Evidence map›Paper›PMID 31054799›Full record

ReviewPaediatric respiratory reviews2020

The impact of viral bronchiolitis phenotyping: Is it time to consider phenotype-specific responses to individualize pharmacological management?

Carlos E Rodríguez-Martínez, Jose A Castro-Rodriguez, Gustavo Nino, Fabio Midulla

Abstract readReview
In one paragraph

Review in Paediatric respiratory reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 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.

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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Australasian Bronchiolitis Guideline: 2025 Update.Journal of paediatrics and child health · 2025
    Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. Patterns of Use of β-2 Agonists, Steroids, and Mucoactive Medications to Treat Bronchiolitis in the PICU: U.S. Pediatric Health Information System 2009-2022 Database Study.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2025
    Article
  7. Review
  8. Severe respiratory syncytial virus disease.Journal of intensive medicine · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Diagnosis and management of asthma in infants and preschoolers.Clinical and experimental pediatrics · 2022
    Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. The use of βERJ open research · 2020
    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

4 authors.

Carlos E Rodríguez-MartínezDepartment of Pediatrics, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia; Department of Pediatric Pulmonology and Pediatric Critical Care Medicine, School of Medicine, Universidad El Bosque, Bogota, Colombia. Electronic address: carerodriguezmar@unal.edu.co.
Jose A Castro-RodriguezDepartment of Pediatric Pulmonology, Division of Pediatrics, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Gustavo NinoDivision of Pediatric Pulmonary, Sleep Medicine and Integrative Systems Biology, Center for Genetic Research, Children's National Medical Center, George Washington University, Washington, D.C., United States.
Fabio MidullaDepartment of Pediatrics, Sapienza University, Rome, Italy.

Funding

THE HUMAN INFANT AIRWAY EPITHELIUM AND RECURRENT WHEEZING AFTER RV AND RSV INFECTIONR01HL141237 · NHLBI · CHILDREN'S RESEARCH INSTITUTE · PI NINO, GUSTAVO · 2019 to 2022
$2.8M
Exosomal miR-155 regulates airway epithelial immune responses in infants with rhinovirus infectionR21AI130502 · NIAID · CHILDREN'S RESEARCH INSTITUTE · PI NINO, GUSTAVO · 2017 to 2018
$495k
TSLP responses in the human infant airway epithelium and recurrent wheezing after RV and RSV InfectionR56HL141237 · NHLBI · CHILDREN'S RESEARCH INSTITUTE · PI NINO, GUSTAVO · 2018 to 2018
$442k
Imaging Biomarkers of Severe Respiratory Infections in Premature InfantsR41HL145669 · NHLBI · KITWARE, INC. · PI ENQUOBAHRIE, ANDINET ASMAMAW, LINGURARU, MARIUS GEORGE · 2018 to 2018
$225k
NHLBI NIH HHS R01 HL141237NHLBI NIH HHS R41 HL145669NHLBI NIH HHS R56 HL141237NIAID NIH HHS R21 AI130502
6 · The paper itself

Abstract

Although recent guidelines recommend a minimalist approach to bronchiolitis, there are several issues with this posture. First, there are concerns about the definition of the disease, the quality of the guidelines, the method of administration of bronchodilators, and the availability of tools to evaluate the response to therapies. Second, for decades it has been assumed that all cases of viral bronchiolitis are the same, but recent evidence has shown that this is not the case. Distinct bronchiolitis phenotypes have been described, with heterogeneity in clinical presentation, molecular immune signatures and clinically relevant outcomes such as respiratory failure and recurrent wheezing. New research is critically needed to refine viral bronchiolitis phenotyping at the molecular and clinical levels as well as to define phenotype-specific responses to different therapeutic options.

Indexed as

Antimicrobial Cationic PeptidesBronchiolitis, ViralBronchodilator AgentsCathelicidinsDermatitis, AtopicEosinophiliaGuideline AdherenceHospitalizationHumansMicrobiotaPhenotypePicornaviridae InfectionsPractice Guidelines as TopicRespiratory SoundsRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsAntimicrobial Cationic PeptidesBronchodilator AgentsCathelicidinsBronchiolitisClinical practice guidelinesPhenotype-specific treatmentViral bronchiolitis phenotyping

Identifiers

PMID31054799
PMCPMC7325448

What OpenQuestion holds

Textmetadata
LicenceTDM
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.