Evidence map›Paper›PMID 30101552›Full record

SynthesisReviews in medical virology2018

Systematic review of the impact of point-of-care testing for influenza on the outcomes of patients with acute respiratory tract infection.

Ece Egilmezer, Gregory J Walker, Padmavathy Bakthavathsalam, Joshua R Peterson, J Justin Gooding, William Rawlinson, Sacha Stelzer-Braid

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Reviews in medical virology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 3 pooled it
6.6field-weighted citation impact, top 3% 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

44 citing papers in PubMed, 3 syntheses or guidelines pooled it, 84 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Ece EgilmezerVirology Research Laboratory, Prince of Wales Hospital, University of New South Wales, Sydney, NSW, Australia.
Gregory J WalkerVirology Research Laboratory, Prince of Wales Hospital, University of New South Wales, Sydney, NSW, Australia.ORCID 0000-0003-0044-1394
Padmavathy BakthavathsalamAustralian Centre for NanoMedicine and School of Chemistry, Faculty of Science, University of New South Wales, Sydney, NSW, Australia.
Joshua R PetersonAustralian Centre for NanoMedicine and School of Chemistry, Faculty of Science, University of New South Wales, Sydney, NSW, Australia.
J Justin GoodingAustralian Centre for NanoMedicine and School of Chemistry, Faculty of Science, University of New South Wales, Sydney, NSW, Australia.ORCID 0000-0002-5398-0597
William RawlinsonVirology Research Laboratory, Prince of Wales Hospital, University of New South Wales, Sydney, NSW, Australia.
Sacha Stelzer-BraidVirology Research Laboratory, Prince of Wales Hospital, University of New South Wales, Sydney, NSW, Australia.ORCID 0000-0001-6037-9305
UNSW Sydney · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute respiratory tract infections are a major cause of morbidity and mortality and represent a significant burden on the health care system. Laboratory testing is required to definitively distinguish infecting influenza virus from other pathogens, resulting in prolonged emergency department (ED) visits and unnecessary antibiotic use. Recently available rapid point-of-care tests (POCT) may allow for appropriate use of antiviral and antibiotic treatments and decrease patient lengths of stay. We undertook a systematic review to assess the effect of POCT for influenza on three outcomes: (1) antiviral prescription, (2) antibiotic prescription, and (3) patient length of stay in the ED. The databases Medline and Embase were searched using MeSH terms and keywords for influenza, POCT, antivirals, antibiotics, and length of stay. Amongst 245 studies screened, 30 were included. The majority of papers reporting on antiviral prescription found that a positive POCT result significantly increased use of antivirals for influenza compared with negative POCT results and standard supportive care. A positive POCT result also led to decreased antibiotic use. The results of studies assessing the effect of POCT on ED length of stay were not definitive. The studies assessed in this systematic review support the use of POCT for diagnosis of influenza in patients suffering an acute respiratory infection. Diagnosis using POCT may lead to more appropriate prescription of treatments for infectious agents. Further studies are needed to assess the effect of POCT on the length of stay in ED.

Indexed as

Point-of-Care TestingAntiviral AgentsDrug PrescriptionsEmergency Medical ServicesEmergency Service, HospitalHumansInfluenza A virusInfluenza, HumanLength of StayPolymerase Chain ReactionRespiratory Tract InfectionsAntiviral Agentsinfluenzapoint of caresystematic review

Identifiers

PMID30101552
PMCPMC7169080
OpenAlexW2887723198

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.