Evidence map›Paper›PMID 36069141›Full record

ArticleInfluenza and other respiratory viruses2022

Impact of respiratory viral infections on mortality and critical illness among hospitalized patients with chronic obstructive pulmonary disease.

Sunita Mulpuru, Melissa K Andrew, Lingyun Ye, Todd Hatchette, Jason LeBlanc, May El-Sherif, Donna MacKinnon-Cameron, Shawn D Aaron, Gonzalo G Alvarez, Alan J Forster and 3 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Influenza and other respiratory viruses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01517191 (Sentinel Surveillance for Influenza Requiring Hospital Admission Canadian Adults), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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.

NCT01517191 completednot on this map

Sentinel Surveillance for Influenza Requiring Hospital Admission Canadian Adults

TypeobservationalSponsorDalhousie UniversityRan2011 to 2016Enrolled4,197ConditionsInfluenza
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Burden of disease of respiratory syncytial virus in older adults and adults considered at high risk of severe infection.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2025
    Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. The role of vaccination in COPD: influenza, SARS-CoV-2, pneumococcus, pertussis, RSV and varicella zoster virus.European respiratory review : an official journal of the European Respiratory Society · 2023
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. RSV vaccination in older adults: Addressing vaccine hesitancy using the 3C model.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC
    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 3 institutions in 1 country.

Sunita MulpuruDepartment of Medicine, University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0001-6214-0613
Melissa K AndrewDepartment of Medicine (Geriatrics), Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Lingyun YeCanadian Center for Vaccinology (CCfV), IWK Health Center, Nova Scotia Health, Halifax, Nova Scotia, Canada.
Todd HatchetteDepartment of Medicine (Infectious Diseases), Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Jason LeBlancDepartment of Pathology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
May El-SherifCanadian Center for Vaccinology (CCfV), IWK Health Center, Nova Scotia Health, Halifax, Nova Scotia, Canada.
Donna MacKinnon-CameronCanadian Center for Vaccinology (CCfV), IWK Health Center, Nova Scotia Health, Halifax, Nova Scotia, Canada.
Shawn D AaronDepartment of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Gonzalo G AlvarezDepartment of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Alan J ForsterDepartment of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Ardith AmbroseCanadian Center for Vaccinology (CCfV), IWK Health Center, Nova Scotia Health, Halifax, Nova Scotia, Canada.
Shelly A McNeilDepartment of Medicine (Infectious Diseases), Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Serious Outcomes Surveillance and Canadian Immunization Research Network (CIRN) Investigators
Dalhousie University · CANova Scotia Health Authority · CAUniversity of Ottawa · CA

Funding

CIHR FRN#96974
6 · The paper itself

Abstract

backgroundSeasonal respiratory viral infections are associated with exacerbations and morbidity among patients with COPD. The real-world clinical outcomes associated with seasonal viral infections are less well established among hospitalized patients. RESEARCH QUESTION: To estimate the association between seasonal respiratory viral infections, 30-day mortality, and intensive care unit (ICU) admission among hospitalized COPD patients. STUDY DESIGN AND

methodsWe conducted an analysis of a national prospective multicenter cohort of COPD patients hospitalized with acute respiratory illness during winter seasons (2011-2015) in Canada. Nasopharyngeal swabs were performed on all patients at the onset of hospital admission for diagnosis of viral infection. Primary outcomes were 30-day mortality and ICU admissions. Secondary outcomes included invasive/non-invasive ventilation use.

resultsAmong 3931 hospitalized patients with COPD, 28.5% (1122/3931) were diagnosed with seasonal respiratory viral infection. Viral infection was associated with increased admission to ICU (OR 1.5, 95% CI 1.2-1.9) and need for mechanical ventilation (OR 1.9, 95% CI 1.4-2.5), but was not associated with mortality (OR 1.1, 95% CI 0.8-1.4). Patients with respiratory syncytial virus (RSV) were equally likely to require ICU admission (OR 1.09, 95% CI 0.67-1.78), and more likely to need non-invasive ventilation (OR 3.1; 95% CI 1.8-5.1) compared to patients with influenza.

interpretationOur results suggest COPD patients requiring hospitalization for respiratory symptoms should routinely receive viral testing at admission, especially for RSV and influenza, to inform prognosis, clinical management, and infection control practices during winter seasons. Patients with COPD will be an important target population for newly developed RSV therapeutics. CLINICAL

trial registrationClinicalTrials.gov ID: NCT01517191.

Indexed as

Influenza, HumanPulmonary Disease, Chronic ObstructiveRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsRespiratory Tract InfectionsCritical IllnessHospitalizationHumansProspective StudiesCOPDinfluenzamortalityrespiratory virusesRSV

Identifiers

PMID36069141
PMCPMC9530520
OpenAlexW4294930433

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.