Evidence map›Paper›PMID 37705884›Full record

ArticleLancet regional health. Americas2023

Respiratory syncytial virus epidemiology and clinical severity before and during the COVID-19 pandemic in British Columbia, Canada: a retrospective observational study.

Marina Viñeta Paramo, Lilian P L Ngo, Bahaa Abu-Raya, Frederic Reicherz, Rui Yang Xu, Jeffrey N Bone, Jocelyn A Srigley, Alfonso Solimano, David M Goldfarb, Danuta M Skowronski and 1 more

Abstract read
In one paragraph

Article in Lancet regional health. Americas, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
–field-weighted citation impact
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.

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  20. Impact of the COVID-19 pandemic on the respiratory syncytial virus infections in children admitted with community acquired pneumonia: a retrospective study at a tertiary hospital of Northeast China.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    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

11 authors.

Marina Viñeta ParamoDepartment of Paediatrics, University of British Columbia, Vancouver, Canada.
Lilian P L NgoDepartment of Paediatrics, University of British Columbia, Vancouver, Canada.
Bahaa Abu-RayaDepartment of Paediatrics, University of British Columbia, Vancouver, Canada.
Frederic ReicherzDepartment of Paediatrics, University of British Columbia, Vancouver, Canada.
Rui Yang XuDepartment of Paediatrics, University of British Columbia, Vancouver, Canada.
Jeffrey N BoneWomen+ and Children's Health Sciences, Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada.
Jocelyn A SrigleyBritish Columbia Children's Hospital Research Institute, Vancouver, Canada.
Alfonso SolimanoDepartment of Paediatrics, University of British Columbia, Vancouver, Canada.
David M GoldfarbBritish Columbia Children's Hospital Research Institute, Vancouver, Canada.
Danuta M SkowronskiImmunization Programs and Vaccine Preventable Diseases Service, British Columbia Centre for Disease Control, Vancouver, Canada.
Pascal M LavoieDepartment of Paediatrics, University of British Columbia, Vancouver, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The COVID-19 pandemic has perturbed the seasonality of respiratory syncytial virus (RSV) infections. However, we lack data on how this impacted the severity of paediatric RSV cases. The objective of this study was to describe the clinical severity of RSV cases before, during and after pandemic measures in British Columbia (BC), Canada. Methods: Retrospective study of RSV cases from September 1st, 2017 to May 15th, 2023, with a review of RSV outcomes in children below 18 years old at BC's paediatric hospital. Temporal changes in RSV cases and hospitalisations were quantified using interrupted time series. Findings: BC experienced only 11 RSV cases (from 95,266 tests) between September 2020 and August 2021. This was followed by a resurgence of 9,529 RSV cases (219,566 tests [4.3% positive tests]) in 2021-22 and 8,215 cases (124,449 tests [6.6% positive tests]) in 2022-23, increased compared to 1,750 cases (48,664 tests [3.6% positive tests]) per corresponding yearly period in 2017-20. From September 2017 to May 2023, the median age of children with RSV at BC Children's Hospital increased from 8.7 [IQR: 2.0-26.0] to 19.6 [3.9-43.7] months per yearly period. More children were hospitalised in 2022-23 (n = 360), compared to 2017-20 (n = 168 per period) and 2021-22 (n = 172). However, we detected no increase in hospitalisations or ICU admissions in children born prematurely or with chronic cardiorespiratory conditions. Interpretation: The increased detection of symptomatic RSV cases in older children in 2021-22 and increased RSV-related hospitalisations in 2022-23 suggest a gradual increase in the pool of immunologically vulnerable children due to a prolonged lack of viral exposure. Funding: Government of Canada via its COVID-19 Immunity Task Force.

Indexed as

ChildrenCOVID-19HospitalisationInterrupted time series analysisPandemicRespiratory syncytial virusRSV

Identifiers

PMID37705884
PMCPMC10495630

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.