Evidence map›Paper›PMID 38653955›Full record

ArticleInfection2024

Outcome of Human Parainfluenza Virus infection in allogeneic stem cell transplantation recipients: possible impact of ribavirin therapy.

Ariadna Pérez, Juan Montoro, Pedro Chorão, Dolores Gómez, Manuel Guerreiro, Estela Giménez, Marta Villalba, Jaime Sanz, Rafael Hernani, Juan Carlos Hernández-Boluda and 5 more

Abstract read
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In one paragraph

Article in Infection, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Guideline
  2. Review
  3. 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

15 authors at 5 institutions in 2 countries.

Ariadna PérezDepartment of Hematology, Hospital Clínico Universitario of Valencia, Spain. INCLIVA, Biomedical Research Institute, Valencia, Spain.
Juan MontoroHematology Division, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Pedro ChorãoHematology Division, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Dolores GómezMicrobiology Service, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Manuel GuerreiroHematology Division, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Estela GiménezMicrobiology Service, Hospital Clínico Universitario, Valencia, Spain.
Marta VillalbaHematology Division, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Jaime SanzHematology Division, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Rafael HernaniDepartment of Hematology, Hospital Clínico Universitario of Valencia, Spain. INCLIVA, Biomedical Research Institute, Valencia, Spain.
Juan Carlos Hernández-BoludaDepartment of Hematology, Hospital Clínico Universitario of Valencia, Spain. INCLIVA, Biomedical Research Institute, Valencia, Spain.
Ignacio LorenzoHematology Division, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
David NavarroMicrobiology Service, Hospital Clínico Universitario, Valencia, Spain.
Carlos SolanoDepartment of Hematology, Hospital Clínico Universitario of Valencia, Spain. INCLIVA, Biomedical Research Institute, Valencia, Spain.
Per LjungmanCellular Therapy and Allogeneic Stem Cell Transplantation, Karolinska Comprehensive Cancer Center, Karolinska University Hospital, Stockholm, Sweden.
José Luis PiñanaDepartment of Hematology, Hospital Clínico Universitario of Valencia, Spain. INCLIVA, Biomedical Research Institute, Valencia, Spain. jlpinana@gmail.com.ORCID http://orcid.org/0000-0001-8533-2562
Hospital Universitari i Politècnic La Fe · ESUniversitat de València · ESHospital Clínico Universitario de Valencia · ESINCLIVA Health Research Institute · ESKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis retrospective study focused on analyzing community-acquired respiratory virus (CARV) infections, in particular human parainfluenza virus (hPIV) after allogeneic stem cell transplant (allo-SCT) in adults recipients. It aimed to assess the impact of ribavirin treatment, clinical characteristics, and risk factors associated with lower respiratory tract disease (LRTD) progression and all-cause mortality. PATIENTS AND

methodsThe study included 230 allo-SCT recipients diagnosed with hPIV between December 2013 and June 2023. Risk factors for the development of LRTD, disease severity, and mortality were analyzed. Ribavirin treatment was administered at physician discretion in 61 out of 230 cases (27%).

resultsRisk factors for LRTD progression in multivariate analysis were corticosteroids > 30 mg/day (Odds ratio (OR) 3.5, 95% Confidence Interval (C.I.) 1.3-9.4, p = 0.013), fever at the time of hPIV detection (OR 3.89, 95% C.I. 1.84-8.2, p < 0.001), and absolute lymphocyte count (ALC) < 0.2 × 10

conclusionALC, corticosteroids, and fever increased the risk for progression to LRTD while ribavirin decreased the risk. However, mortality was associated with ALC and co-infections. This study supports further research of ribavirin therapy for hPIV in the allo-HSCT setting.

Indexed as

Antiviral AgentsParamyxoviridae InfectionsRibavirinAdultAgedCommunity-Acquired InfectionsFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsStem Cell TransplantationTransplantation, HomologousTreatment OutcomeYoung AdultAntiviral AgentsRibavirinAllogeneic hematopoietic stem cell transplantationCommunity acquire respiratory virusHuman parainfluenza virusImmunodeficiency scoring indexRespiratory viral infectionRibavirin

Identifiers

PMID38653955
OpenAlexW4395080525

What OpenQuestion holds

Textmetadata
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.