Evidence map›Paper›PMID 39952395›Full record

ArticleAcademic pediatrics

Serious Neurologic Events With Seasonal Influenza in Young Children.

Brooke P Quertermous, Derek J Williams, Jean Bruce, Mert Sekmen, Yuwei Zhu, Carlos G Grijalva, James W Antoon

Abstract read
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Brooke P QuertermousDepartment of Pediatrics (BP Quertermous, DJ Williams, M Sekmen, and JW Antoon), Vanderbilt University Medical Center, Nashville, Tenn. Electronic address: brooke.p.quertermous.1@vumc.org.
Derek J WilliamsDepartment of Pediatrics (BP Quertermous, DJ Williams, M Sekmen, and JW Antoon), Vanderbilt University Medical Center, Nashville, Tenn.
Jean BruceDepartment of Health Policy (J Bruce and CG Grijalva), Vanderbilt University Medical Center, Nashville, Tenn; Department of Biomedical Informatics (J Bruce and CG Grijalva), Vanderbilt University Medical Center, Nashville, Tenn.
Mert SekmenDepartment of Pediatrics (BP Quertermous, DJ Williams, M Sekmen, and JW Antoon), Vanderbilt University Medical Center, Nashville, Tenn.
Yuwei ZhuDepartment of Biostatistics (Y Zhu), Vanderbilt University Medical Center, Nashville, Tenn.
Carlos G GrijalvaDepartment of Health Policy (J Bruce and CG Grijalva), Vanderbilt University Medical Center, Nashville, Tenn; Department of Biomedical Informatics (J Bruce and CG Grijalva), Vanderbilt University Medical Center, Nashville, Tenn.
James W AntoonDepartment of Pediatrics (BP Quertermous, DJ Williams, M Sekmen, and JW Antoon), Vanderbilt University Medical Center, Nashville, Tenn.

Funding

Mentoring in transmission of influenza and strategies for preventionK24AI148459 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GRIJALVA, CARLOS G · 2020 to 2024
$893k
Oseltamivir Use and Risk of Serious Neuropsychiatric Adverse Events in ChildrenK23AI168496 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ANTOON, JAMES W · 2022 to 2025
$740k
NIAID NIH HHS K23 AI168496NIAID NIH HHS K24 AI148459
6 · The paper itself

Abstract

objectiveThe objective of this study was to determine the population-based incidence of influenza-associated serious neurologic events in children <5 years of age.

methodsWe conducted a retrospective cohort of children <5 years of age enrolled in a Medicaid program during the 2016 to 2017 through 2019 to 2020 influenza seasons. Serious influenza-associated neurologic events were defined as a neurologic event resulting in hospitalization. Population-based incidence of serious influenza-associated neurologic events was calculated by dividing the number of events by the total accrued follow-up time and expressed per 100,000 influenza person-weeks. Incidence estimates were stratified by neurologic event category, age, sex, neurologic comorbidity, influenza season, and antiviral use.

resultsA total of 79,727 influenza cases among 70,258 unique children were included. The overall incidence of serious influenza-associated neurologic events was 38.0 (95% confidence interval [CI] 27.5-51.2) per 100,000 person-weeks of influenza. The most common serious neurologic event was seizure (34.5 per 100,000 influenza person-weeks of influenza, 95% CI 24.5-47.1) whereas encephalitis and ataxia/movement disorders were least common (0.9 per 100,000 influenza person-weeks of influenza, 95% CI 0.02-4.9). Incidence rates were generally higher in children <2 years and significantly more common in children with neurologic conditions compared to those without neurologic conditions. Incidence rates were similar among those with and without influenza antiviral use.

conclusionsOur findings reveal that serious neurologic complications are uncommon in young children with influenza but markedly higher in those with underlying neurologic conditions. These data emphasize the importance of preventing, identifying, and treating influenza in this vulnerable population.

Indexed as

Influenza, HumanNervous System DiseasesSeizuresAntiviral AgentsChild, PreschoolFemaleHospitalizationHumansIncidenceInfantInfant, NewbornMaleMedicaidRetrospective StudiesSeasonsUnited StatesAntiviral Agentsinfluenzaneurologic conditionsseizures

Identifiers

PMID39952395
PMCPMC12048254

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Registered trials

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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.