Evidence map›Paper›PMID 40844025›Full record

SynthesisPediatric pulmonology2025

Is Palivizumabe a Protective Factor for the Development of Asthma in Children? A Systematic Review With Metanalysis.

Mariana Bueno Manini, Natali Caroline da Silva, Rafaela Agra de Castro, Milena Baptistella Grotta, Adyleia A D Contrera Toro

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Pediatric pulmonology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Mariana Bueno ManiniChild and Adolescent Health Postgraduate Program, State University of Campinas, Campinas, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-9938-7246
Natali Caroline da SilvaChild and Adolescent Health Postgraduate Program, State University of Campinas, Campinas, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-5799-3555
Rafaela Agra de CastroPediatric Pulmonology Medical Residency program at UNICAMP State University of Campinas, Campinas, São Paulo, Brazil.ORCID https://orcid.org/0009-0003-3343-3638
Milena Baptistella GrottaCenter for Investigation in Pediatrics, Faculty of Medical Sciences, State University of Campinas, Campinas, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-1483-049X
Adyleia A D Contrera ToroPediatric Pulmonology Medical Residency program at UNICAMP State University of Campinas, Campinas, São Paulo, Brazil.ORCID https://orcid.org/0000-0001-5777-1146

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

introductionPremature infants are at increased risk of developing chronic respiratory diseases, predisposing them to severe infections, such as those caused by respiratory syncytial virus (RSV). Palivizumab reduces the severity of RSV infections in high-risk children; however, its relationship with asthma development in premature infants remains unclear.

objectiveThis systematic review with meta-analysis aimed to review the literature and assess whether prophylaxis with palivizumab protects premature infants without congenital heart disease from developing asthma.

resultsIn total, 14 studies met the inclusion criteria, assessing 1,364,238 children; of these, 9232 received palivizumab. No significant difference in the chance of developing asthma between the groups (odds ratio (OR) of 0.84, 95% CI [0.62-1.13], p = 0.1968). Heterogeneity between studies was I² = 35.6%. Subgroup analysis for children with a family history of atopy showed no significant reduction in asthma risk (OR 0.78, 95% CI: 0.40-1.55, p = 0.3390). Sensitivity analysis confirmed result robustness. IgE levels were similar between the groups (standardized mean difference [SMD] -0.03 [95% CI: -0.30; 0.23], p = 0.8088). Children who received palivizumab were diagnosed younger (SMD -0.24 [95% CI: -0.38; -0.09], p = 0.0014), with lower gestational age (MD -0.75 [95% CI: -1.61; 0.12], p = 0.0915).

conclusionsPalivizumab prophylaxis does not reduce asthma risk in premature children without congenital heart disease. Its primary benefit lies in preventing severe RSV infections, with no direct impact on asthma developing.

Indexed as

Antiviral AgentsAsthmaPalivizumabRespiratory Syncytial Virus InfectionsChildHumansInfantInfant, NewbornInfant, PrematureAntiviral AgentsPalivizumabasthmapalivizumabprematurity

Identifiers

PMID40844025
PMCPMC12372439

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.