Evidence map›Paper›PMID 34704241›Full record

Observational studyAmerican journal of perinatology2023

Increasing Rates of RSV Hospitalization among Preterm Infants: A Decade of Data.

Amanda M Kong, Isabelle H Winer, Nicole M Zimmerman, David Diakun, Adam Bloomfield, Tara Gonzales, Jaime Fergie, Mitchell Goldstein, Leonard R Krilov

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in American journal of perinatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
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  5. Article
  6. Review
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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

9 authors at 4 institutions in 1 country.

Amanda M KongIBM Watson Health, Life Sciences Division, Cambridge, Massachusetts.
Isabelle H WinerIBM Watson Health, Life Sciences Division, Cambridge, Massachusetts.
Nicole M ZimmermanIBM Watson Health, Life Sciences Division, Cambridge, Massachusetts.
David DiakunIBM Watson Health, Life Sciences Division, Cambridge, Massachusetts.
Adam BloomfieldSwedish Orphan Biovitrum Sobi, NA, Medical Affairs, Waltham, Massachusetts.
Tara GonzalesSwedish Orphan Biovitrum Sobi, NA, Medical Affairs, Waltham, Massachusetts.
Jaime FergieInfectious Diseases Service, Driscoll Children's Hospital, Corpus Christi, Texas.
Mitchell GoldsteinDepartment of Pediatrics, Loma Linda University Children's Hospital, Loma Linda, California.
Leonard R KrilovDepartment of Pediatrics, NYU Langone Hospital-Long Island, and the NYU Long Island School of Medicine, Mineola, New York.
IBM (United States) · USSwedish Orphan Biovitrum (United States) · USDriscoll Children's Hospital · USLoma Linda University Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn 2014, the American Academy of Pediatrics (AAP) changed its policy on the use of respiratory syncytial virus immunoprophylaxis (RSV-IP) so that RSV-IP was no longer recommended for use among infants without other medical conditions born >29 weeks of gestational age (wGA). This study examines 10-year trends in RSV-IP and RSV hospitalizations among term infants and preterm infants born at 29 to 34 wGA, including the 5 RSV seasons before and 5 RSV seasons after the AAP guidance change. STUDY

designA retrospective observational cohort study of a convenience sample of infants less than 6 months of age during RSV season (November-March) born between July 1, 2008, and June 30, 2019, who were born at 29 to 34 wGA (preterm) or >37 wGA (term) in the IBM MarketScan Commercial and Multi-State Medicaid databases. We excluded infants with medical conditions that would independently qualify them for RSV-IP. We identified RSV-IP utilization along with RSV and all-cause bronchiolitis hospitalizations during each RSV season. A difference-in-difference model was used to determine if there was a significant change in the relative rate of RSV hospitalizations following the 2014 policy change.

resultsThere were 53,535 commercially insured and 85,099 Medicaid-insured qualifying preterm infants and 1,111,670 commercially insured and 1,492,943 Medicaid-insured qualifying term infants. Following the 2014 policy change, RSV-IP utilization decreased for all infants, while hospitalization rates tended to increase for preterm infants. Rate ratios comparing preterm to term infants also increased. The relative rate for RSV hospitalization for infants born at 29 to 34 wGA increased significantly for both commercially and Medicaid-insured infants (1.95, 95% CI: 1.67-2.27,

conclusionWe found that the previously identified increase in RSV hospitalization rates among infants born at 29 to 34 wGA persisted for at least 5 years following the policy change. KEY POINTS: · Immunoprophylaxis rates decreased after the 2014 American Academy of Pediatrics guidelines update.. · Rate of RSV hospitalization increased among preterm infants after the 2014 AAP guidelines update.. · Increase in RSV hospitalization persisted for at least 5 years after AAP guidelines update..

Indexed as

BronchiolitisRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsAntiviral AgentsChildFemaleGestational AgeHospitalizationHumansInfantInfant, NewbornInfant, PrematurePalivizumabRetrospective StudiesUnited StatesAntiviral AgentsPalivizumab

Identifiers

PMID34704241
PMCPMC10556298
OpenAlexW3209795926

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.