Evidence map›Paper›PMID 31251831›Full record

ArticlePediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology2019

Multi-season analyses of causative pathogens in children hospitalized with asthma exacerbation.

Nozomi Abe, Hiroki Yasudo, Reiji Fukano, Tamaki Nakamura, Seigo Okada, Hiroyuki Wakiguchi, Fumiko Okazaki, Komei Shirabe, Shoichi Toda, Reiko Okamoto and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Prevalence of respiratory viruses in stable and acute asthma: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Pooled it
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  13. COVID-19 and its impact on allergic and immunologic diseases in children.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2020
    Article
  14. Article
  15. Multi-season analyses of causative pathogens in children hospitalized with asthma exacerbation.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2019
    Article
  16. Article
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

13 authors at 3 institutions in 1 country.

Nozomi AbeDepartment of Pediatrics, Yamaguchi University Graduate School of Medicine, Ube, Japan.ORCID 0000-0001-6639-2340
Hiroki YasudoDepartment of Pediatrics, Yamaguchi University Graduate School of Medicine, Ube, Japan.ORCID 0000-0002-8768-8746
Reiji FukanoDepartment of Pediatrics, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Tamaki NakamuraDepartment of Pediatrics, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Seigo OkadaDepartment of Pediatrics, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Hiroyuki WakiguchiDepartment of Pediatrics, Yamaguchi University Graduate School of Medicine, Ube, Japan.ORCID 0000-0003-1534-2583
Fumiko OkazakiDepartment of Pediatrics, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Komei ShirabeYamaguchi Prefectural Institute of Public Health and Environment, Yamaguchi, Japan.
Shoichi TodaYamaguchi Prefectural Institute of Public Health and Environment, Yamaguchi, Japan.
Reiko OkamotoYamaguchi Prefectural Institute of Public Health and Environment, Yamaguchi, Japan.
Kazunobu OuchiDepartment of Pediatrics, Kawasaki Medical School, Kurashiki, Japan.
Shouichi OhgaDepartment of Pediatrics, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Shunji HasegawaDepartment of Pediatrics, Yamaguchi University Graduate School of Medicine, Ube, Japan.ORCID 0000-0002-1438-7993
Yamaguchi University · JPKawasaki Medical School · JPKyushu University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRespiratory viral and mycoplasma infections are associated with childhood asthma exacerbations. Here, we explored epidemiologic profile of causative pathogens and possible factors for exacerbation in a single center over a three-year period.

methodsHospitalized asthmatic children with attack aged 6 months-17 years were recruited between 2012 and 2015 (n = 216). Nasopharyngeal mucosa cell samples were collected from the participants and examined by reverse transcription-polymerase chain reaction to detect rhinovirus (RV), respiratory syncytial virus (RSV), enterovirus (EV), parainfluenza virus (PIV), Mycoplasma pneumoniae, and others. Clinical features, laboratory data, asthma exacerbation intensity, and asthma severity were compared among participants. Epidemiologic profile of causative pathogens and possible factors for exacerbation were explored.

resultsViruses and/or Mycoplasma pneumoniae were detected in 75% of the participants. Rhinovirus (48%) was the most commonly detected virus in the participants with single infection, followed by RSV (6%). The median age at admission in the RV group was significantly higher than that in the RSV group. Insufficient asthma control and allergen sensitization were significantly related to RV-associated asthma exacerbation. There was no seasonality of pathogen types associated with asthma exacerbation although a sporadic prevalence of EV-D68 was observehinovirud. Rhinovirus were repeatedly detected in multiple admission cases.

conclusionOur three-year analysis revealed that patients with RV infection were significantly prone to repeated RV infection in the subsequent exacerbation and good asthma control could prevent RV-associated asthma development and exacerbation. Multiple-year monitoring allowed us to comprehend the profile of virus- and/or mycoplasma-induced asthma exacerbation.

Indexed as

AdolescentAsthmaChildChild, PreschoolEnterovirus D, HumanEnterovirus InfectionsFemaleHospitalizationHumansInfantJapanMaleMycoplasma pneumoniaePicornaviridae InfectionsPneumonia, MycoplasmaPrevalenceasthmaenterovirus D68epidemiologyhospitalizationrespiratory syncytial virusrhinovirus

Identifiers

PMID31251831
PMCPMC7167852
OpenAlexW2955753859

What OpenQuestion holds

Textmetadata
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.