, Erica Bye, Kathryn Como-Sabetti, David Boxrud, Anna K Strain and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Design and performance of a real-time RT-PCR assay for detection of influenza C viruses.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2025
    Article
  4. Article
  5. Article
  6. Influenza C virus in humans and animals.Clinical and experimental vaccine research · 2025
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Identification of influenza C virus in young South Korean children, from October 2013 to September 2016.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2019
    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

15 authors at 4 institutions in 1 country.

Beth K ThielenDivision of Infectious Diseases and International Medicine, University of Minnesota, Minneapolis.
Hannah FriedlanderMinnesota Department of Health, St. Paul.
Sarah BistodeauMinnesota Department of Health, St. Paul.
Bo ShuNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Brian LynchNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Karen MartinMinnesota Department of Health, St. Paul.
Erica ByeMinnesota Department of Health, St. Paul.
Kathryn Como-SabettiMinnesota Department of Health, St. Paul.
David BoxrudMinnesota Department of Health, St. Paul.
Anna K StrainMinnesota Department of Health, St. Paul.
Sandra S ChavesNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Andrea SteffensNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Ashley L FowlkesNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Stephen LindstromNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Ruth LynfieldMinnesota Department of Health, St. Paul.
Minnesota Department of Health · USCenters for Disease Control and Prevention · USNational Center for Immunization and Respiratory Diseases · USUniversity of Minnesota · US

Funding

Intramural CDC HHS CC999999NCHM CDC HHS U38 HM000414
6 · The paper itself

Abstract

Background: Existing literature suggests that influenza C typically causes mild respiratory tract disease. However, clinical and epidemiological data are limited. Methods: Four outpatient clinics and 3 hospitals submitted clinical data and respiratory specimens through a surveillance network for acute respiratory infection (ARI) from May 2013 through December 2016. Specimens were tested using multitarget nucleic acid amplification for 19-22 respiratory pathogens, including influenza C. Results: Influenza C virus was detected among 59 of 10 202 (0.58%) hospitalized severe ARI cases and 11 of 2282 (0.48%) outpatients. Most detections occurred from December to March, 73% during the 2014-2015 season. Influenza C detections occurred among patients of all ages, with rates being similar between inpatients and outpatients. The highest rate of detection occurred among children aged 6-24 months (1.2%). Among hospitalized cases, 7 required intensive care. Medical comorbidities were reported in 58% of hospitalized cases and all who required intensive care. At least 1 other respiratory pathogen was detected in 40 (66%) cases, most commonly rhinovirus/enterovirus (25%) and respiratory syncytial virus (20%). The hemagglutinin-esterase-fusion gene was sequenced in 37 specimens, and both C/Kanagawa and C/Sao Paulo lineages were detected in inpatients and outpatients. Conclusions: We found seasonal circulation of influenza C with year-to-year variability. Detection was most frequent among young children but occurred in all ages. Some cases that were positive for influenza C, particularly those with comorbid conditions, had severe disease, suggesting a need for further study of the role of influenza C virus in the pathogenesis of respiratory disease.

Indexed as

Acute DiseaseAdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleGammainfluenzavirusHospitalizationHumansInfantInfant, NewbornInfluenza, HumanInpatientsMale

Identifiers

PMID29069373
PMCPMC5862734
OpenAlexW2766143629

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.