Evidence map›Paper›PMID 36746812›Full record

Trial reportLung2023

Early Exacerbation Relapse is Increased in Patients with Asthma and Bronchiectasis (a Post hoc Analysis).

Andrew R Hill, Pallavi Bedi, Manjit K Cartlidge, Kim Turnbull, Samantha Donaldson, Andrea Clarke, Jane Crowe, Kadiga Campbell, Ruzanna Franguylan, Adriano G Rossi and 1 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Lung, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02047773 (Bacterial Load Guided Therapy for Severe Exacerbations of Bronchiectasis Requiring IntraVenous Antibiotic Therapy- BLT Br IV Study), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 26% 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.

NCT02047773 phase4completednot on this map

Bacterial Load Guided Therapy for Severe Exacerbations of Bronchiectasis Requiring IntraVenous Antibiotic Therapy- BLT Br IV Study

TypeinterventionalSponsorUniversity of EdinburghRan2014 to 2020Enrolled90ConditionsBronchiectasisArmsDuration, Colomycin, Meropenem
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
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

11 authors at 4 institutions in 1 country.

Andrew R HillSchool of Medicine, University of St. Andrews, North Haugh, St. Andrews, UK. andrewhill3011@gmail.com.
Pallavi BediCentre for Inflammation Research, Queen's Medical Research Institute, 47 Little France Crescent, Edinburgh, UK.
Manjit K CartlidgeRoyal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, UK.
Kim TurnbullRoyal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, UK.
Samantha DonaldsonCentre for Inflammation Research, Queen's Medical Research Institute, 47 Little France Crescent, Edinburgh, UK.
Andrea ClarkeRoyal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, UK.
Jane CroweCentre for Inflammation Research, Queen's Medical Research Institute, 47 Little France Crescent, Edinburgh, UK.
Kadiga CampbellRoyal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, UK.
Ruzanna FranguylanRoyal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, UK.
Adriano G RossiCentre for Inflammation Research, Queen's Medical Research Institute, 47 Little France Crescent, Edinburgh, UK.
Adam T HillCentre for Inflammation Research, Queen's Medical Research Institute, 47 Little France Crescent, Edinburgh, UK.
Edinburgh Royal Infirmary · GBCentre for Inflammation Research · GBQueen's Medical Centre · GBUniversity of St Andrews · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAsthma is a common comorbidity in patients with bronchiectasis and has been shown to increase the risk of bronchiectasis exacerbations. This paper explores the impact of comorbid asthma on patients receiving intravenous antibiotic treatment for bronchiectasis exacerbations.

methodsThis was a post hoc analysis of the Meropenem randomised controlled trial of 90 patients that had intravenous antibiotic treatment for bronchiectasis exacerbations. The participants were split into two groups: group 1 (asthma and bronchiectasis) and group 2 (bronchiectasis). The authors assessed response to treatment and time to next exacerbation.

resultsThere were 38 participants in group 1 and 34 participants in group 2. The groups were found to be comparable in terms of age, sex, and bronchiectasis severity (median (95% CI) group 1 and then group 2 data): age 64.0(59.3, 68.6) and 63.6(57.9, 69.4) years old, p = 0.8; 57.9% and 64.7% female, p = 0.6; Bronchiectasis Severity Index 11.1(9.8, 12.4) and 10.1(8.2, 12.0), p = 0.3. There was a similar response to treatment between the groups, but group 1 were found to relapse early by day 14, 31.6% in group 1 and 11.8% in group 2, p = 0.03. In the Cox proportional hazards model, asthma was the only independent risk factor for early relapse by day 14 (odds ratio (95% CI) 3.16 (1.02-9.79), p = 0.047).

conclusionThe clinical response to treatment was similar but patients with coexisting asthma were at increased risk of early relapse within 14 days of stopping intravenous antibiotic therapy. CLINICAL

trial registrationNCT02047773.

Indexed as

AsthmaBronchiectasisAgedAnti-Bacterial AgentsChronic DiseaseComorbidityDisease ProgressionFemaleHumansMaleMiddle AgedAnti-Bacterial AgentsAsthmaBronchiectasisExacerbationsIntravenous antibiotics

Identifiers

PMID36746812
PMCPMC9968257
OpenAlexW4319302960

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.