Evidence map›Paper›PMID 31878888›Full record

ArticleBMC infectious diseases2019

Severe acute respiratory infection risk following glucocorticosteroid treatment in uncomplicated influenza-like illness resulting from pH1N1 influenza infection: a case control study.

Xuesen Xing, Shixiong Hu, Meihua Chen, Faxian Zhan, Huihui Liu, Zhang Chen, Hengjiao Zhang, Ge Zeng, Qiaohua Xu, Hong Zhang and 4 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

3 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
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

14 authors at 4 institutions in 1 country.

Xuesen XingHubei Provincial Center for Disease Control and Prevention, Wuhan, Hubei Province, China. xxs29237155@163.com.
Shixiong HuHunan Provincial Center for Disease Control and Prevention, Changsha, Hunan Province, China.
Meihua ChenWuhan No. 1 Hospital, Wuhan, Hubei Province, China.
Faxian ZhanHubei Provincial Center for Disease Control and Prevention, Wuhan, Hubei Province, China.
Huihui LiuChinese Field Epidemiology Training Program, Chinese Center for Disease Control and Prevention, 27 Nanwei Road, Xicheng District, Beijing, 100050, China.
Zhang ChenHunan Provincial Center for Disease Control and Prevention, Changsha, Hunan Province, China.
Hengjiao ZhangHunan Provincial Center for Disease Control and Prevention, Changsha, Hunan Province, China.
Ge ZengHunan Provincial Center for Disease Control and Prevention, Changsha, Hunan Province, China.
Qiaohua XuHunan Provincial Center for Disease Control and Prevention, Changsha, Hunan Province, China.
Hong ZhangHunan Provincial Center for Disease Control and Prevention, Changsha, Hunan Province, China.
Man LiuHubei Provincial Center for Disease Control and Prevention, Wuhan, Hubei Province, China.
Honghui LiuHubei Provincial Center for Disease Control and Prevention, Wuhan, Hubei Province, China.
Lidong GaoHunan Provincial Center for Disease Control and Prevention, Changsha, Hunan Province, China. 810173358@qq.com.
Lijie ZhangChinese Field Epidemiology Training Program, Chinese Center for Disease Control and Prevention, 27 Nanwei Road, Xicheng District, Beijing, 100050, China. cfetpzlj@126.com.
Hunan Provincial Center for Disease Control and Prevention · CNChinese Center For Disease Control and Prevention · CNHubei Provincial Center for Disease Control and Prevention · CNWuhan No.1 Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent studies regarding glucocorticosteroid treatment of influenza have only estimated risk of critical illness or death which can be easily confounded by timing of treatment administration. We used severe acute respiratory infection (sARI) as an endpoint and investigated risk associated with receiving glucocorticosteroids before sARI onset.

methodssARI cases were defined as influenza-like illness (ILI) with pH1N1 infection and respiratory distress. Controls were defined as pH1N1 cases other than sARI and randomly selected from the community. We compared glucocorticosteroids and other medications used before sARI onset using a matched case control study adjusted for age group as well as underlying disease. Time-dependent risk and dose responses at different time periods over the course of sARI cases were also examined.

resultsOf the sARI cases, 34% received glucocorticosteroids before sARI onset compared to 3.8% of controls during equivalent days (OR

conclusionsEarly glucocorticosteroid treatment increased risk of sARI and subsequent critical illness or death; however, only receiving glucocorticosteroids after sARI onset did not increase risk of severe illness.

Indexed as

AdolescentAdultCase-Control StudiesChildChild, PreschoolChinaFemaleGlucocorticoidsHospitalizationHumansInfluenza A Virus, H1N1 SubtypeInfluenza, HumanMaleMiddle AgedRespiratory Tract InfectionsRiskGlucocorticoidsGlucocorticosteroid treatmentpH1N1 influenzaSevere acute respiratory infection

Identifiers

PMID31878888
PMCPMC6933691
OpenAlexW2998254222

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.