Evidence map›Paper›PMID 39325332›Full record

SynthesisEuropean geriatric medicine2024

Efficacy of anti-RSV vaccination in preventing respiratory syncytial virus disease and severe illness in older adults: a systematic review of randomized controlled trials.

Ana Catarina Moreira, Ana Beatriz Ribeiro, Inês Oliveira, Mariana Sá, Catarina Lameirão, Patrícia Marques

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European geriatric medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Frontiers in cellular and infection microbiology · 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

6 authors.

Ana Catarina MoreiraUSF Nova Salus, Unidade Local de Saúde Gaia-Espinho, Vila Nova de Gaia, Porto, Portugal. anacatarinamoreira.med@gmail.com.ORCID 0009-0004-9859-9847
Ana Beatriz RibeiroUSF Santo André de Canidelo, Unidade Local de Saúde Gaia-Espinho, Vila Nova de Gaia, Porto, Portugal.
Inês OliveiraUSF Nova Salus, Unidade Local de Saúde Gaia-Espinho, Vila Nova de Gaia, Porto, Portugal.
Mariana SáUSF Nova Salus, Unidade Local de Saúde Gaia-Espinho, Vila Nova de Gaia, Porto, Portugal.
Catarina LameirãoUSF Nova Salus, Unidade Local de Saúde Gaia-Espinho, Vila Nova de Gaia, Porto, Portugal.
Patrícia MarquesUSF Nova Salus, Unidade Local de Saúde Gaia-Espinho, Vila Nova de Gaia, Porto, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSeveral vaccines against respiratory syncytial virus (RSV) are being developed. The objective of this systematic review is to determine the efficacy of these vaccines in preventing RSV disease in adults over 60 years of age, especially regarding severe illness.

methodsWe researched MEDLINE, CENTRAL, Scopus, medRxiv, bioRxiv and ClinicalTrials.gov until April/2024. Randomized controlled trials studying an anti-RSV vaccine in adults above 60 years and reporting RSV-related acute respiratory infection/disease (ARI/ARD), lower respiratory tract infection/disease (LRTI/LRTD) and severe LRTI/LRTD were included. Vaccine efficacy was calculated as ([1 - risk ratio] × 100). Risk of bias and certainty of evidence were assessed by RoB2 tool and GRADE approach. The meta-analytical relative risk of ARI/ARD and LRTI/LRTD was estimated, with a subgroup analysis performed according to the vaccine type. The random effects model was used.

resultsWe included seven studies, five addressing prefusion vaccines and two regarding non-prefusion ones. The number of RSV-related LRTI/LRTD cases was reduced by vaccination, with a relative risk of 0.39 [CI 95% 0.22 to 0.69] and a vaccine efficacy of 61%. Considering the subgroup of prefusion vaccines alone, there is a relative risk of 0.27 [CI 95% 0.19 to 0.36] for LRTI/LRTD and a vaccine efficacy of 73%. ARI/ARD incidence presented a similar pattern. Only one trial reports results for severe LRTI/LRTD, with a vaccine efficacy of 94.1% [95% CI 62.4 to 99.9].

conclusionsPrefusion anti-RSV vaccines are efficacious in the prevention of LTRI/LTRD and ARI/ARD cases. More studies regarding severe LTRI/LTRD are necessary in the future.

Indexed as

Respiratory Syncytial Virus InfectionsRespiratory Syncytial Virus VaccinesHumansRandomized Controlled Trials as TopicRespiratory Syncytial Virus, HumanRespiratory Tract InfectionsVaccinationVaccine EfficacyRespiratory Syncytial Virus VaccinesAdultsEfficacyRespiratory syncytial virus vaccinesRSVVaccine

Identifiers

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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.