Evidence map›Paper›PMID 29266966›Full record

ArticleAnnals of the American Thoracic Society2018

Cardiovascular Outcomes after a Respiratory Tract Infection among Adults with Non-Cystic Fibrosis Bronchiectasis: A General Population-based Study.

Vidya Navaratnam, Adrian A Root, Ian Douglas, Liam Smeeth, Richard B Hubbard, Jennifer K Quint

Open access · greenAbstract read
In one paragraph

Article in Annals of the American Thoracic Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Guideline
  2. Article
  3. ERJ open research · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. Exacerbations of bronchiectasis.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Vidya Navaratnam1 Division of Epidemiology and Public Health, University of Nottingham, Nottingham, United Kingdom.
Adrian A Root3 Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Ian Douglas3 Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Liam Smeeth3 Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Richard B Hubbard1 Division of Epidemiology and Public Health, University of Nottingham, Nottingham, United Kingdom.
Jennifer K Quint2 Department of Respiratory Epidemiology, Occupational Medicine, and Public Health, National Heart and Lung Institute, Imperial College London, United Kingdom; and.
London School of Hygiene & Tropical Medicine · GBUniversity of Nottingham · GBImperial College London · GB

Funding

Medical Research Council G0802403
6 · The paper itself

Abstract

rationaleStudies suggest that adults with bronchiectasis are at increased risk of cardiovascular comorbidities.

objectivesWe aimed to quantify the relative risk of incident cardiovascular events after a respiratory tract infection among adults with bronchiectasis.

methodsUsing UK electronic primary care records, we conducted a within-person comparison using the self-controlled case series method. We calculated the relative risk of first-time cardiovascular events (either first myocardial infarction or stroke) after a respiratory tract infection compared with the individual's baseline risk.

resultsOur cohort consisted of 895 adult men and women with non-cystic fibrosis bronchiectasis with a first myocardial infarction or stroke and at least one respiratory tract infection. There was an increased rate of first-time cardiovascular events in the 91-day period after a respiratory tract infection (incidence rate ratio, 1.56; 95% confidence interval, 1.20-2.02). The rate of a first cardiovascular event was highest in the first 3 days after a respiratory tract infection (incidence rate ratio, 2.73; 95% confidence interval, 1.41-5.27).

conclusionsThese data suggest that respiratory tract infections are strongly associated with a transient increased risk of first-time myocardial infarction or stroke among people with bronchiectasis. As respiratory tract infections are six times more common in people with bronchiectasis than the general population, the increased risk has a disproportionately greater impact in these individuals. These findings may have implications for including cardiovascular risk modifications in airway infection treatment pathways in this population.

Indexed as

AgedBronchiectasisCohort StudiesFemaleHumansMaleMiddle AgedMyocardial InfarctionRespiratory Tract InfectionsStrokeUnited Kingdombronchiectasiscardiovascular diseasemyocardial infarctionself-controlled case seriesstroke

Identifiers

PMID29266966
PMCPMC5880522
OpenAlexW2781181961

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.