Evidence map›Paper›PMID 36535718›Full record

ArticleBMJ open2022

Disease burden caused by respiratory syncytial virus compared with influenza among adults: a retrospective cohort study from Eastern Finland in 2017-2018.

Aleksi Hämäläinen, Ellamaria Savinainen, Sari Hämäläinen, Katariina Sivenius, Juha Kauppinen, Irma Koivula, Riitta-Liisa Patovirta

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Respiratory Syncytial Virus Prefusion F Protein Vaccine Is Efficacious in Older Adults With Underlying Medical Conditions.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  8. Article
  9. Article
  10. 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

7 authors at 3 institutions in 1 country.

Aleksi HämäläinenInstitute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland aleh@student.uef.fi.ORCID 0000-0001-7969-8816
Ellamaria SavinainenInstitute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.
Sari HämäläinenDepartment of Medicine, Kuopio University Hospital, Kuopio, Finland.
Katariina SiveniusDepartment of Medicine, Kuopio University Hospital, Kuopio, Finland.
Juha KauppinenClinical Microbiology, ISLAB, Kuopio, Finland.
Irma KoivulaDepartment of Medicine, Kuopio University Hospital, Kuopio, Finland.
Riitta-Liisa PatovirtaDepartment of Medicine, Kuopio University Hospital, Kuopio, Finland.
Kuopio University Hospital · FIUniversity of Eastern Finland · FIEastern Finland Laboratory Center · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRespiratory syncytial virus (RSV) is one of the most important causes of lower respiratory tract illnesses. In this study, we examined the number and severity of RSV infections among adult patients. The underlying diseases and background information of patients with RSV were examined and compared with the patients with influenza.

designRetrospective cohort study.

settingPatients receiving tertiary care services in Kuopio University Hospital (KUH) district in Eastern Finland.

participants725 patients (152 with RSV infection and 573 with influenza) treated in KUH between November 2017 and May 2018. PRIMARY AND SECONDARY OUTCOME MEASURES: Hospitalisation and mortality.

resultsCompared with influenza, RSV caused a more serious disease in terms of hospitalisation (84.2% vs 66.0%, p<0.001), incidence of pneumonia (37.5% vs 23.2%, p<0.001), need for antibiotics (67.1% vs 47.3%, p<0.001) and supplemental oxygen (50.7% vs 31.2%, p<0.001). The all-cause mortality during hospitalisation and 30 days after discharge was higher among the RSV-infected patients (8.6% vs 3.5%, p=0.010). Solid malignancies (23.1% vs 5.0%, p=0.042) and chronic kidney disease (30.8% vs 5.8%, p=0.011) were more common among the RSV-infected non-survivors compared with survivors. RSV was an independent risk factor for hospitalisation (adjusted OR (aOR) 2.035; 95% CI 1.17 to 3.55) and mortality (aOR 2.288; 95% CI 1.09 to 4.81) compared with influenza.

conclusionsAmong all the screened patients, those with RSV infection were older and had more underlying conditions than patients with influenza. They had increased likelihood of hospitalisation and mortality when compared with influenza. Solid malignancies and chronic kidney disease seemed to be independent risk factors for death among RSV-infected patients. During RSV and influenza epidemics, it is important to test patients with respiratory symptoms for RSV and influenza to prevent the spread of the infections among elderly and chronically ill patients.

Indexed as

Influenza, HumanRenal Insufficiency, ChronicRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsAdultAgedCost of IllnessFinlandHospitalizationHumansRetrospective Studiesepidemiologyinfection controlrespiratory infections

Identifiers

PMID36535718
PMCPMC9764619
OpenAlexW4311944367

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.