Evidence map›Paper›PMID 39702765›Full record

Observational studyInfluenza and other respiratory viruses2024

Changes in Respiratory Syncytial Virus-Associated Hospitalisations Epidemiology After Nirsevimab Introduction in Lyon, France.

Cécile Chauvel, Côme Horvat, Etienne Javouhey, Yves Gillet, Juliette Hassenboehler, Claire Nour Abou Chakra, Corinne Ragouilliaux, Franck Plaisant, Dominique Ploin, Marine Butin and 2 more

Abstract readObservational Study
In one paragraph

Observational study in Influenza and other respiratory viruses, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 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.

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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. 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

12 authors.

Cécile ChauvelCenter of Excellence in Respiratory Pathogens (CERP), Hospices Civils de Lyon (HCL), Lyon, France.
Côme HorvatHospices Civils de Lyon (HCL), Hôpital Femme Mère Enfant, Services d'Urgences et de Réanimation Pédiatriques, Bron, France.
Etienne JavouheyHospices Civils de Lyon (HCL), Hôpital Femme Mère Enfant, Services d'Urgences et de Réanimation Pédiatriques, Bron, France.
Yves GilletHospices Civils de Lyon (HCL), Hôpital Femme Mère Enfant, Services d'Urgences et de Réanimation Pédiatriques, Bron, France.
Juliette HassenboehlerCenter of Excellence in Respiratory Pathogens (CERP), Hospices Civils de Lyon (HCL), Lyon, France.
Claire Nour Abou ChakraCenter of Excellence in Respiratory Pathogens (CERP), Hospices Civils de Lyon (HCL), Lyon, France.
Corinne RagouilliauxHospices Civils de Lyon (HCL), Hôpital de la Croix Rousse, Maternité, Lyon, France.
Franck PlaisantHospices Civils de Lyon (HCL), Centre Hospitalier Lyon Sud, Maternité, Pierre-Bénite, France.
Dominique PloinHospices Civils de Lyon (HCL), Hôpital Femme Mère Enfant, Services d'Urgences et de Réanimation Pédiatriques, Bron, France.ORCID 0000-0002-9668-7606
Marine ButinCentre International de Recherche en Infectiologie (CIRI), Laboratoire StaPath, Inserm U1111, CNRS UMR5308, ENS de Lyon, Université Claude Bernard Lyon 1, Lyon, France.
Jean-Sebastien CasalegnoCentre International de Recherche en Infectiologie (CIRI), Laboratoire Vir'Path, Inserm U1111, CNRS UMR5308, ENS de Lyon, Université Claude Bernard Lyon 1, Lyon, France.
Marta C NunesCenter of Excellence in Respiratory Pathogens (CERP), Hospices Civils de Lyon (HCL), Lyon, France.ORCID 0000-0003-3788-878X

Funding

CERP
6 · The paper itself

Abstract

backgroundRespiratory Syncytial Virus (RSV) is a major health concern, particularly for infants. In France, Nirsevimab, a long-acting monoclonal antibody to prevent RSV-associated lower respiratory tract infections (LRTI) was available from September 2023. We described RSV-associated LRTI hospitalisations during the 2023-2024 season among infants younger than six months born at the Hospices Civils de Lyon (HCL), and evaluated the effectiveness of Nirsevimab against RSV-LRTI hospitalisation.

methodsThis observational study included infants born and hospitalised at the HCL during the 2023-2024 season, along with pre-COVID-19 and 2022-2023 seasons. Information on Nirsevimab immunisation status, clinical and perinatal variables were collected through routine care. Infants' characteristics and incidence rate of hospitalisation per 100 births during 2023-2024 were compared with the historical periods overall and by delay between birth and the onset of the RSV season. Nirsevimab effectiveness was computed by the screening method.

resultsDuring the 2023-2024 season, 83 infants younger than six months were hospitalised with an RSV-associated LRTI. Compared with the historical periods (640 pre-COVID-19 and 123 in 2022-2023), these infants were older. Incidence rate for infants born during the period when immunisation was available were lower than the previous seasons; incidence rate ratios were 0.45 (95% confidence interval [CI]: 0.33; 0.62) in 2023-2024 compared with pre-COVID-19 period and 0.53 (95%CI: 0.36; 0.77) compared with 2022-2023 season. Nirsevimab effectiveness was 78.3% (95%CI: 55.9; 89.5) with a coverage of 79.3% in the two main HCL maternities.

conclusionsHigh Nirsevimab coverage and effectiveness were estimated in a real-world setting. A change in the age distribution of RSV-associated LRTI hospitalisations in 2023-2024 was noted compared with historical seasons.

Indexed as

HospitalizationRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsAntibodies, Monoclonal, HumanizedAntiviral AgentsFemaleFranceHumansIncidenceInfantInfant, NewbornMaleRespiratory Tract InfectionsAntibodies, Monoclonal, HumanizedAntiviral AgentsBeyfortuseffectivenessLRTImonoclonal antibodyNirsevimabpaediatricsreal‐world evidenceRSV

Identifiers

PMID39702765
PMCPMC11658964

What OpenQuestion holds

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LicenceCC BY
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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.