Evidence map›Paper›PMID 31024197›Full record

ArticleJournal of clinical and experimental hepatology

A/H1N1/09 Influenza is Associated With High Mortality in Liver Cirrhosis.

Madhumita Premkumar, Devaraja Devurgowda, Shivani Dudha, Rakhi Maiwall, Chhagan Bihari, Shrruti Grover, Ekta Gupta, Sachin Kumar, Shiv K Sarin

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of clinical and experimental hepatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04668404 (Study of Coagulation Profile and Role of Heparin-like Effect in Patients With COVID-19), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.3field-weighted citation impact, top 12% 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.

NCT04668404 unknown statusnot on this map

Study of Coagulation Profile and Role of Heparin-like Effect in Patients With COVID-19

Typeobservational_patient_registrySponsorPost Graduate Institute of Medical Education and Research, ChandigarhRan2020 to 2021Enrolled50ConditionsCovid19, Hypercoagulable States NecArmsSonoclot
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 51 citations in OpenAlex.

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  8. Observational
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  10. Respiratory tract viral infections associated sepsis in patients with underlying liver disease: Viral sepsis an entity to look forward!Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
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  11. 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

9 authors at 1 institution in 1 country.

Madhumita PremkumarDepartment of Hepatology, Institute of Liver and Biliary Sciences, D1 Vasant Kunj, New Delhi, India.
Devaraja DevurgowdaDepartment of Hepatology, Institute of Liver and Biliary Sciences, D1 Vasant Kunj, New Delhi, India.
Shivani DudhaDepartment of Hepatology, Institute of Liver and Biliary Sciences, D1 Vasant Kunj, New Delhi, India.
Rakhi MaiwallDepartment of Hepatology, Institute of Liver and Biliary Sciences, D1 Vasant Kunj, New Delhi, India.
Chhagan BihariDepartment of Pathology, Institute of Liver and Biliary Sciences, D1 Vasant Kunj, New Delhi, India.
Shrruti GroverDepartment of Pathology, Institute of Liver and Biliary Sciences, D1 Vasant Kunj, New Delhi, India.
Ekta GuptaDepartment of Virology, Institute of Liver and Biliary Sciences, D1 Vasant Kunj, New Delhi, India.
Sachin KumarDepartment of Pulmonology, Institute of Liver and Biliary Sciences, D1 Vasant Kunj, New Delhi, India.
Shiv K SarinDepartment of Hepatology, Institute of Liver and Biliary Sciences, D1 Vasant Kunj, New Delhi, India.
Institute of Liver and Biliary Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsA/H1N1/09 influenza is associated with a high risk of complications in patients with chronic diseases. In view of patients with cirrhosis being recognized as another high-risk group for influenza morbidity and mortality, we report a cluster of suspected A/H1N1/09 infection in 110 patients admitted to a hepatology intensive care unit.

methodsThe pattern of spread, clinical outcome, and respiratory parameters of A/H1N1/09 of 22 positive cirrhotic patients were compared with those from a control group of 88 patients with chronic liver disease (CLD) with influenza-like pneumonia who tested negative for A/H1N1/09.

resultsA/H1N1/09 infection was confirmed in 22 (20%) patients. Eighteen of 22 (81.8%) CLD patients with A/H1N1/09 died of pneumonia and acute respiratory distress syndrome despite timely antiviral treatment. In contrast, only 35 (40%)of the control group of cirrhotic patients without A/H1N1/09 died. On univariate analysis, age > 45 years [OR 1.3; 95% CI 1.1-5.7, (

conclusionEarly detection and referral, and early antiviral treatment with a strict control of nosocomial spread is essential in patients with cirrhosis during epidemic influenza.

Indexed as

AKI, Acute Kidney InjuryAPACHE II, Acute Physiologic Assessment and Chronic Health Evaluation IIARDS, Acute Respiratory Distress SyndromeCLD, Chronic Liver Diseasecritical care in liver diseaseCTP, Child Turcotte Pugh ScoreCXR, Chest RadiographH1N1 influenzaICU, Intensive Care UnitILI, Influenza Like IllnessINR, International Normalized RatioMELD, Model for End-Stage Liver DiseaseNASH, Non Alcoholic SteatohepatitisPCR, Polymerase Chain ReactionpneumoniaSOFA, Sequential Organ Failure Scoreventilatory support

Identifiers

PMID31024197
PMCPMC6477137
OpenAlexW2804164976

What OpenQuestion holds

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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.