Evidence map›Paper›PMID 40668098›Full record

ArticleThe Journal of infectious diseases2025

Outcomes of Human Metapneumovirus Infections in Nursing Home Residents: A Matched Cohort Analysis.

Nidhi Bhaskar, Yasin Abul, Frank DeVone, Kevin W McConeghy, Tayler Leonard, Christopher W Halladay, Stefan Gravenstein, James L Rudolph

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Review
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

8 authors.

Nidhi BhaskarCenter of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.
Yasin AbulCenter of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.
Frank DeVoneCenter of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.
Kevin W McConeghyCenter of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.
Tayler LeonardNorth Carolina Agricultural and Technical State University, Greensboro, North Carolina, USA.
Christopher W HalladayCenter of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.
Stefan GravensteinCenter of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.
James L RudolphCenter of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdentified in 2001, human metapneumovirus (hMPV) infection can lead to hospitalization and death, especially in older adults and children.

methodsThis retrospective, propensity-matched study compared cases of hMPV infection with cases of influenza virus and respiratory syncytial virus (RSV) infection for hospitalization and death outcomes in older adults living in Community Living Centers (CLCs), nursing homes operated by the US Department of Veterans Affairs. We evaluated electronic medical records from July 2017 to June 2024. We included CLC residents with laboratory-confirmed hMPV, influenza virus, or RSV infections. The propensity-matched analysis balanced demographic and clinical characteristics. Proportional hazards models estimated the risk of hospitalization, death or the combined outcome over the 90 days after diagnosis.

resultsWe identified 178 hMPV, 1379 influenza virus, and 681 RSV laboratory-confirmed infections. In the propensity analysis. Residents with hMPV infection (n = 173) were well matched to those with influenza virus infection (n = 746). The matched cohort proportional hazard analysis (hMPV vs influenza virus infection) showed similar hazards for 90-day outcomes of hospitalization (adjusted hazard ratio, 1.00 [95% confidence interval, .67-1.49]), death (0.79 [.48-1.29]), or both combined (0.81 [.58-1.12]). With use of similar methods, residents with hMPV (n = 170) were well matched to those with RSV (n = 437). The matched cohort proportional hazard analysis showed similar 90-day outcomes of hospitalization (adjusted hazard ratio, 1.00 [95% confidence interval, .66-1.51)], death (0.93 [.58-1.56], or both combined (0.97 [.68-1.37]).

conclusionsResident infection with hMPV produced similar likelihoods of hospitalization and death as infection with influenza virus or RSV. Increased understanding of hMPV and appropriate testing are needed to accurately detect, prevent, and manage hMPV in nursing homes.

Indexed as

MetapneumovirusNursing HomesParamyxoviridae InfectionsAgedAged, 80 and overCohort StudiesFemaleHospitalizationHumansInfluenza, HumanMaleRespiratory Syncytial Virus InfectionsRetrospective StudiesUnited Statesagedhuman metapneumovirusinfluenzanursing homerespiratory infection

Identifiers

PMID40668098
PMCPMC12265058

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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.