Evidence map›Paper›PMID 40900370›Full record

ArticleLung2025

Age-Dependent Risk of Bronchial Asthma Exacerbation in Respiratory Syncytial Virus Co-infection.

Ken Arimura, Keiko Kan-O, Yasuto Sato, Ken Kikuchi, Hitomi Miura, Asako Sato, Mitsuko Kondo, Etsuko Tagaya

Abstract read
In one paragraph

Article in Lung, 2025. 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. Review
  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

8 authors.

Ken ArimuraDepartment of Respiratory Medicine, Tokyo Women's Medical University, Tokyo, Japan. arimura.ken@twmu.ac.jp.ORCID 0000-0002-7934-533X
Keiko Kan-O *Department of Respiratory Medicine, Tokyo Women's Medical University, Tokyo, Japan.
Yasuto Sato *National Institute of Public Health, Center for Health Informatics Policy, Saitama, Japan.
Ken KikuchiDepartment of Infectious Diseases, Tokyo Women's Medical University, Tokyo, Japan.
Hitomi MiuraCentral Clinical Laboratory, Tokyo Women's Medical University Hospital, Tokyo, Japan.
Asako SatoDepartment of Clinical Laboratory, Tokyo Women's Medical University Hospital, Tokyo, Japan.
Mitsuko KondoDepartment of Respiratory Medicine, Tokyo Women's Medical University, Tokyo, Japan.
Etsuko TagayaDepartment of Respiratory Medicine, Tokyo Women's Medical University, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRespiratory syncytial virus (RSV) and human metapneumovirus (hMPV) are common viral etiologies of respiratory infections. Although co-infection with other respiratory pathogens is frequently observed, its clinical significance remains unclear.

methodsWe retrospectively analyzed 57,746 patients who underwent FILMARRAY®, a comprehensive multiplex polymerase chain reaction testing, between November 2020 and March 2023. Clinical features were compared between single infection and co-infection involving RSV or hMPV using χ

resultsAmong RSV-positive patients, co-infection was associated with higher prevalence of BA history, wheeze, BA exacerbation, combined BA history and exacerbation, systemic steroid use, and age under 6 years compared to that with single infection. RSV co-infection with coronavirus, parainfluenza virus, adenovirus, and rhinovirus/enterovirus was particularly associated with BA exacerbation. Age under 6 years and RSV co-infection were identified as independent risk factors for BA exacerbation using multiple logistic regression. In contrast, no associations were observed in the hMPV co-infection.

conclusionRSV co-infection with other respiratory viruses increases the risk of BA exacerbation, especially in age under 6 years patients. Given the proven efficacy of RSV vaccine for adults and monoclonal antibody for high-risk children in preventing RSV-related lower respiratory tract disease, RSV-targeted prevention strategies for younger children appear effective in reducing respiratory disease burden.

Indexed as

AsthmaCoinfectionParamyxoviridae InfectionsRespiratory Syncytial Virus InfectionsRespiratory Tract InfectionsAdolescentAdultAgedAge FactorsChildChild, PreschoolDisease ProgressionFemaleHumansInfantMaleBA exacerbationFILMARRAY®hMPV co-infectionMultiplex PCR testingRespiratory pathogensRSV co-infection

Identifiers

PMID40900370
PMCPMC12408742

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.