Evidence map›Paper›PMID 39895245›Full record

ArticleInfluenza and other respiratory viruses2025

Economic Impact of Respiratory Syncytial Virus Infections in Children Under 5 Years of Age Attending Primary Care in Italy: A Prospective Cohort Study in Two Regions.

Valérie D V Sankatsing, Jojanneke van Summeren, Fasika Molla Abreha, Elisabetta Pandolfi, Maria Chironna, Daniela Loconsole, Rolf Kramer, John Paget, Caterina Rizzo

Abstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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.

Valérie D V SankatsingDepartment of Infectious Diseases in Primary Care, Nivel, Netherlands Institute for Health Services Research, Utrecht, Netherlands.ORCID 0009-0004-6004-4117
Jojanneke van SummerenDepartment of Infectious Diseases in Primary Care, Nivel, Netherlands Institute for Health Services Research, Utrecht, Netherlands.
Fasika Molla AbrehaPredictive and Preventive Medicine Research Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Elisabetta PandolfiPredictive and Preventive Medicine Research Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Maria ChironnaDepartment of Interdisciplinary Medicine, University of Bari, Bari, Italy.ORCID 0000-0002-1043-1256
Daniela LoconsoleDepartment of Interdisciplinary Medicine, University of Bari, Bari, Italy.
Rolf KramerSanofi Vaccines, Sanofi, Lyon, France.
John PagetDepartment of Infectious Diseases in Primary Care, Nivel, Netherlands Institute for Health Services Research, Utrecht, Netherlands.ORCID 0000-0002-1503-2481
Caterina RizzoDepartment of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

Funding

AstraZenecaSanofi
6 · The paper itself

Abstract

backgroundAccurate cost estimates of respiratory syncytial virus (RSV) infections in primary care are limited, despite the majority of cases being managed in this setting. This study aims to estimate healthcare costs for children with RSV in primary care and the related costs of parental work absence.

methodsChildren < 5 years of age with symptoms of acute respiratory infections were recruited via primary care paediatricians in two Italian regions for a prospective cohort study on the RSV burden in primary care, during the 2019/2020 winter. Healthcare utilization, medication use and parental work absence were assessed during a 14-day follow-up period. Average costs were estimated per RSV episode for the overall study population, as well as per age group.

resultsTwo hundred ninety three children were recruited, of which 119 tested RSV positive (41%) and 109 were included. In total, 89% of RSV-positive children (97/109) had ≥ 1 repeat paediatrician visit(s), and 10% (11/109) visited the ED. The mean number of repeat visits was 3.8 (SD: 4.0) and the mean duration of work absence 4.0 days (SD: 5.0). Average costs per RSV episode were €730 (95% CI: €691-€771), with direct medical costs accounting for 25% (€183 [95% CI: €174-€191]) and indirect costs related to work absence for 75% (€547 [95% CI: €509-€587]).

conclusionsCosts associated with RSV infections in young children in primary care are considerable due to a substantial number of paediatrician visits and high rates of parental work absence. These costs are important to include in decision-making regarding the implementation of new RSV immunization strategies in national immunization programmes.

Indexed as

Health Care CostsPrimary Health CareRespiratory Syncytial Virus InfectionsChild, PreschoolFemaleHumansInfantInfant, NewbornItalyMaleProspective StudiesRespiratory Syncytial Virus, Humancostsoutpatientprimary careRSVwork absence

Identifiers

PMID39895245
PMCPMC11788539

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Registered trials

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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.