Evidence map›Paper›PMID 32077641›Full record

ArticleInfluenza and other respiratory viruses2020

Epidemiology, clinical features, and resource utilization associated with respiratory syncytial virus in the community and hospital.

Marie Smithgall, Philip Maykowski, Philip Zachariah, Matthew Oberhardt, Celibell Y Vargas, Carrie Reed, Philip LaRussa, Lisa Saiman, Melissa S Stockwell

Open access · goldAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
4.5field-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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

9 authors at 5 institutions in 1 country.

Marie SmithgallDepartment of Pathology and Cell Biology, Columbia University Medical Center, New York, NY, USA.ORCID 0000-0001-6706-0700
Philip MaykowskiDepartment of Epidemiology, Mailman School of Public Health, New York, NY, USA.ORCID 0000-0003-4762-6935
Philip ZachariahDepartment of Pediatrics, Columbia University, New York, NY, USA.ORCID 0000-0002-5080-1573
Matthew OberhardtNewYork-Presbyterian Hospital, New York, NY, USA.ORCID 0000-0001-6491-6315
Celibell Y VargasDepartment of Pediatrics, Columbia University, New York, NY, USA.
Carrie ReedCenters for Disease Control and Prevention, Atlanta, GA, USA.ORCID 0000-0001-7944-7638
Philip LaRussaDepartment of Pediatrics, Columbia University, New York, NY, USA.ORCID 0000-0001-9827-7021
Lisa SaimanDepartment of Pediatrics, Columbia University, New York, NY, USA.ORCID 0000-0002-7231-8451
Melissa S StockwellDepartment of Pediatrics, Columbia University, New York, NY, USA.ORCID 0000-0002-2113-7247
Columbia University · USNew York Hospital Queens · USCenters for Disease Control and Prevention · USColumbia University Irving Medical Center · USNewYork–Presbyterian Hospital · US

Funding

MOSAIC: Mobile Surveillance for ARI and ILI in the CommunityU01IP000618 · IP · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI STOCKWELL, MELISSA S · 2012 to 2016
$6.0M
ACL HHS U01IP000618NCIRD CDC HHS U01 IP000618NCIRD CDC HHS U01IP000618
6 · The paper itself

Abstract

backgroundThe epidemiology, clinical features, and resource utilization of respiratory syncytial virus (RSV) cases in the community and the hospital are not fully characterized.

methodsWe identified individuals of all ages with laboratory-confirmed RSV from two sources, a community cohort undergoing surveillance for acute respiratory infections (ARIs) and hospitalized patients from the same geographic area of New York City between 2013 and 15. The epidemiology, clinical features, and resource utilization (antibiotic/steroid/ribavirin usage, chest X-rays, respiratory-support (continuous positive airway pressure [CPAP], mechanical ventilation or extracorporeal membrane oxygenation [ECMO]), and indicators of disease severity (respiratory-support, and/or ICU admission or death)) were compared among age groups using univariate and bivariate analyses.

resultsIn the community cohort (1777 people with 1805 ARIs), 66(3.7%) tested RSV-positive (3.8% of <1-year-olds; 3.8% of adults ≥65); 40.9% were medically attended, and 23.1% reported antibiotic usage. Among 40,461 tests performed on hospital patients, 2.7% were RSV-positive within ± 2 days of admission (37.3% <1 year old; 17.4% ≥65 years old). Among RSV-positive hospitalized adults ≥65%, 92.7%, 89.6% and 78.1% received a chest X-ray, antibiotics and/or steroids respectively, compared with 48.9%, 45.7%, and 48.7% of children <1. Severe illness occurred in 27.0% RSV-positive hospitalized <1-year-olds and 19.8% ≥65-year-olds.

conclusionsRespiratory syncytial virus had a demonstrated impact in the community and hospital. Only 40% of RSV community cases were medically attended. In the hospitalized-cohort, <1- and ≥ 65-year-olds accounted for the majority of patients and had similar rates of severe illness. In addition, resource utilization was high in older adults, making both young children and older adults important potential RSV vaccine targets.

Indexed as

AdolescentAdultAgedChildChild, PreschoolFemaleHospitalizationHumansInfantMaleMiddle AgedResidence CharacteristicsRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsRetrospective StudiesUnited Statescommunity surveillancemedically attendedrespiratory syncytial virus

Identifiers

PMID32077641
PMCPMC7182604
OpenAlexW3007193726

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.