Evidence map›Paper›PMID 31490961›Full record

ArticlePloS one2019

Burden of influenza-associated respiratory hospitalizations in the Americas, 2010-2015.

Rakhee S Palekar, Melissa A Rolfes, C Sofia Arriola, Belsy O Acosta, Patricia Alberto Guidos, Xiomara Badilla Vargas, Christina Bancej, Juliana Barbosa Ramirez, Elsa Baumeister, Alfredo Bruno and 32 more

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
–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

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  15. End-of-season influenza vaccine effectiveness during the Southern Hemisphere 2022 influenza season - Chile, Paraguay, and Uruguay.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2023
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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

42 authors.

Rakhee S PalekarPan American Health Organization/World Health Organization, Washington, DC, United States of America.ORCID 0000-0001-5216-3117
Melissa A RolfesCenters for Disease Control and Prevention, Atlanta, GA, United States of America.ORCID 0000-0002-0483-9941
C Sofia ArriolaCenters for Disease Control and Prevention, Atlanta, GA, United States of America.
Belsy O AcostaDepartment of Virology, "Pedro Kouri" Institute of Tropical Medicine, Havana, Cuba.
Patricia Alberto GuidosMinistry of Health, San Salvador, El Salvador.
Xiomara Badilla VargasCosta Rican Department of Social Security, San Jose, Costa Rica.
Christina BancejPublic Health Agency of Canada, Ottawa, Canada.
Juliana Barbosa RamirezNational Institute of Health, Bogota, Colombia.
Elsa BaumeisterNational Reference Laboratory for Viral Respiratory Infections and National Influenza Center, Buenos Aires, Argentina.
Alfredo BrunoNational Institute of Public Health Research, Guayaquil, Ecuador.ORCID 0000-0002-9678-4203
Maria Agüeda CabelloMinistry of Public Health and Social Welfare, Asuncion, Paraguay.
Jufu ChenCenters for Disease Control and Prevention, Atlanta, GA, United States of America.
Paula CoutoPan American Health Organization/World Health Organization, Washington, DC, United States of America.ORCID 0000-0003-1900-2543
Francisco J De Paula JuniorMinistry of Health, Brasilia, Brazil.ORCID 0000-0002-7302-0614
Rodrigo FasceInstitute of Public Health, Santiago, Chile.
Walquiria Ferreira de AlmeidaMinistry of Health, Brasilia, Brazil.ORCID 0000-0003-2082-6283
Victor E Fiesta SolorzanoNational Center of Epidemiology, Prevention, and Control of Diseases, Lima, Peru.
Carlos Flores RamírezDirectorate of Health Services, Guatemala City, Guatemala.
Natalia GoñiDepartment of Public Health Laboratories, Montevideo, Uruguay.
Yadira Isaza de MoltóMinistry of Health, Panama City, Panama.
Jenny LaraCosta Rican Institute of Research and Education in Nutrition and Health, Cartago, Costa Rica.ORCID 0000-0003-2412-5476
Diana C MaloNational Institute of Health, Bogota, Colombia.
José L Medina OsisNational Center of Epidemiology, Prevention, and Control of Diseases, Lima, Peru.ORCID 0000-0002-6929-6714
Homer MejíaHealth Secretariat, Tegucigalpa, Honduras.ORCID 0000-0002-5421-9345
Lourdes Moreno CastilloMinistry of Health, Panama City, Panama.
Desiree MustaquimCenters for Disease Control and Prevention, Atlanta, GA, United States of America.
Andrea NwosuPublic Health Agency of Canada, Ottawa, Canada.
Jenny OjedaMinistry of Health, Quito, Ecuador.
Antonio Paredes SamoyaMinistry of Public Health, Guatemala City, Guatemala.
Paola A PulidoNational Institute of Health, Bogota, Colombia.
Hector M Ramos HernandezMinistry of Health, San Salvador, El Salvador.
Rudvelinda Rivera LopezHealth Secretariat, Tegucigalpa, Honduras.
Angel RodriguezPan American Health Organization/World Health Organization, Washington, DC, United States of America.
Myriam SabouiPublic Health Agency of Canada, Ottawa, Canada.
Hilda Salazar BolanosMinistry of Health, San Jose, Costa Rica.
Adrián SantoroDirectorate of Statistics and Health Information, Buenos Aires, Argentina.ORCID 0000-0003-3789-2332
Jose Eduardo SilveraMinistry of Health, Montevideo, Uruguay.
Paulina SosaPan American Health Organization/World Health Organization, Washington, DC, United States of America.ORCID 0000-0002-1554-0603
Viviana SotomayorMinistry of Health, Santiago, Chile.
Lourdes SuarezMinistry of Public Health, Havana, Cuba.
Marta Von HorochMinistry of Public Health and Social Welfare, Asuncion, Paraguay.
Eduardo Azziz-BaumgartnerCenters for Disease Control and Prevention, Atlanta, GA, United States of America.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundDespite having influenza vaccination policies and programs, countries in the Americas underutilize seasonal influenza vaccine, in part because of insufficient evidence about severe influenza burden. We aimed to estimate the annual burden of influenza-associated respiratory hospitalizations in the Americas.

methodsThirty-five countries in the Americas with national influenza surveillance were invited to provide monthly laboratory data and hospital discharges for respiratory illness (International Classification of Diseases 10th edition J codes 0-99) during 2010-2015. In three age-strata (<5, 5-64, and ≥65 years), we estimated the influenza-associated hospitalizations rate by multiplying the monthly number of respiratory hospitalizations by the monthly proportion of influenza-positive samples and dividing by the census population. We used random effects meta-analyses to pool age-group specific rates and extrapolated to countries that did not contribute data, using pooled rates stratified by age group and country characteristics found to be associated with rates.

resultsSixteen of 35 countries (46%) contributed primary data to the analyses, representing 79% of the America's population. The average pooled rate of influenza-associated respiratory hospitalization was 90/100,000 population (95% confidence interval 61-132) among children aged <5 years, 21/100,000 population (13-32) among persons aged 5-64 years, and 141/100,000 population (95-211) among persons aged ≥65 years. We estimated the average annual number of influenza-associated respiratory hospitalizations in the Americas to be 772,000 (95% credible interval 716,000-829,000).

conclusionsInfluenza-associated respiratory hospitalizations impose a heavy burden on health systems in the Americas. Countries in the Americas should use this information to justify investments in seasonal influenza vaccination-especially among young children and the elderly.

Indexed as

AdolescentAdultAgedAmericasAnalysis of VarianceChildChild, PreschoolCosts and Cost AnalysisFemaleHospitalizationHumansInfluenza, HumanMaleMiddle AgedRespiratory Tract InfectionsSeasons

Identifiers

PMID31490961
PMCPMC6730873

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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.