Evidence map›Paper›PMID 29606178›Full record

ArticleEpidemiology and infection2018

Effectiveness of antiviral treatment in preventing death in severe hospitalised influenza cases over six seasons.

A Domínguez, A Romero-Tamarit, N Soldevila, P Godoy, M Jané, A Martínez, N Torner, J A Caylà, C Rius, Surveillance of Hospitalized Cases of Severe Influenza in Catalonia Working Group

Open access · bronzeAbstract read
In one paragraph

Article in Epidemiology and infection, 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
2.4field-weighted citation impact, top 11% 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, 25 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Benefit of Early Oseltamivir Therapy for Adults Hospitalized With Influenza A: An Observational Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Observational
  4. Article
  5. Effect of neuraminidase inhibitor (oseltamivir) treatment on outcome of hospitalised influenza patients, surveillance data from 11 EU countries, 2010 to 2020.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Article
  6. Observational
  7. Observational
  8. Surveillance Data for Eight Consecutive Influenza Seasons in Sicily, Italy.The American journal of tropical medicine and hygiene · 2019
    Article
  9. Article
  10. Review
  11. Observational
  12. Article
  13. Article
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

10 authors at 3 institutions in 1 country.

A DomínguezDepartament de Medicina, Universitat de Barcelona, Barcelona, Spain.ORCID https://orcid.org/0000-0003-0219-1907
A Romero-TamaritCIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.ORCID https://orcid.org/0000-0003-4391-6150
N SoldevilaDepartament de Medicina, Universitat de Barcelona, Barcelona, Spain.
P GodoyCIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
M JanéCIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
A MartínezCIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
N TornerDepartament de Medicina, Universitat de Barcelona, Barcelona, Spain.
J A CaylàCIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
C RiusCIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Surveillance of Hospitalized Cases of Severe Influenza in Catalonia Working Group
Generalitat de Catalunya · ESCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESAgència de Salut Pública de Catalunya · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated the predictors of neuraminidase inhibitor (NAI) treatment in severe hospitalised influenza cases and the association between antiviral treatment and mortality. An observational epidemiological study was carried out in Catalonia (Spain) during 2010-2016 in patients aged ⩾18 years. Severe hospitalised cases of laboratory-confirmed influenza requiring hospitalisation were included. We collected demographic, virological and clinical characteristics. Mixed-effects logistic regression was used to estimate crude and adjusted odds ratio (aOR). We included 1727 hospitalised patients, of whom 1577 (91.3%) received NAI. Receiving NAI ⩽48 h after onset of clinical symptoms (aOR 0.37, 95% confidence interval (CI) 0.22-0.63), ⩽3 days (aOR 0.49, 95% CI 0.30-0.79) and ⩽5 days (aOR 0.50, 95% CI 0.32-0.79) was associated with a reduction in deaths. In patients admitted to the intensive care unit (ICU) (595; 34.5%), treatment ⩽48 h (aOR 0.32, 95% CI 0.14-0.74), ⩽3 days (aOR 0.44, 95% CI 0.20-0.97) and ⩽5 days (aOR 0.45, 95% CI 0.22-0.96) was associated with a reduction in deaths. Receiving treatment >5 days after onset of clinical symptoms was not associated with the reduction in deaths in hospitalised patients or those admitted to the ICU. NAI treatment of hospitalised patients with severe confirmed influenza was effective in avoiding death, mainly when administered ⩽48 h after symptom onset, but also when no more than 5 days had elapsed.

Indexed as

AdultAgedAged, 80 and overAntiviral AgentsFemaleHospitalizationHumansInfluenza A Virus, H1N1 SubtypeInfluenza, HumanIntensive Care UnitsMaleMiddle AgedSeasonsSpainYoung AdultAntiviral AgentsAdherenceadultsantiviral treatmenteffectivenessinfluenza

Identifiers

PMID29606178
PMCPMC9184950
OpenAlexW2796332672

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.