Evidence map›Paper›PMID 38902751›Full record

ArticleItalian journal of pediatrics2024

Trends in hospitalizations of children with respiratory syncytial virus aged less than 1 year in Italy, from 2015 to 2019.

Renato Cutrera, Daniela d'Angela, Massimiliano Orso, Liliana Guadagni, Anna Chiara Vittucci, Ilaria Bertoldi, Barbara Polistena, Federico Spandonaro, Ciro Carrieri, Eva Agostina Montuori and 2 more

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Article in Italian journal of pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Review
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Article
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  8. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Renato CutreraPediatric Pulmonology & Cystic Fibrosis Unit, Respiratory Research Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID http://orcid.org/0000-0001-7711-5672
Daniela d'AngelaC.R.E.A. Sanità (Centre for Applied Economic Research in Healthcare), Rome, Italy.ORCID http://orcid.org/0000-0003-3409-4757
Massimiliano OrsoC.R.E.A. Sanità (Centre for Applied Economic Research in Healthcare), Rome, Italy. m.orso@creasanita.it.ORCID http://orcid.org/0000-0003-0200-1202
Liliana GuadagniDepartment of Surgical and Biomedical Sciences, University of Perugia, Perugia, Italy.ORCID http://orcid.org/0000-0003-0156-1742
Anna Chiara VittucciHospital University Pediatrics Clinical Area, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.ORCID http://orcid.org/0000-0002-1164-5563
Ilaria BertoldiVaccine Medical Department, Pfizer, Rome, Italy.
Barbara PolistenaC.R.E.A. Sanità (Centre for Applied Economic Research in Healthcare), Rome, Italy.ORCID http://orcid.org/0000-0002-0138-0223
Federico SpandonaroC.R.E.A. Sanità (Centre for Applied Economic Research in Healthcare), Rome, Italy.ORCID http://orcid.org/0000-0003-1388-2850
Ciro CarrieriC.R.E.A. Sanità (Centre for Applied Economic Research in Healthcare), Rome, Italy.ORCID http://orcid.org/0000-0002-7086-0327
Eva Agostina MontuoriVaccine Medical Department, Pfizer, Rome, Italy.ORCID http://orcid.org/0009-0002-8045-8312
Raffaella IantomasiVaccine Medical Department, Pfizer, Rome, Italy.ORCID http://orcid.org/0000-0003-2101-2476
Luigi OrfeoNeonatal Intensive Care Unit, Ospedale Isola Tiberina Gemelli Isola, Rome, Italy.

Funding

Pfizer Italia Pfizer Italia
6 · The paper itself

Abstract

backgroundRespiratory syncytial virus (RSV) affects 60-80% of children below 1 year and it's the first cause of acute bronchiolitis. The aim of this study was to assess the trend and characteristics of hospitalizations for RSV infections in Italy.

methodsThis is a retrospective study based on the Italian Hospital Discharge Record (HDR) database. We analysed HDRs from June 2015 to May 2019, considering two groups of infants: Group 1 had a confirmed diagnosis of RSV; Group 2 had a diagnosis of acute bronchiolitis not RSV-coded.

resultsThere were 67,746 overall hospitalizations (40.1% Group 1, and 59.9% Group 2). Hospitalization rate increased for Group 1 from 125 to 178 per 10,000 infants (+ 42.4%), and for Group 2 from 210 to 234 per 10,000 (+ 11.4%). The mean hospitalization length was 6.3 days in Group 1, longer than Group 2 (+ 1.0 day). A further analysis revealed that infants with heart disease or born premature had longer mean hospital stay compared to infants without risk factors (10.7 days versus 6.1 days, p < 0.0001; 34.0 days versus 6.1 days, p < 0.0001, respectively). Group 1 required more critical care (oxygen therapy and/or mechanical ventilation) than Group 2. We found that, in proportion to hospital admissions in pediatric and general hospitals, RSV was more frequently diagnosed in the first ones. The mean hospitalization cost increased for Group 1 (from € 2,483 to € 2,617) and Group 2 (from € 2,007 to € 2,180).

conclusionsOur results confirmed that RSV pulmonary disease in infants is seasonal and often requires hospitalization. Our study suggested that RSV is responsible for an increasing hospitalization rate and related costs during the study period.

Indexed as

HospitalizationRespiratory Syncytial Virus InfectionsFemaleHumansInfantInfant, NewbornItalyLength of StayMaleRetrospective StudiesBurdenHospital discharge recordHospitalizationInfantsItalyRespiratory syncytial virusRSV

Identifiers

PMID38902751
PMCPMC11191168

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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.