Evidence map›Paper›PMID 39950571›Full record

ArticleInfluenza and other respiratory viruses2025

Registry-Based Surveillance of Severe Acute Respiratory Infections in Norway During 2021-2024.

Elina Seppälä, Håkon Bøås, Jesper Dahl, Jeanette Stålcrantz, Melanie Stecher, Ragnhild Tønnessen, Gunnar Øyvind Isaksson Rø, Hilde Kløvstad, Trine Hessevik Paulsen

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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Surveillance of severe acute respiratory infections using ICD-10 diagnosis codes and national electronic health records, Denmark, 2022 to 2024.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  5. Article
  6. Evaluation of European severe acute respiratory infection (SARI) surveillance, 27 European countries, 2022/23.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 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.

Elina SeppäläDepartment of Infectious Disease Control and Vaccines, Norwegian Institute of Public Health, Oslo, Norway.ORCID 0009-0008-1646-2492
Håkon BøåsDepartment of Infectious Disease Control and Vaccines, Norwegian Institute of Public Health, Oslo, Norway.ORCID 0000-0002-5917-1563
Jesper DahlDepartment of Infectious Disease Control and Vaccines, Norwegian Institute of Public Health, Oslo, Norway.ORCID 0000-0002-0369-9393
Jeanette StålcrantzDepartment of Infectious Disease Control and Vaccines, Norwegian Institute of Public Health, Oslo, Norway.ORCID 0000-0001-8086-4244
Melanie StecherDepartment of Infectious Disease Control and Vaccines, Norwegian Institute of Public Health, Oslo, Norway.
Ragnhild TønnessenDepartment of Infectious Disease Control and Vaccines, Norwegian Institute of Public Health, Oslo, Norway.ORCID 0000-0003-2671-0089
Gunnar Øyvind Isaksson RøDepartment of Method Development and Analytics, Norwegian Institute of Public Health, Oslo, Norway.
Hilde KløvstadDepartment of Infectious Disease Control and Vaccines, Norwegian Institute of Public Health, Oslo, Norway.
Trine Hessevik PaulsenDepartment of Infectious Disease Control and Vaccines, Norwegian Institute of Public Health, Oslo, Norway.

Funding

European Centre for Disease Prevention and Control ECD.13350European Centre for Disease Prevention and Control ECD.13629European Centre for Disease Prevention and Control ECD.14898European Centre for Disease Prevention and Control ECD.15029European Centre for Disease Prevention and Control ECD.16380
6 · The paper itself

Abstract

backgroundIn 2021, the Norwegian Institute of Public Health established temporary registry-based surveillance of severe acute respiratory infections (SARI). We aimed to describe the surveillance system and evaluate selected attributes to inform the establishment of a permanent SARI surveillance system.

methodsSARI cases were defined using ICD-10 discharge codes from national health and administrative registries, including codes for acute upper or lower respiratory infection (URI and LRI), COVID-19, acute respiratory distress syndrome, pertussis or otitis media. Data from polymerase chain reaction (PCR) analyses were available for 10 respiratory pathogens including SARS-CoV-2, influenza virus and respiratory syncytial virus (RSV). We included data from 28 September 2020 to 31 March 2024 and calculated the following parameters: the proportion of cases tested for SARS-CoV-2, influenza virus and/or RSV; time between admission and registration of a SARI-related ICD-10 code; and proportion of cases with URI, LRI and COVID-19.

resultsWe identified 214,730 SARI cases, of whom 82%, 73% and 53% were tested for SARS-CoV-2, influenza virus and RSV. Case peaks were predominantly driven by one or a combination of these pathogens. Median time between admission and a registered SARI diagnostic code was 5 (lower-upper quartile 3-10) days. Nowcasting and alternative case definitions for SARI with COVID-19, influenza and RSV improved the timeliness. The ICD-10 codes for LRIs and COVID-19 captured only ~55% of the cases in the age group of 0-29 years compared to the routine case definition, where URIs were included.

conclusionsRegistry-based SARI surveillance provides timely data for handling epidemics of respiratory infections in Norway. We recommend establishing a permanent SARI surveillance system.

Indexed as

COVID-19RegistriesRespiratory Tract InfectionsAdolescentAdultAgedAged, 80 and overChildChild, PreschoolEpidemiological MonitoringFemaleHumansInfantInfant, NewbornInfluenza, HumanMaleCOVID‐19hospitalisationinfluenzaregistry‐based surveillanceRSVsevere acute respiratory infection (SARI)

Identifiers

PMID39950571
PMCPMC11826439

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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.