Evidence map›Paper›PMID 31093225›Full record

ArticleRevista panamericana de salud publica = Pan American journal of public health2019

Severe acute respiratory infections (SARI) from influenza in adult patients in Chile: the experience of a sentinel hospital.

Alberto Fica, Viviana Sotomayor, Rodrigo Fasce, Jeannette Dabanch, Andrés Soto, Paulo Charpentier, Gonzalo Guerrero, Felipe Olivares, Vjera Triantafilo, Nathalie El Omeiri and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Revista panamericana de salud publica = Pan American journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

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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

11 authors at 2 institutions in 2 countries.

Alberto FicaInfectious Disease Service, Hospital Militar de Santiago, Santiago, Chile.
Viviana SotomayorDepartment of Epidemiology, Ministerio de Salud, Santiago, Chile.
Rodrigo FasceViral Hepatitis and Emerging Diseases Section, Viral Diseases Subdepartment, Instituto de Salud Pública de Chile, Santiago, Chile.
Jeannette DabanchInfectious Disease Service, Hospital Militar de Santiago, Santiago, Chile.
Andrés SotoInfectious Disease Service, Hospital Militar de Santiago, Santiago, Chile.
Paulo CharpentierInfectious Disease Service, Hospital Militar de Santiago, Santiago, Chile.
Gonzalo GuerreroInfectious Disease Service, Hospital Militar de Santiago, Santiago, Chile.
Felipe OlivaresInfectious Disease Service, Hospital Militar de Santiago, Santiago, Chile.
Vjera TriantafiloCentral Laboratory, Hospital Militar de Santiago, Santiago, Chile.
Nathalie El OmeiriComprehensive Family Immunization Unit, Pan American Health Organization, Washington, D.C., United States of America.
Marina Gaínza-LeinSchool of Medicine, Universidad Austral de Chile-Campus Isla Teja, Valdivia, Chile.
Collegio Carlo Alberto · ITMinistry of Health · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo 1) describe clinical characteristics of adult patients in Chile with severe acute respiratory infections (SARI) associated with influenza viruses, and 2) analyze virus subtypes identified in specimens collected from those patients, hospital resources used in clinical management, clinical evolution, and risk factors associated with a fatal outcome, using observational data from the SARI surveillance network (SARInet).

methodsAdults hospitalized from 1 July 2011 to 31 December 2015 with influenza-associated SARI at a SARI sentinel surveillance hospital in Santiago were identified and the presence of influenza in all cases confirmed by reverse transcription polymerase chain reaction (RT-PCR), using respiratory samples.

resultsA total of 221 patients (mean age: 74.1 years) were hospitalized with influenza-associated SARI during the study period. Of this study cohort, 91.4% had risk factors for complications and 34.3% had been vaccinated during the most recent campaign. Pneumonia was the most frequent clinical manifestation, occurring in 57.0% of the cohort; other manifestations included influenza-like illness, exacerbated chronic bronchitis, decompensated heart failure, and asthmatic crisis. Cases occurred year-round, with an epidemic peak during autumn-winter. Both influenza A (H1N1pdm09 and H3N2) and B virus co-circulated. Critical care beds were required for 26.7% of the cohort, and 19.5% needed ventilatory assistance. Multivariate analysis identified four significant factors associated with in-hospital mortality: 1) being bedridden (adjusted odds ratio (aOR): 22.3; 95% confidence interval (CI): 3.0-164); 2) admission to critical care unit (aOR: 8.9; CI: 1.44-55); 3) Pa0

conclusionsInfluenza-associated SARI affected mainly elderly patients with underlying conditions. Most patients evolved to respiratory failure and more than one-quarter required critical care beds. Clinical presentation was variable. Death was associated with host characteristics and disease-associated conditions, and vaccine was protective. Virus type did not influence outcome.

Indexed as

adultChilefatal outcomehospitalizationInfluenza, humanrespiratory tract infectionsrisk factors

Identifiers

PMID31093225
PMCPMC6393720
OpenAlexW2909372491

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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.