Evidence map›Paper›PMID 30561555›Full record

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

Community-acquired Respiratory Viruses Are a Risk Factor for Chronic Lung Allograft Dysfunction.

Maddalena Peghin, Ibai Los-Arcos, Hans H Hirsch, Gemma Codina, Víctor Monforte, Carles Bravo, Cristina Berastegui, Alberto Jauregui, Laura Romero, Evelyn Cabral and 5 more

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 NCT04319172 (Multicentric Study of Coronavirus Disease 2019), which is not on this map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–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.

NCT04319172 completednot on this mapstarted 2020, after this paper: background citation

Multicentric Study of Coronavirus Disease 2019 (COVID-2019) in Solid Organ Transplant Recipients

TypeobservationalSponsorFundación Pública Andaluza para la gestión de la Investigación en SevillaRan2020 to 2023Enrolled488ConditionsTransplant Recipient, Infections, Coronavirus
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  14. Donor derived cell free DNA% is elevated with pathogens that are risk factors for acute and chronic lung allograft injury.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2021
    Article
  15. Viral infections in lung transplantation.Journal of thoracic disease · 2021
    Review
  16. Review
  17. Post-COVID-19 symptoms 6 months after acute infection among hospitalized and non-hospitalized patients.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2021
    Article
  18. The lung microbiome in lung transplantation.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2021
    Review
  19. COVID-19 in lung transplant recipients: A multicenter study.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Article
  20. Challenges in the use of highly effective modulator treatment for cystic fibrosis.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2021
    Review
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

15 authors.

Maddalena PeghinInfectious Diseases Research Group, Vall d'Hebron Research Institute, Department of Infectious Diseases, Hospital Universitari Vall d'Hebron, Barcelona.
Ibai Los-ArcosInfectious Diseases Research Group, Vall d'Hebron Research Institute, Department of Infectious Diseases, Hospital Universitari Vall d'Hebron, Barcelona.
Hans H HirschDivision of Infectious Diseases and Hospital Epidemiology, Basel University Hospital, Switzerland.
Gemma CodinaSpanish Network for Research in Infectious Diseases, Instituto de Salud Carlos III, Madrid.
Víctor MonforteDepartment of Pulmonology and Lung Transplant Unit, Hospital Universitari Vall d'Hebron, Barcelona.
Carles BravoDepartment of Pulmonology and Lung Transplant Unit, Hospital Universitari Vall d'Hebron, Barcelona.
Cristina BerasteguiDepartment of Pulmonology and Lung Transplant Unit, Hospital Universitari Vall d'Hebron, Barcelona.
Alberto JaureguiDepartment of Thoracic Surgery, Hospital Universitari Vall d'Hebron, Barcelona.
Laura RomeroDepartment of Thoracic Surgery, Hospital Universitari Vall d'Hebron, Barcelona.
Evelyn CabralInfectious Diseases Research Group, Vall d'Hebron Research Institute, Department of Infectious Diseases, Hospital Universitari Vall d'Hebron, Barcelona.
Ricard FerrerIntensive Care Department, Hospital Universitari Vall d'Hebron, Barcelona.
Judith SacanellIntensive Care Department, Hospital Universitari Vall d'Hebron, Barcelona.
Antonio RománDepartment of Pulmonology and Lung Transplant Unit, Hospital Universitari Vall d'Hebron, Barcelona.
Oscar LenInfectious Diseases Research Group, Vall d'Hebron Research Institute, Department of Infectious Diseases, Hospital Universitari Vall d'Hebron, Barcelona.
Joan GavaldàInfectious Diseases Research Group, Vall d'Hebron Research Institute, Department of Infectious Diseases, Hospital Universitari Vall d'Hebron, Barcelona.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship between community-acquired respiratory viruses (CARVs) and chronic lung allograft dysfunction (CLAD) in lung transplant recipients is still controversial.

methodsWe performed a prospective cohort study (2009-2014) in all consecutive adult patients (≥18 years) undergoing lung transplantation in the Hospital Universitari Vall d'Hebron (Barcelona, Spain). We systematically collected nasopharyngeal swabs from asymptomatic patients during seasonal changes, from patients with upper respiratory tract infectious disease, lower respiratory tract infectious disease (LRTID), or acute rejection. Nasopharyngeal swabs were analyzed by multiplex polymerase chain reaction. Primary outcome was to evaluate the potential association of CARVs and development of CLAD. Time-dependent Cox regression models were performed to identify the independent risk factors for CLAD.

resultsOverall, 98 patients (67 bilateral lung transplant recipients; 63.3% male; mean age, 49.9 years) were included. Mean postoperative follow-up was 3.4 years (interquartile range [IQR], 2.5-4.0 years). Thirty-eight lung transplant recipients (38.8%) developed CLAD, in a median time of 20.4 months (IQR, 12-30.4 months). In time-controlled multivariate analysis, CARV-LRTID (hazard ratio [HR], 3.00 [95% confidence interval {CI}, 1.52-5.91]; P = .002), acute rejection (HR, 2.97 [95% CI, 1.51-5.83]; P = .002), and cytomegalovirus pneumonitis (HR, 3.76 [95% CI, 1.23-11.49]; P = .02) were independent risk factors associated with developing CLAD.

conclusionsLung transplant recipients with CARVs in the lower respiratory tract are at increased risk to develop CLAD.

Indexed as

AdultAllograftsCommunity-Acquired InfectionsFemaleFollow-Up StudiesHumansLung DiseasesLung TransplantationMaleMiddle AgedPneumonia, ViralProportional Hazards ModelsProspective StudiesRespiratory Function TestsRisk FactorsTransplant Recipientsbronchiolitis obliteranschronic rejectionlung transplantationrespiratory virusviral infection

Identifiers

PMID30561555
PMCPMC7797743

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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.