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ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2019

Respiratory Syncytial Virus Prophylaxis in Infants With Congenital Diaphragmatic Hernia in the Canadian Respiratory Syncytial Virus Evaluation Study of Palivizumab, 2005-2017.

Doyoung Kim, Mahwesh Saleem, Bosco Paes, Ian Mitchell, Krista L Lanctôt

Registry-linked trialAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00420966 (Phase IV Study of Respiratory Syncytial Virus Monoclonal Antibody Therapy in High-risk Infants and Toddlers), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT00420966 completednot on this map

Phase IV Study of Respiratory Syncytial Virus Monoclonal Antibody Therapy in High-risk Infants and Toddlers

TypeobservationalSponsorSunnybrook Health Sciences CentreRan2005 to 2017Enrolled25,003ConditionsLower Respiratory Tract Infection, Respiratory Syncytial Virus Infections
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
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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

5 authors.

Doyoung KimMedical Outcomes and Research in Economics Research Group, Sunnybrook Health Sciences Centre, University of Toronto.
Mahwesh SaleemMedical Outcomes and Research in Economics Research Group, Sunnybrook Health Sciences Centre, University of Toronto.
Bosco PaesDepartment of Pediatrics, McMaster University, Hamilton, Ontario.
Ian MitchellDepartment of Pediatrics, University of Calgary, Alberta, Canada.
Krista L LanctôtMedical Outcomes and Research in Economics Research Group, Sunnybrook Health Sciences Centre, University of Toronto.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfants with congenital diaphragmatic hernia (CDH) are at an increased risk of respiratory morbidity from recurrent respiratory tract infections including those from respiratory syncytial virus (RSV). Prospective studies on RSV prophylaxis in CDH infants are limited. We determined the risk of respiratory illness- and RSV-related hospitalizations (RIH and RSVH, respectively) among infants prophylaxed for CDH, standard indications (SIs) and those without increased risk (NR).

methodsThe prospective Canadian Respiratory Syncytial Virus Evaluation Study of Palivizumab (CARESS) registry was searched for infants who received palivizumab during 12 RSV seasons (2005-2017) in Canada. Cox proportional hazards analyses were conducted to compare RIH and RSVH risks across the groups adjusted for potential confounders.

resultsIn total, 21 107 infants (201 CDH, 389 NR, and 20 517 SI) were included. RIH incidences were 10.0% (CDH), 2.1% (NR), and 6.2% (SI). CDH patients had a significantly higher RIH hazard compared with NR (hazard ratio [HR], 3.6 [95% confidence interval {CI}, 1.5-8.8]; P = .005) but not SI (HR, 1.2 [95% CI, .8-2.0]; P = .379). RSVH incidences were 0.6%, 0.3%, and 1.5% for CDH, NR, and SI, respectively. RSVH risk was similar across groups (SI: HR, 0.0, P = .922; NR: HR, 0.0, P = .934).

conclusionsCDH infants had a 3-fold increased risk of RIH compared to NR but not SI infants. RSVH risk was similar with low RSVH incidences across all groups, implying that CDH infants may benefit from palivizumab during the RSV season, similar to other high-risk groups. CLINICAL TRIALS REGISTRATION: NCT00420966.

Indexed as

Antiviral AgentsCanadaFemaleHernias, Diaphragmatic, CongenitalHospitalizationHumansInfantMaleOutcome Assessment, Health CarePalivizumabPre-Exposure ProphylaxisProportional Hazards ModelsPublic Health SurveillanceRegistriesRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsAntiviral AgentsPalivizumabcongenital diaphragmatic herniaoutcomepalivizumabrespiratory syncytial virusRSV

Identifiers

PMID30517603
PMCPMC6735793

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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.