Evidence map›Paper›PMID 39052749›Full record

Observational studyThe Journal of infectious diseases2024

Clinical Impact of Serious Respiratory Disease in Children Under the Age of 2 Years During the 2021-2022 Bronchiolitis Season in England, Scotland, and Ireland.

Thomas C Williams, Robin Marlow, Pia Hardelid, Mark D Lyttle, Kate M Lewis, Chengetai D Mpamhanga, Steve Cunningham, Damian Roland, PERUKI

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in The Journal of infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04959734 (Impact of Covid-19 on Respiratory Syncytial Virus Seasonality and Disease Severity in UK Children), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT04959734 recruitingnot on this map

Impact of Covid-19 on Respiratory Syncytial Virus Seasonality and Disease Severity in UK Children (BronchStart)

TypeobservationalSponsorUniversity Hospitals, LeicesterRan2021 to 2026Enrolled3,000ConditionsBronchiolitis, Respiratory Syncytial Virus
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. BronchStop Study Protocol, Season 2.NIHR open research · 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

9 authors.

Thomas C WilliamsChild Life and Health, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0002-3866-1344
Robin MarlowEmergency Department, Bristol Royal Hospital for Children, Bristol, United Kingdom.ORCID 0000-0002-3192-3102
Pia HardelidGreat Ormond Street Institute of Child Health, University College London, London, United Kingdom.ORCID 0000-0002-0154-1306
Mark D LyttleEmergency Department, Bristol Royal Hospital for Children, Bristol, United Kingdom.ORCID 0000-0002-8634-7210
Kate M LewisGreat Ormond Street Institute of Child Health, University College London, London, United Kingdom.
Chengetai D MpamhangaChild Life and Health, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0002-6897-259X
Steve CunninghamDepartment of Paediatric Respiratory and Sleep Medicine, Royal Hospital for Children and Young People, Edinburgh, United Kingdom.ORCID 0000-0001-7342-251X
Damian RolandPaediatric Emergency Medicine Leicester Academic Group, Leicester Royal Infirmary, Leicester, United Kingdom.ORCID 0000-0001-9334-5144
PERUKI

Funding

European Federation of Pharmaceutical Industries and AssociationsEuropean Union
6 · The paper itself

Abstract

backgroundInterventions introduced to reduce the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) led to a widespread reduction in childhood infections. However, from spring 2021 onwards the United Kingdom and Ireland experienced an unusual out-of-season epidemic of respiratory disease.

methodsWe conducted a prospective observational study (BronchStart), enrolling children 0-23 months of age presenting with bronchiolitis, lower respiratory tract infection, or first episode of wheeze to 59 emergency departments across England, Scotland, and Ireland from May 2021 to April 2022. We combined testing data with national admissions datasets to infer the impact of respiratory syncytial virus (RSV) disease.

resultsThe BronchStart study collected data on 17 899 presentations for 17 164 children. Risk factors for admission and escalation of care included prematurity and congenital heart disease, but most admissions were for previously healthy term-born children. Of those aged 0-11 months who were admitted and tested for RSV, 1907 of 3912 (48.7%) tested positive. We estimate that every year in England and Scotland 28 561 (95% confidence interval, 27 637-29 486) infants are admitted with RSV infection.

conclusionsRSV infection was the main cause of hospitalizations in this cohort, but 51.3% of admissions in infants were not associated with the virus. The majority of admissions were in previously healthy term-born infants.

Indexed as

BronchiolitisCOVID-19HospitalizationRespiratory Syncytial Virus InfectionsEnglandFemaleHumansInfantInfant, NewbornIrelandMaleProspective StudiesRespiratory Tract InfectionsRisk FactorsSARS-CoV-2Scotlandimmunizationrespiratory infectionsrespiratory syncytial virus

Identifiers

PMID39052749
PMCPMC11272072

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.