Evidence map›Paper›PMID 36069297›Full record

ArticleInfluenza and other respiratory viruses2022

Change in functional status associated with respiratory syncytial virus infection in hospitalized older adults.

Angela R Branche, Lisa Saiman, Edward E Walsh, Ann R Falsey, Haomiao Jia, Angela Barrett, Luis Alba, Matthew Phillips, Lyn Finelli

Open 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. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
9.3field-weighted citation impact, top 1% 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

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Observational
  8. Review
  9. Article
  10. Observational
  11. Article
  12. Long-term Clinical Outcomes After Hospitalization for Acute Respiratory Illness Due to Respiratory Syncytial Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  13. Observational
  14. Review
  15. Article
  16. Article
  17. Burden of respiratory syncytial virus (RSV) vs. influenza (A/B) in adults ≥ 50 years: a Pre-COVID-19 multicenter retrospective study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  18. Review
  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.

Angela R BrancheDepartment of Medicine, Division of Infectious Diseases, University of Rochester, Rochester, New York, USA.ORCID 0000-0002-7742-5352
Lisa SaimanDepartment of Pediatrics, Columbia University Irving Medical Center, New York, New York, USA.ORCID 0000-0002-7231-8451
Edward E WalshDepartment of Medicine, Division of Infectious Diseases, University of Rochester, Rochester, New York, USA.
Ann R FalseyDepartment of Medicine, Division of Infectious Diseases, University of Rochester, Rochester, New York, USA.
Haomiao JiaDepartment of Biostatistics, Columbia University Irving Medical Center, New York, New York, USA.
Angela BarrettDepartment of Pediatrics, Columbia University Irving Medical Center, New York, New York, USA.
Luis AlbaDepartment of Pediatrics, Columbia University Irving Medical Center, New York, New York, USA.
Matthew PhillipsCenter for Observational and Real-World Evidence, Merck & Co., Inc., Kenilworth, New Jersey, USA.
Lyn FinelliCenter for Observational and Real-World Evidence, Merck & Co., Inc., Kenilworth, New Jersey, USA.
Columbia University Irving Medical Center · USMerck & Co., Inc., Rahway, NJ, USA (United States) · USRochester General Hospital · USNewYork–Presbyterian Hospital · USUniversity of Rochester · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRespiratory syncytial virus (RSV) causes severe respiratory illnesses in infants and older adults. Older adults are frequently hospitalized with RSV illness and may experience loss of function. This study evaluated longitudinal changes in function associated with RSV hospitalization in older adults.

methodsAdults ≥60 years hospitalized with laboratory-confirmed RSV were enrolled (N = 302). Demographics and comorbidities were collected. Functional status was assessed 2 weeks pre-hospitalization by recall, at enrollment, hospital discharge and 2, 4, and 6 months post-discharge using the Lawton-Brody Instrumental Activities of Daily Living (IADL) (scale 0-8) and Barthel ADL Index (scale 0-100).

resultsRSV-associated hospitalization resulted in acute functional loss. Median IADL (5 vs. 3, p < 0.0001) and ADL (90 vs. 70, p < 0.0001) scores decreased significantly from pre-hospitalization to admission and remained decreased at discharge. There were no statistically significant differences between pre-hospitalization and 2-, 4-, or 6-month scores. However, 33% and 32% of subjects experienced decreased 6-month IADL and ADL scores, respectively. Additionally, 14% required a higher level of care at discharge. When stratified by pre-hospitalization living situation, 6-month IADL scores declined significantly for those admitted from a skilled nursing facility (3 vs. 1, p = 0.001). In multivariate analysis, male sex and diabetes were associated with a 6-month decline in ADL score of ≥10.

conclusionsOlder adults hospitalized with RSV demonstrate acute functional decline that may become prolonged. Pre-hospitalization living situation may predict patient outcomes. Further study is needed with hospitalized age-matched controls and refined measurement tools to better define the specific impact of RSV on function.

Indexed as

Respiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsActivities of Daily LivingAftercareAgedFunctional StatusHospitalizationHumansInfantMalePatient Dischargeactivities of daily livingadultsfunctional statusrespiratory syncytial virus

Identifiers

PMID36069297
PMCPMC9530534
OpenAlexW4294865619

What OpenQuestion holds

Textmetadata
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.