Evidence map›Paper›PMID 33073478›Full record

ArticleInfluenza and other respiratory viruses2021

Burden of influenza during the first year of life.

Janna-Maija Mattila, Emilia Thomas, Pasi Lehtinen, Tytti Vuorinen, Matti Waris, Terho Heikkinen

Abstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Oseltamivir treatment of influenza A and B infections in infants.Influenza and other respiratory viruses · 2021
    Article
  6. Burden of influenza during the first year of life.Influenza and other respiratory viruses · 2021
    Article
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

6 authors.

Janna-Maija MattilaDepartment of Pediatrics, University of Turku and Turku University Hospital, Turku, Finland.
Emilia ThomasDepartment of Pediatrics, University of Turku and Turku University Hospital, Turku, Finland.
Pasi LehtinenDepartment of Pediatrics, University of Turku and Turku University Hospital, Turku, Finland.
Tytti VuorinenDepartment of Clinical Microbiology, Turku University Hospital, and Institute of Biomedicine, University of Turku, Turku, Finland.
Matti WarisDepartment of Clinical Microbiology, Turku University Hospital, and Institute of Biomedicine, University of Turku, Turku, Finland.
Terho HeikkinenDepartment of Pediatrics, University of Turku and Turku University Hospital, Turku, Finland.ORCID 0000-0001-6504-0116

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvery year, influenza viruses infect millions of children and cause an enormous burden of disease. Young children are at the highest risk for influenza-attributable hospitalizations. Nevertheless, most young children are treated as outpatients, and limited data are available on the burden of influenza in these children.

methodsWe carried out a prospective cohort study and followed 431 infants born in June-August 2017 for 10 months from September 1, 2017, to June 30, 2018. The parents filled out daily symptom diaries and were instructed to bring their child for clinical examination at our study clinic each time the child had fever or any signs or symptoms of respiratory tract infection. During each visit, we obtained nasopharyngeal swab specimens for determination of the viral etiology of the illness.

resultsA total of 55 episodes of laboratory-confirmed influenza were diagnosed among the 408 actively participating children, which corresponds to an annual incidence rate of 135/1000 children (95% Cl, 102-175). Excluding five children with double viral infection, acute otitis media developed as a complication of influenza in 23 (46%) children. One (2%) child with influenza was hospitalized because of febrile convulsion. The effectiveness of influenza vaccination was 48% (95% CI, -29%-80%).

conclusionsThe burden of influenza during the first year of life is heavy in the outpatient setting where most infants with influenza are managed. Effective strategies for the prevention of influenza particularly in infants under 6 months of age are needed to diminish the burden of disease in this age group.

Indexed as

Influenza, HumanRespiratory Tract InfectionsChildChild, PreschoolHospitalizationHumansInfantProspective StudiesVaccinationchildinfantinfluenzaotitis media

Identifiers

PMID33073478
PMCPMC8189221

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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.