Evidence map›Paper›PMID 35666728›Full record

ArticlePloS one2022

Risk factors for disease severity and increased medical resource utilization in respiratory syncytial virus (+) hospitalized children: A descriptive study conducted in four Belgian hospitals.

Marijke Proesmans, Annabel Rector, Els Keyaerts, Yannick Vandendijck, Francois Vermeulen, Kate Sauer, Marijke Reynders, Ann Verschelde, Wim Laffut, Kristien Garmyn and 3 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02133092 (Prospective Study in Belgian Children Hospitalized With Respiratory Syncytial Virus Related Acute Respiratory Infections), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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.

NCT02133092 completednot on this map

Prospective Study in Belgian Children Hospitalized With Respiratory Syncytial Virus Related Acute Respiratory Infections

TypeobservationalSponsorJanssen Research & Development, LLCRan2013 to 2015Enrolled62ConditionsRespiratory Syncytial VirusArmsNo intervention
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Observational
  4. Observational
  5. Article
  6. Article
  7. 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

13 authors at 5 institutions in 1 country.

Marijke ProesmansDepartment of Pediatrics, University Hospitals Leuven, Leuven, Belgium.
Annabel RectorKU Leuven Department of Microbiology, Immunology and Transplantation, Rega Institute, Laboratory of Clinical and Epidemiological Virology, Leuven, Belgium.
Els KeyaertsKU Leuven Department of Microbiology, Immunology and Transplantation, Rega Institute, Laboratory of Clinical and Epidemiological Virology, Leuven, Belgium.
Yannick VandendijckJanssen Pharmaceutica, Beerse, Belgium.
Francois VermeulenDepartment of Pediatrics, University Hospitals Leuven, Leuven, Belgium.
Kate SauerDepartment of Pediatrics, AZ Sint-Jan Brugge-Oostende, Campus Brugge, Brugge, Belgium.ORCID 0000-0002-4523-7832
Marijke ReyndersDepartment of Microbiology, AZ Sint-Jan Brugge-Oostende, Campus Brugge, Brugge, Belgium.ORCID 0000-0003-2079-1279
Ann VerscheldeDepartment of Pediatrics, AZ Sint-Jan Brugge-Oostende, Campus Henri Serruys, Oostende, Belgium.
Wim LaffutDepartment of Microbiology, Heilig-Hartziekenhuis, Lier, Belgium.
Kristien GarmynDepartment of Pediatrics, Heilig-Hartziekenhuis, Lier, Belgium.
Roman FleischhacklJanssen-Cilag Austria, Vienna, Austria.
Jacques BollekensJanssen Pharmaceutica, Beerse, Belgium.
Gabriela IspasJanssen Pharmaceutica, Beerse, Belgium.ORCID 0000-0002-2720-8157
AZ Sint-Jan · BEJanssen (Belgium) · BEKU Leuven · BEMariaziekenhuis · BERega Institute for Medical Research · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to provide regional data on clinical symptoms, medical resource utilization (MRU), and risk factors for increased MRU in hospitalized respiratory syncytial virus (RSV)-infected Belgian pediatric population.

methodsThis prospective, multicenter study enrolled RSV (+) hospitalized children (aged ≤5y) during the 2013-2015 RSV seasons. RSV was diagnosed within 24h of hospitalization. Disease severity of RSV (+) patients was assessed until discharge or up to maximum six days using a Physical Examination Score (PES) and a derived score based on ability to feed, dyspnea and respiratory effort (PES3). MRU (concomitant medications, length of hospitalization [LOH], and oxygen supplementation) was evaluated. Kaplan-Meier survival analysis was performed to compare MRU by age and presence of risk factors for severe disease. Association between baseline covariates and MRU was analyzed using Cox regression models.

resultsIn total, 75 children were included, Median (range) age was 4 (0-41) months, risk factors were present in 18.7%, and early hospitalization (≤3 days of symptom onset) was observed in 57.3% of patients. Cough (100%), feeding problems (82.2%), nasal discharge (87.8%), and rales and rhonchi (82.2%) were frequently observed. Median (range) LOH and oxygen supplementation was 5 (2-7) and 3 (1-7) days. Oxygen supplementation, bronchodilators, and antibiotics were administered to 58.7%, 64.0%, and 41.3% of the patients, respectively. Age <3 months and baseline total PES3 score were associated with probability and the duration of receiving oxygen supplementation. LOH was not associated with any covariate.

conclusionRSV is associated with high disease burden and MRU in hospitalized children. Oxygen supplementation but not length of hospitalization was associated with very young age and the PES3 score. These results warrant further assessment of the PES3 score as a predictor for the probability of receiving and length of oxygen supplementation in RSV hospitalized children. REGISTRATION: NCT02133092.

Indexed as

Respiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsBelgiumChildChild, HospitalizedHospitalizationHospitalsHumansInfantProspective StudiesRisk FactorsSeverity of Illness Index

Identifiers

PMID35666728
PMCPMC9170098
OpenAlexW4281663480

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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.