Evidence map›Paper›PMID 41074665›Full record

Observational studyInfluenza and other respiratory viruses2025

Clinical and Socioeconomic Burden of RSV Infections Among Older Adults in Primary Care: An International Prospective Cohort Study.

Sarah F Hak, Joanne G Wildenbeest, Sara Bracaloni, Michela Scarpaci, Tommaso Cosci, Enrica Esposito, Maria Chironna, Donatella Panatto, Giancarlo Icardi, Melissa Torrisi and 7 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Influenza and other respiratory viruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06318936 (RSV Burden in Older Adults in Primary Care in The Netherlands), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT06318936 unknown statusnot on this map

RSV Burden in Older Adults in Primary Care in The Netherlands: the RAPID Study

TypeobservationalSponsorUMC UtrechtRan2022 to 2024Enrolled100ConditionsRSV Infection
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Observational
  2. Article
  3. Review
  4. Article
  5. Observational
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

17 authors.

Sarah F HakDepartment of Paediatric Infectious Diseases and Immunology, Wilhelmina Children's Hospital/University Medical Center Utrecht, Utrecht, Netherlands.ORCID https://orcid.org/0000-0002-7164-2014
Joanne G WildenbeestDepartment of Paediatric Infectious Diseases and Immunology, Wilhelmina Children's Hospital/University Medical Center Utrecht, Utrecht, Netherlands.ORCID https://orcid.org/0000-0003-3661-551X
Sara BracaloniDepartment of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Michela ScarpaciDepartment of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Tommaso CosciDepartment of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Enrica EspositoDepartment of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Maria ChironnaDepartment of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.ORCID https://orcid.org/0000-0002-1043-1256
Donatella PanattoDepartment of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.ORCID https://orcid.org/0000-0002-2677-0551
Giancarlo IcardiDepartment of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Melissa TorrisiDepartment of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Leonardo BonaldoDepartment of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Eugenio MammolentiDepartment of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Emma Te BogtDepartment of General Practice & Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.
Jacqueline Vlaskamp-SmitDepartment of Paediatric Infectious Diseases and Immunology, Wilhelmina Children's Hospital/University Medical Center Utrecht, Utrecht, Netherlands.
Louis J BontDepartment of Paediatric Infectious Diseases and Immunology, Wilhelmina Children's Hospital/University Medical Center Utrecht, Utrecht, Netherlands.
Caterina RizzoDepartment of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Roderick P VenekampDepartment of General Practice & Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.

Funding

Janssen Pharmaceutica
6 · The paper itself

Abstract

introductionRespiratory syncytial virus (RSV) is increasingly recognized as an important cause of acute respiratory infections (ARI) in older adults. However, primary care data on RSV infections are scarce.

methodsWe conducted a prospective cohort study over two winter seasons (2022-2023 and 2023-2024) in Italy and the Netherlands (NCT06318936). Older adults (≥ 60 years) presenting to primary care with ARI were tested for RSV and influenza. Clinical and socioeconomic burden was assessed through questionnaires on Days 1, 14, and 30. In secondary analyses, we compared between RSV- and influenza-positive patients and estimated RSV-ARI incidence in Dutch primary care.

resultsOf 703 older adults tested, 93 (13.2%) were RSV-positive and 100 (14.2%) influenza-positive. In RSV patients (mean age: 76 years [SD: 8], 63% ≥ 1 comorbidity), mean illness duration was 17 days (SD: 10). Repeat primary care visits occurred in 38% (33/87), emergency department referral in 5% (4/88), and hospitalization in 2% (2/88) of RSV patients. The mean costs per RSV episode were €78.1 (95%CI: 74.4-81.8) and €279.7 (95%CI: 245.5-318.2) from a healthcare system and societal perspective, respectively. The annual RSV-ARI incidence rate was 10.3 episodes per 1000 person-years. RSV patients were significantly older, and had less often fever, muscle pain, and fatigue than influenza patients, but clinical and socioeconomic burdens were comparable.

conclusionsThis prospective study is the first sufficiently large to demonstrate that the primary care burden of RSV infections among older adults is substantial and comparable with influenza. These findings are highly relevant for informing public health decisions on novel RSV vaccines.

Indexed as

Cost of IllnessPrimary Health CareRespiratory Syncytial Virus InfectionsRespiratory Tract InfectionsAgedAged, 80 and overFemaleHospitalizationHumansIncidenceInfluenza, HumanItalyMaleMiddle AgedNetherlandsProspective Studiesburdencostsincidenceolder adultsoutpatientprimary carerespiratory syncytial virusRSV

Identifiers

PMID41074665
PMCPMC12514451

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Registered trials

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.