Evidence map›Paper›PMID 38529669›Full record

Observational studyThe clinical respiratory journal2024

Clinical comparison of HMPV and RSV infections in hospitalised Malaysian children: A propensity score matched study.

David Chun-Ern Ng, Chuin-Hen Liew, Kah Kee Tan, Elida Hanan Binti Awang, Farah Nuruliayana Binti Ahmad Nazri, Asuwani K Tamil Maran, Vishnu Arvindran A/L Chandra Mohan, Durairaaj Ramachandran, Michelle Chok, Cheah Hooi Teh and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in The clinical respiratory journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Twenty-five years of human metapneumovirus research.Clinical microbiology reviews · 2026
    Review
  3. Awareness of human metapneumovirus (hMPV) among healthcare professionals in Libya.The Journal of the Egyptian Public Health Association · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Observational
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 2 countries.

David Chun-Ern NgHospital Tuanku Ja'afar, Ministry of Health Malaysia, Seremban, Malaysia.ORCID https://orcid.org/0000-0001-9665-3054
Chuin-Hen LiewHospital Tuanku Ampuan Najihah, Ministry of Health Malaysia, Kuala Pilah, Malaysia.ORCID https://orcid.org/0000-0001-8775-0303
Kah Kee TanDepartment of Paediatrics, Perdana University Seremban Clinical Academic Center, Seremban, Malaysia.ORCID https://orcid.org/0000-0002-8445-5816
Elida Hanan Binti AwangHospital Tuanku Ja'afar, Ministry of Health Malaysia, Seremban, Malaysia.
Farah Nuruliayana Binti Ahmad NazriHospital Tuanku Ja'afar, Ministry of Health Malaysia, Seremban, Malaysia.
Asuwani K Tamil MaranHospital Tuanku Ja'afar, Ministry of Health Malaysia, Seremban, Malaysia.
Vishnu Arvindran A/L Chandra MohanHospital Tuanku Ja'afar, Ministry of Health Malaysia, Seremban, Malaysia.
Durairaaj RamachandranHospital Tuanku Ampuan Najihah, Ministry of Health Malaysia, Kuala Pilah, Malaysia.
Michelle ChokHospital Tuanku Ja'afar, Ministry of Health Malaysia, Seremban, Malaysia.
Cheah Hooi TehHospital Tuanku Ja'afar, Ministry of Health Malaysia, Seremban, Malaysia.
Airena Mohamad NorHospital Tuanku Ja'afar, Ministry of Health Malaysia, Seremban, Malaysia.
Suhaila Bt BaharuddinHospital Tuanku Ja'afar, Ministry of Health Malaysia, Seremban, Malaysia.
Erwin Jiayuan KhooDepartment of Paediatrics, International Medical University, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0002-7498-2954
Ministry of Health · MYHarvard University · USPerdana University · MY

Funding

International Medical University 584-2023
6 · The paper itself

Abstract

introductionHuman metapneumovirus (hMPV) and respiratory syncytial virus (RSV) are significant contributors to the burden of acute respiratory infections in children, but data on hMPV from Southeast Asia are limited despite its potential for serious disease. This study aimed to compare the clinical presentation, resource utilisation and outcomes between hMPV and RSV infections in hospitalised Malaysian children.

methodsThis retrospective, observational study included children aged ≤12 years old hospitalised with hMPV or RSV, confirmed via direct fluorescent antibody (DFA) methods, between 1 July to 30 October 2022 at Hospital Tuanku Ja'afar Seremban, Malaysia. Demographic, clinical presentation, resource utilisation and outcome data were analysed. Propensity score matching was used to balance cohorts based on key demographic and clinical characteristics.

resultsThis study included 192 patients, comprising 112 with hMPV and 80 with RSV. hMPV patients were older (median age 20.5 vs. 9.4 months, p < 0.001) and had a higher incidence of comorbidities (24.1% vs. 7.5%, p = 0.003). Fever was more common in the hMPV group (97.3% vs. 73.8%, p < 0.001), but the other clinical manifestations were similar. Postmatching analysis showed higher corticosteroid use in the hMPV group (p = 0.01). No significant differences were observed in the use of other resources, PICU admissions, duration of hospitalisation or mortality rates between both groups.

conclusionhMPV and RSV infections in children share similar clinical manifestations and outcomes, with hMPV affecting older children and showing higher corticosteroid usage. These findings emphasise the need for equal clinical vigilance for both hMPV and RSV in paediatric respiratory infections.

Indexed as

MetapneumovirusParamyxoviridae InfectionsRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsRespiratory Tract InfectionsAdolescentAdrenal Cortex HormonesAdultChildHumansInfantPropensity ScoreRetrospective StudiesYoung AdultAdrenal Cortex HormoneshMPVpaediatricpredictorsRSVseverity

Identifiers

PMID38529669
PMCPMC10964171
OpenAlexW4393203440

What OpenQuestion holds

Textmetadata
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.