Evidence map›Paper›PMID 29449294›Full record

ArticleBMJ open2018

Disease characteristics and management of hospitalised adolescents and adults with community-acquired pneumonia in China: a retrospective multicentre survey.

Liang Chen, Fei Zhou, Hui Li, Xiqian Xing, Xiudi Han, Yiming Wang, Chunxiao Zhang, Lijun Suo, Jingxiang Wang, Guohua Yu and 16 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02489578 (Management in Real-life of Patients Hospitalized With Community-acquired Pneumonia in China), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
7.6field-weighted citation impact, top 2% 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.

NCT02489578 unknown statusnot on this map

Management in Real-life of Patients Hospitalized With Community-acquired Pneumonia in China

TypeobservationalSponsorCapital Medical UniversityRan2015 to 2016Enrolled3,000ConditionsCommunity Acquired PneumoniaArmsother
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Chest physiotherapy for pneumonia in adults.The Cochrane database of systematic reviews · 2022
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  19. Impact of early neuraminidase inhibitor treatment on clinical outcomes in patients with influenza B-related pneumonia: a multicenter cohort study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Article
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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

26 authors at 13 institutions in 2 countries.

Liang ChenDepartment of Infectious Diseases and Clinical Microbiology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Fei ZhouDepartment of Infectious Diseases and Clinical Microbiology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Hui LiDepartment of Pulmonary and Critical Care Medicine, Center for Respiratory Diseases, National Clinical Research Center of Respiratory Diseases, China-Japan Friendship Hospital, Beijing, China.
Xiqian XingDepartment of Respiratory Medicine, Yan'an Hospital, Kunming Medical University, Kunming, China.
Xiudi HanDepartment of Respiratory Medicine, Qingdao Municipal Hospital, Qingdao, China.
Yiming WangDepartment of Pulmonary and Critical Care Medicine, Center for Respiratory Diseases, National Clinical Research Center of Respiratory Diseases, China-Japan Friendship Hospital, Beijing, China.
Chunxiao ZhangDepartment of Respiratory Medicine, Beijing Huimin Hospital, Beijing, China.
Lijun SuoDepartment of Respiratory Medicine, Linzi District People's Hospital, Zibo, China.
Jingxiang WangDepartment of Respiratory Medicine, Beijing Luhe Hospital, Capital Medical University, Weifang, China.
Guohua YuDepartment of Pulmonary and Critical Care Medicine, Weifang NO.2 People's Hospital, Weifang, China.
Guangqiang WangDepartment of Respiratory Medicine, Qilu Hospital Of Shandong University (Qindao), Qingdao, China.
Xuexin YaoDepartment of Respiratory Medicine, The 2nd Hospital of Beijing Corps, Chinese Armed Police Forces, Beijing, China.
Hongxia YuDepartment of Infectious Disease, Yantai Yuhuangding Hospital, Yantai, China.
Lei WangDepartment of Respiratory Medicine, Rizhao Chinese Medical Hospital, Shandong Chinese Medical University, Rizhao, China.
Meng LiuDepartment of Infectious Diseases and Clinical Microbiology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Chunxue XueDepartment of Infectious Diseases and Clinical Microbiology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Bo LiuDepartment of Respiratory Medicine, Linzi District People's Hospital, Zibo, China.
Xiaoli ZhuOccupational Medicine and Toxicology Department, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Yanli LiDepartment of Infectious Diseases and Clinical Microbiology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Ying XiaoDepartment of Infectious Diseases and Clinical Microbiology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Xiaojing CuiDepartment of Pulmonary and Critical Care Medicine, Center for Respiratory Diseases, National Clinical Research Center of Respiratory Diseases, China-Japan Friendship Hospital, Beijing, China.
Lijuan LiDepartment of Pulmonary and Critical Care Medicine, Center for Respiratory Diseases, National Clinical Research Center of Respiratory Diseases, China-Japan Friendship Hospital, Beijing, China.
Timothy M UyekiInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Chen WangDepartment of Pulmonary and Critical Care Medicine, Center for Respiratory Diseases, National Clinical Research Center of Respiratory Diseases, China-Japan Friendship Hospital, Beijing, China.
Bin CaoDepartment of Pulmonary and Critical Care Medicine, Center for Respiratory Diseases, National Clinical Research Center of Respiratory Diseases, China-Japan Friendship Hospital, Beijing, China.
CAP-China network
Capital Medical University · CNBeijing Chao-Yang Hospital · CNChina-Japan Friendship Hospital · CNLinzi District People's Hospital · CNBeijing Luhe Hospital Affiliated to Capital Medical University · CNChinese People's Armed Police General Hospital · CNKunming Medical University · CNNational Center for Immunization and Respiratory Diseases · USPeople’s Hospital of Rizhao · CNQingdao Municipal Hospital · CNShandong University · CNWeifang People's Hospital · CNYuhuangding Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe the clinical characteristics and management of patients hospitalised with community-acquired pneumonia (CAP) in China.

designThis was a multicentre, retrospective, observational study.

setting13 teaching hospitals in northern, central and southern China from 1 January 2014 to 31 December 2014

participantsInformation on hospitalised patients aged ≥14 years with radiographically confirmed pneumonia with illness onset in the community was collected using standard case report forms. PRIMARY AND SECONDARY OUTCOME MEASURES: Resource use for CAP management.

resultsOf 14 793 patients screened, 5828 with radiographically confirmed CAP were included in the final analysis. Low mortality risk patients with a CURB-65 score 0-1 and Pneumonia Severity Index risk class I-II accounted for 81.2% (4434/5594) and 56.4% (2034/3609) patients, respectively. 21.7% (1111/5130) patients had already achieved clinical stability on admission. A definite or probable pathogen was identified only in 12.7% (738/5828) patients. 40.9% (1575/3852) patients without pseudomonal infection risk factors received antimicrobial overtreatment regimens. The median duration between clinical stability to discharge was 5.0 days with 30-day mortality of 4.2%.

conclusionsThese data demonstrated the overuse of health resources in CAP management, indicating that there is potential for improvement and substantial savings to healthcare systems in China. TRIAL REGISTRATION NUMBER: NCT02489578; Results.

Indexed as

HospitalizationMedical OveruseSeverity of Illness IndexAdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsChinaCommunity-Acquired InfectionsFemaleHealth Care CostsHealth ResourcesHospitals, TeachingHumansLength of StayAnti-Bacterial AgentsChinacommunity-acquired pneumoniadisease characteristicsmanagement

Identifiers

PMID29449294
PMCPMC5829872
OpenAlexW2790067315

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LicenceCC BY
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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.