Evidence map›Paper›PMID 30137684›Full record

Observational studyInfluenza and other respiratory viruses2019

Characteristics and mortality of severe influenza cases treated with parenteral aqueous zanamivir, United Kingdom, October 2009 to January 2011.

Paul Robert Cleary, Jonathan Crofts, Frances Parry-Ford, Meera Chand, Nick Phin

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Influenza and other respiratory viruses, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
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

5 authors at 1 institution in 1 country.

Paul Robert ClearyField Service, National Infection Service, Public Health England, Liverpool, UK.ORCID 0000-0001-9335-5422
Jonathan CroftsImmunisation, Hepatitis, Blood Safety and Countermeasures Response, National Infection Service, Public Health England, London, UK.
Frances Parry-FordInfluenza Preparedness and Response Section, National Infection Service, Public Health England, London, UK.
Meera ChandReference Microbiology Services, National Infection Service, Public Health England, London, UK.
Nick PhinInterim Deputy Director, National Infection Service, Public Health England, London, UK.
Public Health England · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAqueous zanamivir solution, an investigational product, was provided by the manufacturer on compassionate grounds for parenteral administration to severe H1N1pdm09 influenza cases during the 2009 pandemic.

objectiveTo describe characteristics and outcomes of UK patients receiving parenteral zanamivir therapy.

methodsCollaborators at multiple hospital sites gathered retrospective data on patients receiving aqueous zanamivir therapy between Q4 2009 and Q1 2011. We present analysis of the demographics, clinical features, treatment and outcomes of this cohort.

resultsData on 185 cases were obtained (response rate of 38%; median age 43 years; 62% male; 17% non-Caucasian ethnic group). Most frequent co-morbidities included cancer, immunosuppression and respiratory conditions. Most patients received intravenous zanamivir alone (90%), for durations of up to 21 days. 13% of cases had adverse effects related to zanamivir therapy. Thirty four percentage of cases died. No significant relationship was seen between mortality and timing or route of administration of aqueous zanamivir therapy.

conclusionsThe response rate of this observational study of the outcomes of treatment of severe influenza was low, allowing limited conclusions to be drawn. Some potential adverse effects were noted. Clinicians should carefully consider potential risks and benefits of use of this product. New treatment options are urgently required to improve outcomes for patients with severe influenza infections.

Indexed as

AdolescentAdultAgedAntiviral AgentsChildChild, PreschoolFemaleHospitalizationHumansInfantInfant, NewbornInfluenza, HumanInfusions, ParenteralMaleMiddle AgedPandemicsAntiviral AgentsZanamivircritical care outcomesH1N1influenzapandemiczanamivir

Identifiers

PMID30137684
PMCPMC6304314
OpenAlexW2888574345

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.