Evidence map›Paper›PMID 33664311›Full record

ArticleScientific reports2021

Differences in clinical severity of respiratory viral infections in hospitalized children.

Benjamin M Althouse, Stefan Flasche, Michiko Toizumi, Hien-Anh Thi Nguyen, Hien Minh Vo, Minh Nhat Le, Masahiro Hashizume, Koya Ariyoshi, Dang Duc Anh, Gail L Rodgers and 3 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.4field-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

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Twenty-five years of human metapneumovirus research.Clinical microbiology reviews · 2026
    Review
  2. Observational
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  13. Influenza versus other respiratory viruses - assessing severity among hospitalised children, Belgium, 2011 to 2020.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Observational
  14. Article
  15. Review
  16. Review
  17. 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

13 authors at 5 institutions in 4 countries.

Benjamin M AlthouseInstitute for Disease Modeling, 3150 139th Ave SE, Bellevue, WA, 98005, USA. balthouse@idmod.org.
Stefan FlascheLondon School of Hygiene and Tropical Medicine, London, UK, USA.
Michiko ToizumiInstitute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.
Hien-Anh Thi NguyenNational Institute of Hygiene and Epidemiology, Hanoi, Vietnam.
Hien Minh VoKhanh Hoa General Hospital, Nha Trang, Vietnam.
Minh Nhat LeNational Institute of Hygiene and Epidemiology, Hanoi, Vietnam.
Masahiro HashizumeInstitute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.
Koya AriyoshiInstitute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.
Dang Duc AnhNational Institute of Hygiene and Epidemiology, Hanoi, Vietnam.
Gail L RodgersBill & Melinda Gates Foundation, Seattle, WA, USA.
Keith P KlugmanBill & Melinda Gates Foundation, Seattle, WA, USA.
Hao HuBill & Melinda Gates Foundation, Seattle, WA, USA.
Lay-Myint YoshidaInstitute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.
Nagasaki University · JPBill & Melinda Gates Foundation · USNational Institute Of Hygiene And Epidemiology · VNInstitute for Disease Modeling · USLondon School of Hygiene & Tropical Medicine · GB

Funding

Wellcome Trust 208812/Z/17/Z
6 · The paper itself

Abstract

It is uncertain whether clinical severity of an infection varies by pathogen or by multiple infections. Using hospital-based surveillance in children, we investigate the range of clinical severity for patients singly, multiply, and not infected with a group of commonly circulating viruses in Nha Trang, Vietnam. RT-PCR was performed to detect 13 respiratory viruses in nasopharyngeal samples from enrolled patients. We apply a novel clinical severity score and examine associations with the odds of being severe and differences in raw severity scores. We find no difference in severity between 0-, 1-, and 2-concurrent infections and little differences in severity between specific viruses. We find RSV and HMPV infections to be associated with 2- and 1.5-fold increase in odds of being severe, respectively, and that infection with ADV is consistently associated with lower risk of severity. Clinically, based on the results here, if RSV or HMPV virus is suspected, PCR testing for confirmatory diagnosis and for detection of multiple coinfecting viruses would be fruitful to assess whether a patient's disease course is going to be severe.

Indexed as

AlphaherpesvirinaeChildChild, HospitalizedChild, PreschoolCoinfectionFemaleHumansInfantInfant, NewbornMaleMetapneumovirusNasopharynxRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsRespiratory Tract InfectionsVietnam

Identifiers

PMID33664311
PMCPMC7933285
OpenAlexW3134136739

What OpenQuestion holds

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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.