Evidence map›Paper›PMID 40406887›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2025

Evaluation of European severe acute respiratory infection (SARI) surveillance, 27 European countries, 2022/23.

Diogo Fp Marques, Dory Kovacs, Miguel-Angel Sanchez-Ruiz, Ana Paula Rodrigues, Ausenda Machado, Clara Mazagatos, Susana Monge, Lisa Domegan, Joan O'Donnell, Mariette Hooiveld and 4 more

Abstract read
In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

14 authors.

Diogo Fp MarquesEpiconcept, Paris, France.
Dory KovacsEpiconcept, Paris, France.
Miguel-Angel Sanchez-RuizEpiconcept, Paris, France.
Ana Paula RodriguesInstituto Nacional de Saúde Doutor Ricardo Jorge, Lisbon, Portugal.
Ausenda MachadoInstituto Nacional de Saúde Doutor Ricardo Jorge, Lisbon, Portugal.
Clara MazagatosCommunicable Diseases Department, National Centre of Epidemiology, Institute of Health Carlos III, Madrid, Spain.
Susana MongeCommunicable Diseases Department, National Centre of Epidemiology, Institute of Health Carlos III, Madrid, Spain.
Lisa DomeganHSE Health Protection Surveillance Centre, Dublin, Ireland.
Joan O'DonnellHSE Health Protection Surveillance Centre, Dublin, Ireland.
Mariette HooiveldNivel, Utrecht, the Netherlands.
Hanne-Dorthe EmborgStatens Serum Institut, Copenhagen, Denmark.
Baltazar NunesEpiconcept, Paris, France.
Carlos CarvalhoEuropean Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
Angela Mc RoseEpiconcept, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundBetween 2020 and 2023, ECDC has supported 21 of 30 EU/EEA and six Western Balkan countries by enhancing severe acute respiratory infection (SARI) surveillance to monitor trends, detect unexpected events, evaluate public health interventions, identify risk factors and support vaccine effectiveness studies. Using diverse strategies, countries have implemented SARI surveillance and reported data at national/European levels.AimWe evaluated European-level SARI surveillance and provided recommendations to achieve objectives and improve key attribute performance.MethodsWe analysed 2022/23 surveillance data for completeness. We administered a questionnaire, targeting country-level representatives, to evaluate surveillance attributes (meeting objectives, usefulness, acceptability, timeliness, representativeness) and identify strengths, weaknesses, opportunities and threats.ResultsThirteen countries (13/27) reported data at European level. Data showed good overall completeness but varied across countries and some variables need improvement (vaccination, sequencing). The questionnaire was completed by all 27 countries. Most countries (23/27) reported that the system effectively monitored trends and considered it useful and acceptable (25/27), but only 16 found it timely and 14 representative. Challenges included insufficient case-based data, data linkage issues and insufficient data completeness. Slow/inefficient manual data extraction affected timeliness, while insufficient geographical coverage affected representativeness. Multi-pathogen surveillance was identified as the main strength, heterogeneity of systems the main weakness, improvements of hospital information systems the main opportunity, and lack of sustainable funding the main threat.ConclusionsSARI surveillance was perceived as effective in monitoring trends, useful and acceptable. To achieve additional objectives and enhance timeliness and representativeness, we recommend improving data completeness, digitalisation/automation and geographical coverage.

Indexed as

Population SurveillanceRespiratory Tract InfectionsAcute DiseaseEuropeHumansRisk FactorsSurveys and QuestionnairesVaccinationevaluationinfluenzarespiratory syncytial virus (RSV)SARS-CoV-2severe acute respiratory infection (SARI)surveillance

Identifiers

PMID40406887
PMCPMC12105088

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.