Evidence map›Paper›PMID 38738450›Full record

ArticleJournal of the Pediatric Infectious Diseases Society2024

Risk Analysis of Respiratory Syncytial Virus Among Infants in the United States by Birth Month.

Jason R Gantenberg, Robertus van Aalst, Monika Reddy Bhuma, Brendan Limone, David Diakun, David M Smith, Christopher B Nelson, Angela M Bengtson, Sandra S Chaves, William V La Via and 3 more

Abstract read
In one paragraph

Article in Journal of the Pediatric Infectious Diseases Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Respiratory Infant Mortality Rate by Month of Birth in Mexico.Epidemiologia (Basel, Switzerland) · 2025
    Article
  5. Observational
  6. Article
  7. Article
  8. The recent landscape of RSV vaccine research.Therapeutic advances in vaccines and immunotherapy · 2025
    Review
  9. Observational
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

13 authors.

Jason R GantenbergDepartment of Health Services, Policy and Practice, Brown University School of Public Health, Providence, Rhode Island, USA.ORCID 0000-0002-8144-4273
Robertus van AalstDepartment of Health Services, Policy and Practice, Brown University School of Public Health, Providence, Rhode Island, USA.ORCID 0000-0003-3025-7811
Monika Reddy BhumaDepartment of Health Services, Policy and Practice, Brown University School of Public Health, Providence, Rhode Island, USA.
Brendan LimoneMerative, Cambridge, Massachusetts, USA.
David DiakunMerative, Cambridge, Massachusetts, USA.
David M SmithMerative, Cambridge, Massachusetts, USA.
Christopher B NelsonVaccines Medical Affairs, Sanofi, Swiftwater, Pennsylvania, USA.ORCID 0000-0003-1046-7635
Angela M BengtsonDepartment of Epidemiology, Emory University, Atlanta, Georgia, USA.ORCID 0000-0003-1305-8132
Sandra S ChavesDepartment of Modeling, Epidemiology, and Data Science, Vaccines Medical Affairs, Sanofi, Lyon, France.ORCID 0000-0002-9453-7057
William V La ViaVaccines Medical Affairs, Sanofi, Swiftwater, Pennsylvania, USA.ORCID 0000-0002-3819-5670
Christopher RizzoVaccines Medical Affairs, Sanofi, Swiftwater, Pennsylvania, USA.
David A SavitzDepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, USA.ORCID 0000-0002-3475-4113
Andrew R ZulloDepartment of Health Services, Policy and Practice, Brown University School of Public Health, Providence, Rhode Island, USA.ORCID 0000-0003-1673-4570

Funding

An Implementation Science Approach to Monitoring Engagement in HIV CareR00MH112413 · NIMH · BROWN UNIVERSITY · PI BENGTSON, ANGELA · 2019 to 2021
$747k
6 · The paper itself

Abstract

backgroundRespiratory syncytial virus (RSV) is a major cause of morbidity and mortality among US infants. A child's calendar birth month determines their age at first exposure(s) to RSV. We estimated birth month-specific risk of medically attended (MA) RSV lower respiratory tract infection (LRTI) among infants during their first RSV season and first year of life (FYOL).

methodsWe analyzed infants born in the USA between July 2016 and February 2020 using three insurance claims databases (two commercial, one Medicaid). We classified infants' first MA RSV LRTI episode by the highest level of care incurred (outpatient, emergency department, or inpatient), employing specific and sensitive diagnostic coding algorithms to define index RSV diagnoses. In our main analysis, we focused on infants' first RSV season. In our secondary analysis, we compared the risk of MA RSV LRTI during infants' first RSV season to that of their FYOL.

resultsInfants born from May through September generally had the highest risk of first-season MA RSV LRTI-approximately 6-10% under the specific RSV index diagnosis definition and 16-26% under the sensitive. Infants born between October and December had the highest risk of RSV-related hospitalization during their first season. The proportion of MA RSV LRTI events classified as inpatient ranged from 9% to 54% (specific) and 5% to 33% (sensitive) across birth month and comorbidity group. Through the FYOL, the overall risk of MA RSV LRTI is comparable across birth months within each claims database (6-11% under the specific definition, 17-30% under the sensitive), with additional cases progressing to care at outpatient or ED settings.

conclusionsOur data support recent national recommendations for the use of nirsevimab in the USA. For infants born at the tail end of an RSV season who do not receive nirsevimab, a dose administered prior to the onset of their second RSV season could reduce the incidence of outpatient- and ED-related events.

Indexed as

HospitalizationRespiratory Syncytial Virus InfectionsSeasonsDatabases, FactualFemaleHumansInfantInfant, NewbornMaleRespiratory Syncytial Virus, HumanRisk AssessmentUnited Statesbirth monthdescriptive epidemiologyinfantslower respiratory tract infectionrespiratory syncytial virus

Identifiers

PMID38738450
PMCPMC11212365

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.