Evidence map›Paper›PMID 30086789›Full record

ArticleVirology journal2018

Human adenovirus load in respiratory tract secretions are predictors for disease severity in children with human adenovirus pneumonia.

Leyun Xie, Bing Zhang, Jieying Zhou, Han Huang, Saizhen Zeng, Qin Liu, Zhiping Xie, Hanchun Gao, Zhaojun Duan, Lili Zhong

Open access · goldAbstract read
In one paragraph

Article in Virology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% 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

48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
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  12. Clinical analysis of Mycoplasma pneumoniae pneumonia combined with adenovirus infection in children with lobar pneumonia.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
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  20. Adenovirus andFrontiers in pediatrics · 2024
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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

10 authors at 2 institutions in 1 country.

Leyun XieHunan Provincial People's Hospital, No 61, Jie-Fang West Road, Changsha, 410005, People's Republic of China.
Bing ZhangHunan Provincial People's Hospital, No 61, Jie-Fang West Road, Changsha, 410005, People's Republic of China. zhangbing19590415@163.com.
Jieying ZhouHunan Provincial People's Hospital, No 61, Jie-Fang West Road, Changsha, 410005, People's Republic of China.
Han HuangHunan Provincial People's Hospital, No 61, Jie-Fang West Road, Changsha, 410005, People's Republic of China.
Saizhen ZengHunan Provincial People's Hospital, No 61, Jie-Fang West Road, Changsha, 410005, People's Republic of China.
Qin LiuHunan Provincial People's Hospital, No 61, Jie-Fang West Road, Changsha, 410005, People's Republic of China.
Zhiping XieKey Laboratory for Medical Virology, Ministry of Health, National Institute for Viral Disease Control and Prevention, China CDC, Beijing, 102206, People's Republic of China.
Hanchun GaoKey Laboratory for Medical Virology, Ministry of Health, National Institute for Viral Disease Control and Prevention, China CDC, Beijing, 102206, People's Republic of China.
Zhaojun DuanKey Laboratory for Medical Virology, Ministry of Health, National Institute for Viral Disease Control and Prevention, China CDC, Beijing, 102206, People's Republic of China.
Lili ZhongHunan Provincial People's Hospital, No 61, Jie-Fang West Road, Changsha, 410005, People's Republic of China. 570047414@qq.com.
Hunan Provincial People's Hospital · CNNational Institute for Viral Disease Control and Prevention · CN

Funding

2015 Social Development Science and Technology Support Fund KH1601190
6 · The paper itself

Abstract

backgroundPneumonia is a serious public health issue and is concerned around the world. This study is to investigate the association between viral load in children with human adenovirus (HAdV) pneumonia and disease severity.

methodsA total of 1313 cases of children hospitalized in Hunan Provincial People's Hospital due to community acquired pneumonia (CAP) from April 2011 to May 2014 were enrolled in this study. Samples of nasopharyngeal aspirate were collected for the cohort. WHO criteria for CAP grading was emerged for pneumonia severity classification. Real-time fluorescence quantitative PCR (qRT-PCR) was used to detect 12 kinds of respiratory viruses. HAdV types were identified by nested PCR. The relationship between HAdV load and severity of disease was there by analyzed.

resultsFinally, 174 cases (174/1313, 13.3%) were positive for HAdV, and HAdV type 7 (HAdV-7) was the main serotype (76/174, 43.7%). Among the 174 cases, 70 cases were with HAdV infection alone and 104 cases were accompanied by other viruses. The patients were divided into mild pneumonia group (n = 108 cases) and severe pneumonia group (n = 66 cases). HAdV load of children in severe pneumonia group was higher than that in mild pneumonia group. Similar result was obtained in the 70 cases with HAdV infection alone after subgrouping. Relevant factors analysis results showed that severe pneumonia children presented lower onset age, more prone to fever, longer fever time, and longer hospital stay compared with that of mild pneumonia children. Children with HAdV-7 infection developed more frequently severe pneumonia. Multivariate regression analysis showed that HAdV load, age, and fever time were risk factors for pneumonia severity.

conclusionThe severity of HAdV infection is significantly correlated with viral load and serotype.

Indexed as

Viral LoadAdenoviruses, HumanAdenovirus Infections, HumanAdolescentChildChild, PreschoolCoinfectionCommunity-Acquired InfectionsFemaleHumansInfantMalePneumoniaRespiratory SystemRespiratory Tract InfectionsSeverity of Illness IndexChildrenHAdVHAdV- loadPneumoniaRisk factor

Identifiers

PMID30086789
PMCPMC6081882
OpenAlexW2886760636

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.