Evidence map›Paper›PMID 24512531›Full record

ArticleInfluenza and other respiratory viruses2014

Respiratory syncytial virus- and human metapneumovirus-associated emergency department and hospital burden in adults.

Kyle Widmer, Marie R Griffin, Yuwei Zhu, John V Williams, H Keipp Talbot

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06286007 (Prevalence and Impact of Pertussis and RSV on Asthma Severity and Control), which is not on this map. Cited by 80 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 5 pooled it
6.9field-weighted citation impact, top 3% 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.

NCT06286007 unknown statusnot on this mapstarted 2023, after this paper: background citation

Prevalence and Impact of Pertussis and RSV on Asthma Severity and Control

Typeobservational_patient_registrySponsorHospital Clinico Universitario de SantiagoRan2023 to 2026Enrolled784ConditionsAsthma, Pertussis, RSV InfectionArmsPCR
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 5 syntheses or guidelines pooled it, 139 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Bivalent RSVpreF Vaccine in Adults 18 to <60 Years Old With High-Risk Conditions.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Trial
  7. Trial
  8. Twenty-five years of human metapneumovirus research.Clinical microbiology reviews · 2026
    Review
  9. Article
  10. Article
  11. Article
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  19. Review
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20 more citing papers are in PubMed but not listed here.

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

5 authors at 3 institutions in 1 country.

Kyle WidmerDepartment of Internal Medicine, Tulane University School of Medicine, New Orleans, LA, USA; Southeast Louisiana Veterans Health Care System, New Orleans, LA, USA.
Marie R Griffin
Yuwei Zhu
John V Williams
H Keipp Talbot
Vanderbilt University Medical Center · USTulane University · USVA Tennessee Valley Healthcare System · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Host Determinants of Human Metapneumovirus Immunity and PathogenesisR01AI085062 · NIAID · VANDERBILT UNIVERSITY · PI John V. Williams · 2010 to 2026
$5.6M
Annual Estimates of Influenza Vaccine Effectiveness: Davidson County, TNU18IP000184 · IP · VANDERBILT UNIVERSITY · PI GRIFFIN, MARIE R. · 2008 to 2010
$3.9M
Vanderbilt Health Services Research Training ProgramT32HS013833 · AHRQ · VANDERBILT UNIVERSITY · PI GRIFFIN, MARIE R. · 2003 to 2012
$1.8M
Adult flu hospitalizations: evaulating diagnostic methods & vaccine effectivenessK23AI074863 · NIAID · VANDERBILT UNIVERSITY · PI TALBOT, HELEN KEIPP · 2008 to 2011
$502k
AHRQ HHS T32 HS013833NCATS NIH HHS UL1 TR000445NCIRD CDC HHS U01 IP000184NIAID NIH HHS 1K23AI074863-01NIAID NIH HHS K23 AI074863NIAID NIH HHS R01 AI085062
6 · The paper itself

Abstract

objectiveDetermine the burden of illness associated with respiratory syncytial virus (RSV) and human metapneumovirus (HMPV) in adults, especially young adults.

designProspective surveillance study using RT-PCR for the diagnosis of RSV and HMPV.

settingOne academic Emergency Department (ED), one academic hospital and three middle Tennessee community hospitals. SAMPLE: We prospectively enrolled Middle Tennessee residents ≥18 years old evaluated in the emergency department (ED) or hospitalized for respiratory symptoms May 2009 through April 2010. We collected nose/throat specimens for RSV and HMPV reverse-transcriptase polymerase chain reaction (RT-PCR) testing and obtained demographic and clinical data.

main outcome measuresRates of ED visits and hospitalizations were calculated using the proportion of enrolled patients positive for each virus multiplied by the number of Middle Tennessee residents evaluated in EDs and/or hospitalized in Tennessee for acute respiratory illness during the study period.

resultsThree thousand two hundred and fifty six patients were eligible; 1477 (45·4%) were enrolled; 1248 (84·5%) of these consented to additional testing and had adequate samples. RT-PCR identified 32 (2·6%) patients with RSV and 33 (2·6%) with HMPV. The median duration of symptoms before ED presentation was 3·3 days with RSV and 2·8 days with HMPV, and before hospital admission was 4·5 days with RSV and 3·5 days with HMPV. The annual hospitalization and ED visit rates were similar for RSV and HMPV. The hospitalization rate associated with each virus was about 10 per 10 000 persons aged ≥50 years; ED rates were approximately 2 times higher. Hospitalization rates were about 2 per 10 000 persons aged 18-49 years, with ED rates 5-6 times higher.

conclusionRSV and MPV are associated with substantial disease in adults, with hospitalization and ED visits rates increasing with age.

Indexed as

AdolescentAdultEmergency Service, HospitalHospitalizationHumansMetapneumovirusMiddle AgedParamyxoviridae InfectionsProspective StudiesRespiratory Syncytial VirusesRespiratory Syncytial Virus InfectionsTennesseeYoung AdultBurden of illnesshospitalizationshuman metapneumovirusolder adultsrespiratory syncytial virus

Identifiers

PMID24512531
PMCPMC3984605
OpenAlexW2072457247

What OpenQuestion holds

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LicenceCC BY
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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.