Evidence map›Paper›PMID 29262784›Full record

ArticleBMC infectious diseases2017

Risk of mortality associated with respiratory syncytial virus and influenza infection in adults.

Yong Shik Kwon, Sun Hyo Park, Mi-Ae Kim, Hyun Jung Kim, Jae Seok Park, Mi Young Lee, Choong Won Lee, Sonila Dauti, Won-Il Choi

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04245800 (Behavioral Patterns and Patient Self-completed Diagnostic Testing Study of Respiratory Viral Infection "Home Testing of Respiratory Illness"), which is not on this map. Cited by 56 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 2 pooled it
5.0field-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.

NCT04245800 completednot on this mapstarted 2019, after this paper: background citation

Behavioral Patterns and Patient Self-completed Diagnostic Testing Study of Respiratory Viral Infection "Home Testing of Respiratory Illness"

TypeobservationalSponsorEvidation HealthRan2019 to 2020Enrolled5,233ConditionsInfluenza -Like Illness, Influenza A, Influenza Type B, Respiratory Viral Infection
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 2 syntheses or guidelines pooled it, 87 citations in OpenAlex.

  1. Pooled it
  2. Systematic review on respiratory syncytial virus epidemiology in adults and the elderly in Latin America.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2020
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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

9 authors at 3 institutions in 1 country.

Yong Shik KwonDepartment of Internal Medicine, Keimyung University Dongsan Hospital, Daegu, Republic of Korea.
Sun Hyo ParkDepartment of Internal Medicine, Keimyung University Dongsan Hospital, Daegu, Republic of Korea.
Mi-Ae KimDepartment of Internal Medicine, Keimyung University Dongsan Hospital, Daegu, Republic of Korea.
Hyun Jung KimDepartment of Internal Medicine, Keimyung University Dongsan Hospital, Daegu, Republic of Korea.
Jae Seok ParkDepartment of Internal Medicine, Keimyung University Dongsan Hospital, Daegu, Republic of Korea.
Mi Young LeeDepartment of Preventive Medicine, Keimyung University School of Medicine, Dongsan Hospital, Daegu, Republic of Korea.
Choong Won LeeDepartment of Occupational & Environmental Medicine, Sungso Hospital, Andong, Republic of Korea.
Sonila DautiDepartment of Internal Medicine, Keimyung University Dongsan Hospital, Daegu, Republic of Korea.
Won-Il ChoiDepartment of Internal Medicine, Keimyung University Dongsan Hospital, Daegu, Republic of Korea. wichoi@dsmc.or.kr.ORCID 0000-0001-7705-0098
Keimyung University · KRDaejeon Sun Hospital · KRKeimyung University Dongsan Medical Center · KR

Funding

National Research Foundation of Korea 2014R1A5A2010008
6 · The paper itself

Abstract

backgroundRespiratory syncytial virus (RSV) infection constitutes a substantial disease burden in the general population. However, the risk of death for RSV infection has been rarely evaluated with confounders or comorbidities adjusted. We aimed to evaluate whether RSV infection is associated with higher mortality than seasonal influenza after adjusting for confounders and comorbidities and the effect of oseltamivir on the mortality in patients with influenza infection.

methodsA retrospective cohort study was conducted on adult (≥18 years) patients admitted to the emergency department and ward of a university teaching hospital for suspected viral infection during 2013-2015 (N = 3743). RSV infection was diagnosed by multiplex PCR (N = 87). Adults hospitalized for seasonal influenza during the study period were enrolled as a comparison group (n = 312). The main outcome was 20-day all-cause mortality.We used Cox proportional hazard regression analyses to calculate the relative risk of death.

resultsAdult patients were less likely to be diagnosed with RSV than with influenza (2.3 vs 8.3%, respectively), were older and more likely to be diagnosed with pneumonia, chronic obstructive pulmonary disease, hypoxemia, and bacterial co-infection. In patients with RSV infection, the 20-day all-cause mortality was higher than that for influenza, (18.4 vs 6.7%, respectively). RSV infection showed significantly higher risk of death compared to the seasonal influenza group, with hazard ratio, 2.32 (95% CI, 1.17-4.58). Oseltamivir had no significant effect on mortality in patients with influenza.

conclusionsRSV infection was significantly associated with a higher risk of death than seasonal influenza, adjusted for potential confounders and comorbidities.

Indexed as

AdultHospitals, TeachingHumansInfluenza, HumanRespiratory Syncytial Virus InfectionsRetrospective StudiesInfluenza, humanMortalityRespiratory syncytial viruses

Identifiers

PMID29262784
PMCPMC5738863
OpenAlexW2779767961

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.