Evidence map›Paper›PMID 31158256›Full record

ArticlePloS one2019

Human coronavirus alone or in co-infection with rhinovirus C is a risk factor for severe respiratory disease and admission to the pediatric intensive care unit: A one-year study in Southeast Brazil.

Alessandra K Matsuno, Talita B Gagliardi, Flavia E Paula, Luciano K S Luna, Bruna L S Jesus, Renato T Stein, Davi C Aragon, Ana P C P Carlotti, Eurico Arruda

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Pediatric COVID-19: what disease is this?World journal of pediatrics : WJP · 2020
    Review
  11. Article
  12. Severity of coronavirus respiratory tract infections in adults admitted to acute care in Toronto, Ontario.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2020
    Article
  13. Article
  14. Article
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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.

Alessandra K MatsunoDepartment of Pediatrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.ORCID 0000-0002-3491-1641
Talita B GagliardiDepartment of Cell Biology and Virology Research Center, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirão Preto, Brazil.
Flavia E PaulaDepartment of Cell Biology and Virology Research Center, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirão Preto, Brazil.
Luciano K S LunaDepartment of Cell Biology and Virology Research Center, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirão Preto, Brazil.
Bruna L S JesusDepartment of Cell Biology and Virology Research Center, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirão Preto, Brazil.
Renato T SteinDepartment of Pediatrics,Pontifícia Universidade Católica do Rio Grande do Sul School of Medicine, Porto Alegre, Brazil.
Davi C AragonDepartment of Pediatrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.ORCID 0000-0003-1019-3654
Ana P C P CarlottiDepartment of Pediatrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
Eurico ArrudaDepartment of Cell Biology and Virology Research Center, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirão Preto, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to assess the profile of respiratory viruses in young children hospitalized for acute lower respiratory tract infection (ALRI) and its association with disease severity, defined as need for pediatric intensive care unit (PICU) admission.

designProspective observational cohort study.

settingA tertiary-care university hospital in Brazil. PATIENTS: Children younger than three years attending the pediatric emergency room with ALRI who were admitted to the hospital.

interventionsNone. MEASUREMENTS AND MAIN

resultsNasopharyngeal aspirates were collected from patients from June 1st, 2008 to May 31st, 2009within the first 48 hours of hospitalization. Nasopharyngeal aspirates were tested for 17humanrespiratory viruses by molecular and immunofluorescence based assays. Simple and multiple log-binomial regression models were constructed to assess associations of virus type with a need for PICU admission. Age, prematurity, the presence of an underlying disease and congenital heart disease were covariates. Nasopharyngeal aspirates were positive for at least one virus in 236 patients. Rhinoviruses were detected in 85.6% of samples, with a preponderance of rhinovirus C (RV-C) (61.9%). Respiratory syncytial virus was detected in 59.8% and human coronavirus (HCoV) in 11% of the samples. Co-detections of two to five viruses were found in 78% of the patients. The detection of HCoV alone (adjusted relative risk (RR) 2.18; 95% CI 1.15-4.15) or in co-infection with RV-C (adjusted RR 2.37; 95% CI 1.23-4.58) was independently associated with PICU admission.

conclusionsThe detection of HCoV alone or in co-infection with RV-C was independently associated with PICU admission in young children hospitalized for ALRI.

Indexed as

HospitalizationIntensive Care Units, PediatricBrazilChildChild, PreschoolCoinfectionEnterovirusFemaleHumansInfantMaleRespiratory Tract InfectionsRisk Factors

Identifiers

PMID31158256
PMCPMC6546210

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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.