Evidence map›Paper›PMID 35667912›Full record

ArticleVaccine2022

Estimating the burden of adult hospitalized RSV infection including special populations.

Mary Patricia Nowalk, Helen D'Agostino, Klancie Dauer, Myla Stiegler, Richard K Zimmerman, G K Balasubramani

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Vaccine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
5.1field-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, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Respiratory syncytial virus - from discovery to vaccines.Journal of medical microbiology · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Hospitalisation due to respiratory syncytial virus in a population-based cohort of older adults in Spain, 2016/17 to 2019/20.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  13. Review
  14. Article
  15. Review
  16. Severe respiratory syncytial virus disease.Journal of intensive medicine · 2024
    Review
  17. Article
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Mary Patricia NowalkDepartment of Family Medicine, School of Medicine, University of Pittsburgh, Pittsburgh PA, USA. Electronic address: tnowalk@pitt.edu.
Helen D'AgostinoDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh PA, USA.
Klancie DauerDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh PA, USA.
Myla StieglerDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh PA, USA.
Richard K ZimmermanDepartment of Family Medicine, School of Medicine, University of Pittsburgh, Pittsburgh PA, USA.
G K BalasubramaniDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh PA, USA.
University of Pittsburgh · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
NCATS NIH HHS UL1 TR001857
6 · The paper itself

Abstract

backgroundNumerous studies in the U.S. have made estimates of the RSV burden among adults that vary widely due to differences in methodology, reliance on influenza surveillance, which does not adequately capture all RSV clinical symptoms, and lack of diagnostic methods to identify RSV when viral loads are low. Nevertheless, accurate burden estimates can inform healthcare planning, resource allocation and potentially, RSV vaccine policy.

methodsA simple method combined with statewide and local hospitalization, medical record and U.S. Census data were used to estimate population-based RSV hospitalization burden among adults ages 18-64 years, ≥65 years, and including immunocompetent, immunocompromised and pregnant individuals during 2015-2018 for Allegheny County, Pennsylvania. Economic burden of hospitalization was estimated using state-provided average hospitalization charges for comparisons across patient groups.

resultsThe largest burden was borne by adults ≥ 65 years of age whose rates per 100,000 population of that age group (939/100,000) were 7.0-9.0 times those of adults 18-64 years of age (118/100,000). Immunosuppressed patients bore the greatest relative burden of RSV hospitalizations (1,288-1,562/100,000 immunosuppressed individuals). RSV burden ranged from 0 to 808/100,000 pregnant women. Average total charges for RSV hospitalization in Allegheny County across all adults increased from $39 million in 2015-2016 to $57 million in 2016-2017 to $89 million in 2017-2018, due to both increased average charges for an acute respiratory hospitalization and increased numbers of RSV cases.

conclusionsThese RSV burden estimates add to the body of knowledge to guide public health policy makers and offer a method for simply and easily producing population-based burden estimates.

Indexed as

Influenza, HumanInfluenza VaccinesRespiratory Syncytial Virus InfectionsAdolescentAdultFemaleHealth ServicesHospitalizationHumansInfantMiddle AgedPregnancyYoung AdultInfluenza VaccinesAcute respiratory illnessAdultsRetrospective cohort studyRSV burden

Identifiers

PMID35667912
PMCPMC10642722
OpenAlexW4281733190

What OpenQuestion holds

Textmetadata
LicenceTDM
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.