Evidence map›Paper›PMID 38675765›Full record

ArticleVaccines2024

Effectiveness of Nirsevimab Immunoprophylaxis Administered at Birth to Prevent Infant Hospitalisation for Respiratory Syncytial Virus Infection: A Population-Based Cohort Study.

Guillermo Ezpeleta, Ana Navascués, Natividad Viguria, Mercedes Herranz-Aguirre, Sergio Enrique Juan Belloc, Juan Gimeno Ballester, Juan Carlos Muruzábal, Manuel García-Cenoz, Camino Trobajo-Sanmartín, Aitziber Echeverria and 6 more

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 4 pooled it
30.9field-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

56 citing papers in PubMed, 4 syntheses or guidelines pooled it, 80 citations in OpenAlex.

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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

16 authors at 3 institutions in 1 country.

Guillermo EzpeletaInstituto de Salud Pública de Navarra, 31003 Pamplona, Spain.
Ana NavascuésClinical Microbiology Department, Hospital Universitario de Navarra, 31008 Pamplona, Spain.
Natividad ViguriaInstituto de Investigación Sanitaria de Navarra (IdiSNA), 31008 Pamplona, Spain.ORCID 0000-0003-0920-5072
Mercedes Herranz-AguirreInstituto de Investigación Sanitaria de Navarra (IdiSNA), 31008 Pamplona, Spain.
Sergio Enrique Juan BellocPaediatrics Department, Hospital Reina Sofía, 31500 Tudela, Spain.
Juan Gimeno BallesterPaediatrics Department, Hospital García Orcoyen, 31200 Estella, Spain.
Juan Carlos MuruzábalGynecology and Obstetrics Department, Hospital Universitario de Navarra, 31008 Pamplona, Spain.ORCID 0000-0001-9829-3435
Manuel García-CenozInstituto de Salud Pública de Navarra, 31003 Pamplona, Spain.ORCID 0000-0001-7316-9104
Camino Trobajo-SanmartínInstituto de Salud Pública de Navarra, 31003 Pamplona, Spain.ORCID 0000-0001-5105-252X
Aitziber EcheverriaInstituto de Salud Pública de Navarra, 31003 Pamplona, Spain.
Iván Martínez-BazInstituto de Salud Pública de Navarra, 31003 Pamplona, Spain.ORCID 0000-0002-3405-2277
Noelia Vera-PunzanoInstituto de Salud Pública de Navarra, 31003 Pamplona, Spain.ORCID 0009-0000-8950-4560
Itziar CasadoInstituto de Salud Pública de Navarra, 31003 Pamplona, Spain.
Héctor López-MendozaInstituto de Salud Pública de Navarra, 31003 Pamplona, Spain.
Carmen EzpeletaClinical Microbiology Department, Hospital Universitario de Navarra, 31008 Pamplona, Spain.
Jesús CastillaInstituto de Salud Pública de Navarra, 31003 Pamplona, Spain.ORCID 0000-0002-6396-7265
Instituto de Salud Pública de Navarra · ESNavarre Institute of Health Research · ESHospital Universitario Reina Sofía · ES

Funding

Instituto de Salud Carlos III CM19/00154, CP22/00016, and INT21/00100
6 · The paper itself

Abstract

Respiratory syncytial virus (RSV) infection is a frequent cause of hospitalisation in the first few months of life; however, this risk rapidly decreases with age. Nirsevimab immunoprophylaxis was approved in the European Union for the prevention of RSV-associated lower respiratory tract disease in infants during their first RSV season. We evaluated the effectiveness of nirsevimab in preventing hospitalisations for confirmed RSV infection and the impact of a strategy of immunisation at birth. A population-based cohort study was performed in Navarre, Spain, where nirsevimab was offered at birth to all children born from October to December 2023. Cox regression was used to estimate the hazard ratio of hospitalisation for PCR-confirmed RSV infection between infants who received and did not receive nirsevimab. Of 1177 infants studied, 1083 (92.0%) received nirsevimab. The risk of hospitalisation for RSV was 8.5% (8/94) among non-immunised infants versus 0.7% (8/1083) in those that were immunised. The estimated effectiveness of nirsevimab was 88.7% (95% confidence interval, 69.6-95.8). Immunisation at birth of infants born between October and December 2023 prevented one hospitalisation for every 15.3 immunised infants. Immunisation of children born from September to January might prevent 77.5% of preventable hospitalisations for RSV in infants born in 2023-2024. These results support the recommendation of nirsevimab immunisation at birth to children born during the RSV epidemic or in the months immediately before to prevent severe RSV infections and alleviate the overload of paediatric hospital resources.

Indexed as

hospitalisationinfantsmonoclonal antibodiesnirsevimabrespiratory syncytial virusvaccination effectivenessvaccination impact

Identifiers

PMID38675765
PMCPMC11054679
OpenAlexW4393932178

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.