Evidence map›Paper›PMID 35996836›Full record

ArticleInfluenza and other respiratory viruses2022

Population-based hospitalization burden estimates for respiratory viruses, 2015-2019.

Richard K Zimmerman, G K Balasubramani, Helen E A D'Agostino, Lloyd Clarke, Mohamed Yassin, Donald B Middleton, Fernanda P Silveira, Nicole D Wheeler, Jonathan Landis, Alanna Peterson and 3 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 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 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
5.0field-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

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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  17. Shared host genetic landscape of respiratory viral infection.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 1 country.

Richard K ZimmermanDepartment of Family Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
G K BalasubramaniDepartment of Epidemiology, University of Pittsburgh School of Public Health, Pittsburgh, PA, USA.
Helen E A D'AgostinoDepartment of Epidemiology, University of Pittsburgh School of Public Health, Pittsburgh, PA, USA.
Lloyd ClarkeDepartment of Pharmacy, Division of Infectious Diseases/Pharmacy Department, UPMC Health System, Pittsburgh, PA, USA.
Mohamed YassinInfection Control Department, UPMC Mercy Hospital, Pittsburgh, PA, USA.
Donald B MiddletonDepartment of Medical Education, UPMC St. Margaret Hospital, Pittsburgh, PA, USA.
Fernanda P SilveiraDepartment of Medicine, Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Nicole D WheelerDepartment of Emergency Medicine, UPMC Passavant Hospital, Pittsburgh, PA, USA.
Jonathan LandisDepartment of Emergency Medicine, UPMC Passavant Hospital, Pittsburgh, PA, USA.
Alanna PetersonDepartment of Emergency Medicine, UPMC Shadyside Hospital, Pittsburgh, PA, USA.
Joe SuyamaDepartment of Emergency Medicine, UPMC Magee-Women's Hospital, Pittsburgh, PA, USA.
Alexandra WeissmanDepartment of Emergency Medicine, UPMC Magee-Women's Hospital, Pittsburgh, PA, USA.
Mary Patricia NowalkDepartment of Family Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0002-1702-2690
University of Pittsburgh · USUPMC Health System · USMagee-Womens Hospital · USMercy Medical Center · USShadyside Hospital · USSt. Margaret Memorial Hospital · 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
Flu vaccine effectiveness in thosehospitalized in a large diverse health systemU01IP000969 · IP · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ZIMMERMAN, RICHARD K · 2015 to 2019
$4.5M
CDC HHS 5U01IP001035-02NCATS NIH HHS UL1 TR001857NCIRD CDC HHS U01 IP000969NCIRD CDC HHS U01 IP001035NIH HHS UL1TR001857
6 · The paper itself

Abstract

backgroundAcute respiratory infections (ARIs) result in millions of illnesses and hundreds of thousands of hospitalizations annually in the United States. The responsible viruses include influenza, parainfluenza, human metapneumovirus, coronaviruses, respiratory syncytial virus (RSV), and human rhinoviruses. This study estimated the population-based hospitalization burden of those respiratory viruses (RVs) over 4 years, from July 1, 2015 to June 30, 2019, among adults ≥18 years of age for Allegheny County (Pittsburgh), Pennsylvania.

methodsWe used population-based statewide hospital discharge data, health system electronic medical record (EMR) data for RV tests, census data, and a published method to calculate burden.

resultsAmong 26,211 eligible RV tests, 67.6% were negative for any virus. The viruses detected were rhinovirus/enterovirus (2552; 30.1%), influenza A (2,299; 27.1%), RSV (1082; 12.7%), human metapneumovirus (832; 9.8%), parainfluenza (601; 7.1%), influenza B (565; 6.7%), non-SARS-CoV-2 coronavirus (420; 4.9% 1.5 years of data available), and adenovirus (136; 1.6%). Most tests were among female (58%) and White (71%) patients with 60% of patients ≥65 years, 24% 50-64 years, and 16% 18-49 years. The annual burden ranged from 137-174/100,000 population for rhinovirus/enterovirus; 99-182/100,000 for influenza A; and 56-81/100,000 for RSV. Among adults <65 years, rhinovirus/enterovirus hospitalization burden was higher than influenza A; whereas the reverse was true for adults ≥65 years. RV hospitalization burden increased with increasing age.

conclusionsThese virus-specific ARI population-based hospital burden estimates showed significant non-influenza burden. These estimates can serve as the basis for several areas of research that are essential for setting funding priorities and guiding public health policy.

Indexed as

COVID-19Influenza, HumanMetapneumovirusParamyxoviridae InfectionsRespiratory Syncytial Virus, HumanRespiratory Tract InfectionsVirusesAdultFemaleHospitalizationHumansInfantburdencosthospitalizationsrespiratory viral infections

Identifiers

PMID35996836
PMCPMC9530548
OpenAlexW4292822815

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.