Evidence map›Paper›PMID 31690364›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2019

Influenza-associated mortality in hospital care: a retrospective cohort study of risk factors and impact of oseltamivir in an English teaching hospital, 2016 to 2017.

Mark Reacher, Ben Warne, Lucy Reeve, Neville Q Verlander, Nicholas K Jones, Kyriaki Ranellou, Silvana Christou, Callum Wright, Saher Choudhry, Maria Zambon and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Influenza Vaccination Uptake and Associated Factors Among Adults With and Without Human Immunodeficiency Virus in a Large, Integrated Healthcare System.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Author's response: influenza-associated mortality oseltamivir: beware of misstepping into stepwise procedures.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2019
    Article
  10. Letter to the editor: influenza-associated mortality and oseltamivir: beware of misstepping into stepwise procedures.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Mark ReacherPublic Health England Field Service, Cambridge Institute of Public Health, Cambridge, United Kingdom.
Ben WarneCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Lucy ReevePublic Health England Field Service, Cambridge Institute of Public Health, Cambridge, United Kingdom.
Neville Q VerlanderStatistics Unit, Statistics, Modelling and Economics Department, National Infection Service - Data and Analytical Sciences, Public Health England, London, United Kingdom.
Nicholas K JonesCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Kyriaki RanellouCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Silvana ChristouCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Callum WrightCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Saher ChoudhryCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Maria ZambonNational Infection Service, Public Health England, London, United Kingdom.
Clare SanderCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Hongyi ZhangPublic Health England and Cambridge Universities Hospitals NHS Foundation Trust Cambridge, Cambridge, United Kingdom.
Hamid JalalPublic Health England and Cambridge Universities Hospitals NHS Foundation Trust Cambridge, Cambridge, United Kingdom.
Cambridge University Hospitals NHS Foundation Trust · GBPublic Health England · GBUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundEvidence of an oseltamivir treatment effect on influenza A(H3N2) virus infections in hospitalised patients is incomplete.AimsThis cohort study aimed to evaluate risk factors for death among PCR-confirmed hospitalised cases of seasonal influenza A(H3N2) of all ages and the impact of oseltamivir.MethodsParticipants included all 332 PCR-confirmed influenza A(H3N2) cases diagnosed between 30 August 2016 and 17 March 2017 in an English university teaching Hospital. Oseltamivir treatment effect on odds of inpatient death was assessed by backward stepwise multivariable logistic regression analysis.ResultsThe odds of death were reduced by two thirds (odds ratio (OR): 0.32; 95% confidence interval (CI): 0.11-0.93), in inpatients treated with a standard course of oseltamivir 75 mg two times daily for 5 days - compared with those untreated with oseltamivir, after adjustment for age, sex, current excess alcohol intake, receipt of 2016/17 seasonal influenza vaccine, serum haemoglobin and hospital vs community attribution of acquisition of influenza.ConclusionsOseltamivir treatment given according to National Institutes of Clinical Excellence (NICE); United States Centres for Disease Control and Prevention (CDC); Infectious Diseases Society of America (IDSA) and World Health Organization (WHO) guidelines was shown to be effective in reducing the odds of mortality in inpatients with PCR-confirmed seasonal influenza A(H3N2) after adjustment in a busy routine English hospital setting. Our results highlight the importance of hospitals complying with relevant guidelines for prompt seasonal influenza PCR testing and ensuring standard oseltamivir treatment to all PCR-confirmed cases of seasonal influenza.

Indexed as

AdolescentAdultAgedAged, 80 and overAge DistributionAntiviral AgentsChildChild, PreschoolFemaleGuideline AdherenceHospital MortalityHospitals, TeachingHumansInfantInfant, NewbornInfluenza A Virus, H3N2 SubtypeAntiviral AgentsOseltamivirHistoric Cohort studyinfluenzain-patient mortalitylogistic regressionmultivariable logistic regressionrisk factors

Identifiers

PMID31690364
PMCPMC6836682
OpenAlexW2982473234

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.