Evidence map›Paper›PMID 40494861›Full record

Observational studyPediatric research2026

Severity of respiratory syncytial virus through the COVID-19 pandemic among infants aged ≤2 months: a secondary analysis of the IRIDE cohort study.

Andrea Ronchi, Gregorio Paolo Milani, Carlo Agostoni, Paola Marchisio, Giovanna Chidini, Nicola Pesenti, Riccardo Crimi, Elena Gariboldi, Anita Bellotti, Marco Cugliari and 6 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Pediatric research, 2026. 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

16 authors.

Andrea Ronchi *Neonatal Intensive Care Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Gregorio Paolo Milani *Pediatric Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Carlo AgostoniPediatric Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Paola MarchisioPediatric Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Giovanna ChidiniDepartment of Anaesthesia, Intensive Care and Emergency, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Nicola PesentiNeonatal Intensive Care Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Riccardo CrimiUniversità Degli Studi Di Milano, Milan, Italy.
Elena GariboldiUniversità Degli Studi Di Milano, Milan, Italy.
Anita BellottiUniversità Degli Studi Di Milano, Milan, Italy.
Marco CugliariUniversità Degli Studi Di Milano, Milan, Italy.
Valentina FabianoPediatric Department, "Vittore Buzzi" Children's Hospital, Milan, Italy.
Carlo PietrasantaNeonatal Intensive Care Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. carlo.pietrasanta@unimi.it.ORCID http://orcid.org/0000-0002-1019-4422
Fabio MoscaNeonatal Intensive Care Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Lorenza PugniNeonatal Intensive Care Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Monica FumagalliNeonatal Intensive Care Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
IRIDE study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThrough the SARS-CoV-2 pandemic the severity of RSV infection increased among children, but little is known about its evolution among infants ≤60 days of life (DOL).

methodsMulticenter observational retrospective study conducted in 27 hospitals in Lombardy, Italy, comparing outcomes of infants (≤60 DOL) hospitalized with RSV bronchiolitis during 4 seasons: 2018-2019 (pre-pandemic period), 2020-2023 (pandemic seasons).

result1816 infants were included. Multivariable regressions showed that the need and length of O

conclusionOutcomes of RSV bronchiolitis among infants ≤60 DOL were slightly affected by COVID-19 pandemic. The impact was less significant among neonates. Breast milk components might have mitigated the negative effect of COVID-19 on RSV severity in neonates. CATEGORY OF STUDY: Clinical and population study. IMPACT: Outcomes of RSV bronchiolitis among infants ≤60 days of life (DOL) were slightly affected by COVID-19 pandemic. Neonates (≤28 DOL) in our cohort seem to have significantly better outcomes than older infants (29-60 DOL). To date no data is available on the effects of non-pharmacological interventions on the diffusivity and severity of RSV infection in infants aged ≤60 DOL, the population at highest risk for RSV-related complications Breast milk and its innate immune components may have played an important role as protective factors against RSV respiratory infections during the first month of life.

Indexed as

COVID-19Respiratory Syncytial Virus InfectionsFemaleHospitalizationHumansInfantInfant, NewbornItalyMalePandemicsRespiratory Syncytial Virus, HumanRetrospective StudiesSARS-CoV-2Severity of Illness Index

Identifiers

PMID40494861
PMCPMC12956566

What OpenQuestion holds

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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.