Evidence map›Paper›PMID 38319540›Full record

ArticleInfectious diseases and therapy2024

Estimated Respiratory Syncytial Virus-Related Hospitalizations and Deaths Among Children and Adults in Spain, 2016-2019.

Mariana Haeberer, Robin Bruyndonckx, Aleksandra Polkowska-Kramek, Antoni Torres, Caihua Liang, Charles Nuttens, Maribel Casas, Francesca Lemme, Worku Biyadgie Ewnetu, Thao Mai Phuong Tran and 4 more

Abstract read
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Article in Infectious diseases and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–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

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

14 authors.

Mariana HaebererPfizer SL, Av Europa 20B, 28108, Madrid, Spain. mariana.haeberer@pfizer.com.ORCID http://orcid.org/0000-0003-1708-870X
Robin BruyndonckxEpidemiology and Pharmacovigilance, P95, Leuven, Belgium.
Aleksandra Polkowska-KramekEpidemiology and Pharmacovigilance, P95, Leuven, Belgium.
Antoni TorresClínic Barcelona Hospital, Barcelona, Spain.
Caihua LiangPfizer Inc, New York City, USA.
Charles NuttensPfizer Inc, Paris, France.
Maribel CasasEpidemiology and Pharmacovigilance, P95, Leuven, Belgium.
Francesca LemmeEpidemiology and Pharmacovigilance, P95, Leuven, Belgium.
Worku Biyadgie EwnetuEpidemiology and Pharmacovigilance, P95, Leuven, Belgium.
Thao Mai Phuong TranEpidemiology and Pharmacovigilance, P95, Leuven, Belgium.
Jessica E AtwellPfizer Inc, New York City, USA.
Cristina Mendez DiezPfizer SL, Av Europa 20B, 28108, Madrid, Spain.
Bradford D GessnerPfizer Inc, New York City, USA.
Elizabeth BegierPfizer Inc, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRespiratory syncytial virus (RSV) causes a substantial disease burden among infants. In older children and adults, incidence is underestimated due to nonspecific symptoms and limited standard-of-care testing. We aimed to estimate RSV-attributable hospitalizations and deaths in Spain during 2016-2019.

methodsNationally representative hospitalization and mortality databases were obtained from the Ministry of Health and the National Statistical Office. A quasi-Poisson regression model was fitted to estimate the number of hospitalizations and deaths attributable to RSV as a function of periodic and aperiodic time trends and viral activity, while allowing for potential overdispersion.

resultsIn children, the RSV-attributable respiratory hospitalization incidence was highest among infants aged 0-5 months (3998-5453 cases/100,000 person-years, representing 72% of all respiratory hospitalizations) and decreased with age. In 2019, estimated rates in children 0-5, 6-11, 12-23 months and 6-17 years were approximately 1.3, 1.4, 1.5, and 6.5 times higher than those based on standard-of-care RSV-specific codes. In adults, the RSV-attributable cardiorespiratory hospitalization rate increased with age and was highest among persons ≥ 80 years (1325-1506 cases/100,000, 6.5% of all cardiorespiratory hospitalizations). In 2019, for persons aged 18-49, 50-59, 60-79, and ≥ 80 years, estimated rates were approximately 8, 6, 8, and 16 times higher than those based on standard-of-care RSV-specific codes. The RSV-attributable cardiorespiratory mortality rate was highest among ≥ 80 age group (126-150 deaths/100,000, 3.5-4.1% of all cardiorespiratory deaths), when reported mortality rate ranged between 0 and 0.5/100,000.

conclusionsWhen accounting for under-ascertainment, estimated RSV-attributable hospitalizations were higher than those reported based on standard-of-care RSV-specific codes in all age groups but particularly among older children and older adults. Like other respiratory viruses, RSV contributes to both respiratory and cardiovascular complications. Efficacious RSV vaccines could have a high public health impact in these age and risk groups.

Indexed as

Disease burdenEpidemiologyHospitalizationMortalityRespiratory syncytial virus

Identifiers

PMID38319540
PMCPMC10965866

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LicenceCC BY-NC
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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.