Evidence map›Paper›PMID 32681645›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2021

Parainfluenza Virus Types 1-3 Infections Among Children and Adults Hospitalized With Community-acquired Pneumonia.

Leigh M Howard, Kathryn M Edwards, Yuwei Zhu, Derek J Williams, Wesley H Self, Seema Jain, Krow Ampofo, Andrew T Pavia, Sandra R Arnold, Jonathan A McCullers and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 31 citations in OpenAlex.

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  7. Beyond respiratory syncytial virus and rhinovirus: The other viral respiratory bandits.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2025
    Review
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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

13 authors at 7 institutions in 1 country.

Leigh M HowardDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0003-4301-7235
Kathryn M EdwardsDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Yuwei ZhuDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Derek J WilliamsDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Wesley H SelfDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Seema JainCenters for Disease Control and Prevention, Atlanta, Georgia, USA.
Krow AmpofoUniversity of Utah Health Sciences Center, Salt Lake City, Utah, USA.
Andrew T PaviaUniversity of Utah Health Sciences Center, Salt Lake City, Utah, USA.
Sandra R ArnoldUniversity of Tennessee Health Sciences Center, Memphis, Tennessee, USA.
Jonathan A McCullersUniversity of Tennessee Health Sciences Center, Memphis, Tennessee, USA.
Evan J AndersonDepartments of Pediatrics and Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Richard G WunderinkNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Carlos G GrijalvaDepartment of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Vanderbilt University Medical Center · USUniversity of Utah · USCenters for Disease Control and Prevention · USEmory University · USNorthwestern University · USSt. Jude Children's Research Hospital · USUniversity of Tennessee Health Science Center · US

Funding

Mentoring in transmission of influenza and strategies for preventionK24AI148459 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GRIJALVA, CARLOS G · 2020 to 2024
$893k
Pneumococcal dynamics in the conjugate vaccine era: Addressing unanswered questionsK23AI141621 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HOWARD, LEIGH MEREDITH · 2019 to 2022
$736k
Influenza Division in the National Center for Immunizations and Respiratory DiseasesNIAID NIH HHS K23 AI141621NIAID NIH HHS K24 AI148459NIH HHS 1K23AI141621
6 · The paper itself

Abstract

backgroundParainfluenza virus (PIV) is a leading cause of lower respiratory tract infections. Although there are several distinct PIV serotypes, few studies have compared the clinical characteristics and severity of infection among the individual PIV serotypes and between PIV and other pathogens in patients with community-acquired pneumonia.

methodsWe conducted active population-based surveillance for radiographically confirmed community-acquired pneumonia hospitalizations among children and adults in 8 US hospitals with systematic collection of clinical data and respiratory, blood, and serological specimens for pathogen detection. We compared clinical features of PIV-associated pneumonia among individual serotypes 1, 2, and 3 and among all PIV infections with other viral, atypical, and bacterial pneumonias. We also compared in-hospital disease severity among groups employing an ordinal scale (mild, moderate, severe) using multivariable proportional odds regression.

resultsPIV was more commonly detected in children (155/2354; 6.6%) than in adults (66/2297; 2.9%) (P < .001). Other pathogens were commonly co-detected among PIV cases (110/221; 50%). Clinical features of PIV-1, PIV-2, and PIV-3 infections were similar to one another in both children and adults with pneumonia. In multivariable analysis, children with PIV-associated pneumonia exhibited similar severity to children with other nonbacterial pneumonia, whereas children with bacterial pneumonia exhibited increased severity (odds ratio, 8.42; 95% confidence interval, 1.88-37.80). In adults, PIV-associated pneumonia exhibited similar severity to other pneumonia pathogens.

conclusionsClinical features did not distinguish among infection with individual PIV serotypes in patients hospitalized with community-acquired pneumonia. However, in children, PIV pneumonia was less severe than bacterial pneumonia.

Indexed as

Community-Acquired InfectionsParamyxoviridae InfectionsPneumonia, ViralRespiratory Tract InfectionsAdultChildHospitalizationHumansInfantParainfluenza Virus 1, Humancommunity-acquired pneumoniaparainfluenza virusviral pneumonia

Identifiers

PMID32681645
PMCPMC8662767
OpenAlexW3043656646

What OpenQuestion holds

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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.