Evidence map›Paper›PMID 31298691›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020

Outcomes of Immunocompromised Adults Hospitalized With Laboratory-confirmed Influenza in the United States, 2011-2015.

Jennifer P Collins, Angela P Campbell, Kyle Openo, Monica M Farley, Charisse Nitura Cummings, Mary Hill, William Schaffner, Mary Lou Lindegren, Ann Thomas, Laurie Billing and 11 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
5.6field-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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. A Randomized, Placebo-Controlled Trial to Evaluate the Safety and Efficacy of VIR-2482 in Healthy Adults for Prevention of Influenza A Illness (PENINSULA).Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
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  5. A Retrospective Test-Negative Case-Control Study to Evaluate Influenza Vaccine Effectiveness in Preventing Hospitalizations in Children.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
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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

21 authors at 15 institutions in 1 country.

Jennifer P CollinsEmory University School of Medicine, Department of Pediatrics, Atlanta, Georgia.
Angela P CampbellInfluenza Division, US Centers for Disease Control and Prevention, Atlanta, Georgia.
Kyle OpenoEmerging Infections Program, Atlanta VA Medical Center, Atlanta, Georgia.
Monica M FarleyEmerging Infections Program, Atlanta VA Medical Center, Atlanta, Georgia.
Charisse Nitura CummingsInfluenza Division, US Centers for Disease Control and Prevention, Atlanta, Georgia.
Mary HillSalt Lake Valley Health Department, Salt Lake City, Utah.
William SchaffnerVanderbilt University School of Medicine, Nashville, Tennessee.
Mary Lou LindegrenVanderbilt University School of Medicine, Nashville, Tennessee.
Ann ThomasOregon Public Health Division, Portland.
Laurie BillingOhio Department of Health, Columbus.
Nancy BennettUniversity of Rochester Medical Center, New York.
Nancy SpinaNew York State Department of Health, Albany.
Marisa BargstenNew Mexico Department of Health, Santa Fe.
Ruth LynfieldMinnesota Department of Health, St Paul.
Seth EckelMichigan Department of Health and Human Services, Lansing.
Patricia RyanMaryland Department of Health and Mental Hygiene, Baltimore.
Kimberly Yousey-HindesConnecticut Emerging Infections Program, Yale School of Public Health, New Haven.
Rachel HerlihyColorado Department of Public Health and Environment, Denver.
Pam Daily KirleyCalifornia Emerging Infections Program, Oakland.
Shikha GargInfluenza Division, US Centers for Disease Control and Prevention, Atlanta, Georgia.
Evan J AndersonEmory University School of Medicine, Department of Pediatrics, Atlanta, Georgia.
Atlanta VA Medical Center · USCenters for Disease Control and Prevention · USVanderbilt University · USColorado Department of Public Health and Environment · USEmory University · USIbis Reproductive Health · USMaryland Department of Health · USMichigan Department of Health and Human Services · USMinnesota Department of Health · USNew Mexico Department of Health · USNew York State Department of Health · USOhio Department of Health · USOregon Health Authority · USUniversity of Rochester Medical Center · USValley Health System · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
NCATS NIH HHS UL1 TR001863NCATS NIH HHS UL1 TR002378
6 · The paper itself

Abstract

backgroundHospitalized immunocompromised (IC) adults with influenza may have worse outcomes than hospitalized non-IC adults.

methodsWe identified adults hospitalized with laboratory-confirmed influenza during 2011-2015 seasons through CDC's Influenza Hospitalization Surveillance Network. IC patients had human immunodefiency virus (HIV)/AIDS, cancer, stem cell or organ transplantation, nonsteroid immunosuppressive therapy, immunoglobulin deficiency, asplenia, and/or other rare conditions. We compared demographic and clinical characteristics of IC and non-IC adults using descriptive statistics. Multivariable logistic regression and Cox proportional hazards models controlled for confounding by patient demographic characteristics, pre-existing medical conditions, influenza vaccination, and other factors.

resultsAmong 35 348 adults, 3633 (10%) were IC; cancer (44%), nonsteroid immunosuppressive therapy (44%), and HIV (18%) were most common. IC patients were more likely than non-IC patients to have received influenza vaccination (53% vs 46%; P < .001), and ~85% of both groups received antivirals. In multivariable analysis, IC adults had higher mortality (adjusted odds ratio [aOR], 1.46; 95% confidence interval [CI], 1.20-1.76). Intensive care was more likely among IC patients 65-79 years (aOR, 1.25; 95% CI, 1.06-1.48) and those >80 years (aOR, 1.35; 95% CI, 1.06-1.73) compared with non-IC patients in those age groups. IC patients were hospitalized longer (adjusted hazard ratio of discharge, 0.86; 95% CI, .83-.88) and more likely to require mechanical ventilation (aOR, 1.19; 95% CI, 1.05-1.36).

conclusionsSubstantial morbidity and mortality occurred among IC adults hospitalized with influenza. Influenza vaccination and antiviral administration could be increased in both IC and non-IC adults.

Indexed as

Influenza, HumanAdultHospitalizationHumansImmunocompromised HostLaboratoriesUnited StatesVaccinationcancerHIVimmunosuppressionimmunosuppressiveinfluenza

Identifiers

PMID31298691
PMCPMC7201407
OpenAlexW2958523037

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.