Evidence map›Paper›PMID 40763933›Full record

ArticlePediatrics2025

Human Metapneumovirus and Respiratory Syncytial Virus in Children: A Comparative Analysis.

Leah A Goldstein, Marian G Michaels, Abigail Salthouse, Ariana P Toepfer, Samar Musa, Robert W Hickey, Monika Johnson, Anna F Wang-Erickson, Geoffrey A Weinberg, Peter G Szilagyi and 14 more

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Observational
  2. Article
  3. Twenty-five years of human metapneumovirus research.Clinical microbiology reviews · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Genomic surveillance of human metapneumovirus in the United States, 2010 - 2025.medRxiv : the preprint server for health sciences · 2026
    Article
  13. Review
  14. Article
  15. 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

24 authors.

Leah A GoldsteinUS Centers for Disease Control and Prevention, Atlanta, Georgia.
Marian G MichaelsUPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Abigail SalthouseUS Centers for Disease Control and Prevention, Atlanta, Georgia.
Ariana P ToepferUS Centers for Disease Control and Prevention, Atlanta, Georgia.
Samar MusaUPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Robert W HickeyUPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Monika JohnsonUPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Anna F Wang-EricksonUPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Geoffrey A WeinbergDepartment of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, New York.
Peter G SzilagyiDepartment of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, New York.
Elizabeth P SchlaudeckerDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Mary A StaatDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Leila C SahniTexas Children's Hospital, Houston, Texas.
Julie A BoomTexas Children's Hospital, Houston, Texas.
Eileen J KleinSeattle Children's Research Institute, Department of Pediatrics, University of Washington, Seattle, Washington.
Janet A EnglundSeattle Children's Research Institute, Department of Pediatrics, University of Washington, Seattle, Washington.
Jennifer E SchusterDepartment of Pediatrics, Children's Mercy Hospital, Kansas City, Missouri.
Rangaraj SelvaranganDepartment of Pathology and Laboratory Medicine, Children's Mercy Hospital, Kansas City, Missouri.
Christopher J HarrisonDepartment of Pediatrics, Children's Mercy Hospital, Kansas City, Missouri.
Natasha B HalasaVanderbilt University Medical Center, Nashville, Tennessee.
Laura S StewartVanderbilt University Medical Center, Nashville, Tennessee.
Fatimah S DawoodUS Centers for Disease Control and Prevention, Atlanta, Georgia.
Heidi L MolineUS Centers for Disease Control and Prevention, Atlanta, Georgia.
John V WilliamsUPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.

Funding

Institutional Career Development CoreKL2TR001856 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAY, KRISTIN N, RUBIO, DORIS M · 2016 to 2025
$13.8M
Intramural CDC HHS CC999999NCATS NIH HHS KL2 TR001856NCIRD CDC HHS U01 IP001049NCIRD CDC HHS U01 IP001158
6 · The paper itself

Abstract

backgroundHuman metapneumovirus (HMPV) and respiratory syncytial virus (RSV) are genetically related viruses and major causes of medically attended acute respiratory illness in children. Research comparing the severity of illnesses resulting from these infections lacks consensus.

methodsChildren younger than 18 years with acute respiratory illness were enrolled through active, prospective surveillance from 2016 to 2020 at 7 US pediatric hospitals and emergency departments (EDs). Clinical information was obtained from parent interviews and medical records. Midturbinate nasal swabs were collected and tested for RSV and HMPV using molecular diagnostic assays at each site. We compared descriptive and clinical features of children with RSV or HMPV and calculated adjusted odds ratios (aOR) for severe outcomes comparing RSV with HMPV. Risk factors for severe outcomes were assessed in children with RSV or HMPV using logistic regression models.

resultsA total of 5329 children hospitalized with RSV (n = 4398) or HMPV (n = 931) and 3276 children with RSV-associated (n = 2371) or HMPV-associated (n = 905) ED visits were enrolled. The median age of children hospitalized with RSV was lower than that of children with HMPV (7 months vs 16 months, P < .0001). Children presenting to the ED with RSV-associated acute respiratory illness had higher odds of being hospitalized than children with HMPV (aOR, 1.68; 95% CI, 1.50-1.87), with the highest odds in infants younger than 6 months (aOR, 3.27; 95% CI, 2.53-4.23). Underlying conditions were more than twice as common among infants hospitalized with HMPV (26%) than those with RSV (11%).

conclusionsChildren with HMPV-associated hospitalization tend to be older and more likely to have underlying medical conditions compared with children with RSV-associated hospitalization.

Indexed as

MetapneumovirusParamyxoviridae InfectionsRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsRespiratory Tract InfectionsAdolescentChildChild, PreschoolFemaleHospitalizationHumansInfantInfant, NewbornMaleProspective StudiesRisk Factors

Identifiers

PMID40763933
PMCPMC12824835

What OpenQuestion holds

Textmetadata
LicenceTDM
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.