Evidence map›Paper›PMID 36229049›Full record

Observational studyThe European respiratory journal2023

Clinical outcomes of bronchiectasis in India: data from the EMBARC/Respiratory Research Network of India registry.

Raja Dhar, Sheetu Singh, Deepak Talwar, B V Murali Mohan, Surya Kant Tripathi, Rajesh Swarnakar, Sonali Trivedi, Srinivas Rajagopala, George D'Souza, Arjun Padmanabhan and 54 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in The European respiratory journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
14.0field-weighted citation impact, top 1% 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

46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. A systematic literature review of the clinical and socioeconomic burden of bronchiectasis.European respiratory review : an official journal of the European Respiratory Society · 2024
    Pooled it
  2. Eradication treatment forEuropean respiratory review : an official journal of the European Respiratory Society · 2024
    Pooled it
  3. Article
  4. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. A 67-year-old woman with bronchiectasis and acute worsening respiratory symptoms.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  9. Review
  10. Review
  11. Greater disease severity in adults with paediatric-onsetThe European respiratory journal · 2026
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Non-cystic fibrosis bronchiectasis in Taiwan.BMJ open respiratory research · 2025
    Observational
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

64 authors at 20 institutions in 7 countries.

Raja DharFortis Hospital Kolkata, Kolkata, India.
Sheetu SinghInstitute of Respiratory Disease, SMS Medical College, Jaipur, India.
Deepak TalwarMetro Centre for Respiratory Diseases, Noida, India.
B V Murali MohanMazumdar Shaw Medical Centre, Narayana Hrudayalaya, Bangalore, India.
Surya Kant TripathiKing George's Medical University, Uttar Pradesh, India.
Rajesh SwarnakarGetwell Hospital and Research Centre, Nagpur, India.
Sonali TrivediJawaharlal Nehru Hospital and Research Centre, Bhilai, India.
Srinivas RajagopalaPSG Institute of Pulmonary Medicine, Coimbatore, India.ORCID 0000-0001-5723-4375
George D'SouzaSt John Medical College, Bengaluru, India.
Arjun PadmanabhanKerala Institute of Medical Sciences Trivandrum, Trivandrum, India.
B ArchanaKempegowda Institute of Medical Sciences, Bengaluru, India.
P A MaheshJSS Medical College, JSSAHER, Mysuru, India.ORCID 0000-0003-1632-5945
Babaji GhewadeDatta Meghe Institute of Medical Sciences Wardha, Wardha, India.
Girija NairDepartment of Respiratory Medicine, D.Y. Patil School of Medicine, Navi Mumbai, India.
Aditya JindalJindal Clinics, Chandigarh, India.
Gayathri Devi H JayadevappaMS Ramaiah Medical College, Bengaluru, India.
Honney SawhneyGovernment Multispecialty Hospital, Chandigarh, India.
Kripesh Ranjan SarmahApollo Hospitals, Guwahati, India.
Kaushik SahaBurdwan Medical College, Burdwan, India.
Suresh AnantharajSundaram Medical Foundation and SRM Institute of Medical Sciences, Chennai, India.
Arjun KhannaGalaxy Hospital Delhi and Yashoda Super Speciality Hospital Kaushambi, Uttar Pradesh, India.
Samir GamiUnique Hospital Multispecialty and Research Centre, Surat, India.
Arti ShahDhiraj Hospital, Sumandeep University, Gujarat, India.ORCID 0000-0003-0971-0458
Arpan ShahPranayam Lung and Heart Institute and Research Centre, Vadodara, India.
Naveen DuttAll India Institute of Medical Sciences, Jodhpur, India.
Himanshu GargArtemis Hospitals, Gurgaon, India.
Sunil VyasDr SN Medical College, Jodhpur, India.
Kummannoor VenugopalGovernment Medical College, Cherpulassery, India.
Rajendra PrasadEra's Lucknow Medical College and Hospital, Era University, Lucknow, India.
Naveed M AleemuddinDeccan College of Medical Sciences, Hyderbad, India.
Saurabh KarmakarAll India Institute of Medical Sciences Patna, Bihar, India.
Virendra SinghAsthma Bhawan, Jaipur, India.
S K JindalJindal Clinics, Chandigarh, India.
Shubham SharmaFortis Hospital Kolkata, Kolkata, India.ORCID 0000-0003-4949-4470
Deepak PrajapatMetro Centre for Respiratory Diseases, Noida, India.
Sagar ChandrashekarMazumdar Shaw Medical Centre, Narayana Hrudayalaya, Bangalore, India.
Michael LoebingerDepartment of Respiratory Medicine, Royal Brompton Hospital, London, UK.
Aditi MishraGetwell Hospital and Research Centre, Nagpur, India.
Francesco BlasiDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy.ORCID 0000-0002-2285-9970
Ramanathan Palaniappan RamanathanPSG Institute of Pulmonary Medicine, Coimbatore, India.
Pieter C GoeminneDepartment of Respiratory Medicine, AZ Nikolaas, Sint-Niklaas, Belgium.ORCID 0000-0001-6220-2220
Preethi VasudevKerala Institute of Medical Sciences Trivandrum, Trivandrum, India.
Amelia ShoemarkDivision of Molecular and Clinical Medicine, University of Dundee, Dundee, UK.ORCID 0000-0001-7360-6060
B S JayarajJSS Medical College, JSSAHER, Mysuru, India.ORCID 0000-0001-6055-4580
Rahul KungwaniDatta Meghe Institute of Medical Sciences Wardha, Wardha, India.
Akanksha DasDepartment of Respiratory Medicine, D.Y. Patil School of Medicine, Navi Mumbai, India.
Mehneet SawhneyGovernment Multispecialty Hospital, Chandigarh, India.
Eva PolverinoPneumology Department, Hospital Universitari Vall d'Hebron (HUVH), Barcelona, Spain.ORCID 0000-0002-4058-5109
Tobias WelteDepartment of Respiratory Medicine, Hannover Medical School, Hannover, Germany.ORCID 0000-0002-9947-7356
Nayan Sri GulechaSundaram Medical Foundation and SRM Institute of Medical Sciences, Chennai, India.
Michal ShteinbergPulmonary Institute, Carmel Medical Center, Haifa, Israel.ORCID 0000-0002-0432-3398
Anshul MangalaDhiraj Hospital, Sumandeep University, Gujarat, India.
Palak ShahPranayam Lung and Heart Institute and Research Centre, Vadodara, India.
Nishant Kumar ChauhanAll India Institute of Medical Sciences, Jodhpur, India.
Nikita JajodiaArtemis Hospitals, Gurgaon, India.
Ashutosh SinghalDr SN Medical College, Jodhpur, India.
Sakshi BatraEra's Lucknow Medical College and Hospital, Era University, Lucknow, India.
Ashfaq HasanDeccan College of Medical Sciences, Hyderbad, India.
Stefano AlibertiIRCCS Humanitas Research Hospital, Humanitas University, Milan, Italy.ORCID 0000-0002-0090-4531
Megan L CrichtonDivision of Molecular and Clinical Medicine, University of Dundee, Dundee, UK.
Sneha LimayeChest Research Foundation, Pune, India.
Sundeep SalviChest Research Foundation, Pune, India.
James D ChalmersDivision of Molecular and Clinical Medicine, University of Dundee, Dundee, UK jchalmers@dundee.ac.uk.
EMBARC-India study group
University of Dundee · GBAll India Institute of Medical Sciences Jodhpur · INArtemis Hospitals · INDatta Meghe Institute of Higher Education and Research · INDeccan College of Medical Sciences · IND.Y. Patil University · INEra's Lucknow Medical College and Hospital · INFortis Hospital · INGetwell Hospital and Research Institute · INJSS Medical College and Hospital · INKerala Institute of Medical Sciences · INNarayana Health · INPSG Institute of Medical Sciences & Research · INSarojini Naidu Medical College · INSundaram Medical Foundation · INTamil Nadu Government Multi Super Speciality Hospital · INAll India Institute of Medical Sciences · INApollo Hospitals · INBurdwan Medical College & Hospital · INCarmel Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdentifying risk factors for poor outcomes can help with risk stratification and targeting of treatment. Risk factors for mortality and exacerbations have been identified in bronchiectasis but have been almost exclusively studied in European and North American populations. This study investigated the risk factors for poor outcome in a large population of bronchiectasis patients enrolled in India.

methodsThe European Multicentre Bronchiectasis Audit and Research Collaboration (EMBARC) and Respiratory Research Network of India (EMBARC-India) registry is a prospective observational study of adults with computed tomography-confirmed bronchiectasis enrolled at 31 sites across India. Baseline characteristics of patients were used to investigate associations with key clinical outcomes: mortality, severe exacerbations requiring hospital admission, overall exacerbation frequency and decline in forced expiratory volume in 1 s.

results1018 patients with at least 12-month follow-up data were enrolled in the follow-up study. Frequent exacerbations (≥3 per year) at baseline were associated with an increased risk of mortality (hazard ratio (HR) 3.23, 95% CI 1.39-7.50), severe exacerbations (HR 2.71, 95% CI 1.92-3.83), future exacerbations (incidence rate ratio (IRR) 3.08, 95% CI 2.36-4.01) and lung function decline. Coexisting COPD, dyspnoea and current cigarette smoking were similarly associated with a worse outcome across all end-points studied. Additional predictors of mortality and severe exacerbations were increasing age and cardiovascular comorbidity. Infection with Gram-negative pathogens (predominantly

conclusionsThis study identifies risk factors for morbidity and mortality among bronchiectasis patients in India. Identification of these risk factors may support treatment approaches optimised to an Asian setting.

Indexed as

BronchiectasisAdultCalcium PhosphatesDisease ProgressionFollow-Up StudiesHumansLungRegistriesCalcium PhosphatesEmbarc

Identifiers

PMID36229049
PMCPMC9816417
OpenAlexW4304959472

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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.