Evidence map›Paper›PMID 33539407›Full record

ArticlePloS one2021

Clinical characteristics and prognosis of patients with Pneumocystis jirovecii pneumonia without a compromised illness.

Tae-Ok Kim, Jae-Kyeong Lee, Yong-Soo Kwon, Yu-Il Kim, Sung-Chul Lim, Min-Seok Kim, Bo Gun Kho, Cheol-Kyu Park, In-Jae Oh, Young-Chul Kim and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 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.

Tae-Ok KimDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Jae-Kyeong LeeDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Yong-Soo KwonDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Yu-Il KimDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Sung-Chul LimDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Min-Seok KimChonnam National University Medical School, Gwangju, Republic of Korea.
Bo Gun KhoChonnam National University Medical School, Gwangju, Republic of Korea.
Cheol-Kyu ParkChonnam National University Medical School, Gwangju, Republic of Korea.
In-Jae OhChonnam National University Medical School, Gwangju, Republic of Korea.ORCID 0000-0003-4837-1321
Young-Chul KimChonnam National University Medical School, Gwangju, Republic of Korea.ORCID 0000-0001-7019-7687
Ha Young ParkChonnam National University Medical School, Gwangju, Republic of Korea.
Hong-Joon ShinDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.ORCID 0000-0002-0146-3491
Chonnam National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePneumocystis jirovecii pneumonia (PCP) is a fatal respiratory infection, mostly associated with immunocompromised conditions. Several reports have described PCP development in patients who were not immunocompromised, but the clinical course and prognosis of PCP are not well understood. We compared the clinical characteristics and prognoses between patients with and without immunocompromised conditions who developed PCP.

methodsWe retrospectively analyzed patients who had been treated for PCP from three hospitals. We defined immunocompromised (IC) status as following: human immunodeficiency virus (HIV) infection; hematological malignancy; solid organ tumor under chemotherapy; rheumatic disease; medication with immunosuppressive agents. Patients without immunocompromised status were defined as being non-immunocompromised (non-IC).

resultsThe IC and non-IC groups comprised 173 and 14 patients. The median ages were 62.0 and 74.0 years in the IC and the non-IC group, respectively. The median interval between admission and anti-PCP treatment was significantly longer for patients in the non-IC group than that for patients in the IC group (7 vs. 2 days). The in-hospital mortality rates were significantly higher for patients in the non-IC group than that for patients in the IC group (71.4% vs. 43.9%; P = 0.047). A longer interval between admission and anti-PCP therapy was associated with increased 90-day mortality rate in patients with PCP (hazard ratio, 1.082; 95% confidence interval, 1.015-1.153; P = 0.016).

conclusionsPatients with PCP with no predisposing illnesses were older and had higher mortality rates than IC patients with PCP. Delayed anti-PCP treatment was associated with increased 90-day mortality.

Indexed as

AgedFemaleHospital MortalityHumansImmunocompromised HostMaleMiddle AgedPneumocystis cariniiPneumonia, PneumocystisPrognosisProportional Hazards ModelsRepublic of KoreaRetrospective Studies

Identifiers

PMID33539407
PMCPMC7861382
OpenAlexW3128047096

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LicenceCC BY
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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.