Evidence map›Paper›PMID 31801482›Full record

ArticleBMC infectious diseases2019

Cytomegalovirus infection in HIV-infected patients in the era of combination antiretroviral therapy.

R Perello, A Vergara, E Monclus, S Jimenez, M Montero, N Saubi, A Moreno, Y Eto, A Inciarte, J Mallolas and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

25 citing papers in PubMed, 50 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

12 authors at 1 institution in 1 country.

R PerelloServicio de Urgencias, Hospital Clínic, Barcelona, Spain. rperello@clinic.cat.
A VergaraServicio de Microbiología, CDB, Hospital Clínic, Barcelona, Spain.
E MonclusServicio de Urgencias, Hospital Clínic, Barcelona, Spain.
S JimenezServicio de Urgencias, Hospital Clínic, Barcelona, Spain.
M MonteroServicio de Urgencias, Hospital Clínic, Barcelona, Spain.
N SaubiServicio de Enfermedades Infecciosas, Hospital Clínic, Barcelona, Spain.
A MorenoServicio de Microbiología, CDB, Hospital Clínic, Barcelona, Spain.
Y EtoServicio de Enfermedades Infecciosas, Hospital Clínic, Barcelona, Spain.
A InciarteServicio de Enfermedades Infecciosas, Hospital Clínic, Barcelona, Spain.
J MallolasServicio de Enfermedades Infecciosas, Hospital Clínic, Barcelona, Spain.
E MartínezServicio de Enfermedades Infecciosas, Hospital Clínic, Barcelona, Spain.
M A MarcosServicio de Microbiología, CDB, Hospital Clínic, Barcelona, Spain.
Hospital Clínic de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCytomegalovirus infection dramatically decreased with the introduction of antiretroviral therapy. Whether incidence, clinical characteristics and prognosis of cytomegalovirus in HIV infected patients, has changed over time is. scarcely known.

methodsRetrospective single-center study. Patients included in this study were all HIV infected patients that went to our center for any disease, and were diagnosed with cytomegalovirus, during the period 2004-2015. epidemiological, clinical and laboratory patients variables were collected in a clinical database. Clinical characteristics, incidence of cytomegalovirus and predictors of mortality during the study were assessed. Results were considered statistically significant when p < 0.05. All statistical analyses were calculated by SPSS version 20.0 (Chicago, IL,USA).

resultsFifty-six cases of cytomegalovirus infection, in HIV infected patients were identified during the study period (incidence rate-1.7 cases per 1000 persons/year). The most frequent presentation was systemic illness in 43% of cases. Of note,no patients presented with ophthalmic manifestations. The 30-days mortality was 18%. Predictors of mortality were, in the univariate analysis, admission to the intensive care unit OR 32.4 (3.65-287.06) p = 0.0001, and mechanic ventilation 84 OR (8.27-853.12) p = 0.0001, and ART OR 4.1 (0.97-17.31) p = 0.044. These variables were assessed by multivariate analysis, and only mechanical ventilation was statistically significant (p < 0.05)

conclusionIncidence of cytomegalovirus infection was higher than described in the antiretroviral therapy era. Clinical presentation has changed. Mechanic ventilation predicted mortality.

Indexed as

AdultAIDS-Related Opportunistic InfectionsAnti-Retroviral AgentsAntiretroviral Therapy, Highly ActiveCytomegalovirus InfectionsFemaleHIV InfectionsHumansIncidenceIntensive Care UnitsMaleMiddle AgedMultivariate AnalysisPrognosisRetrospective StudiesSpainAnti-Retroviral Agents

Identifiers

PMID31801482
PMCPMC6894188
OpenAlexW2992395293

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Registered trials

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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.