Evidence map›Paper›PMID 41137948›Full record

ArticleEuropean journal of pediatrics2025

Impact of RSV hospitalization on healthcare costs, caregivers' productivity loss, and quality of life in children ≤ 2 years old in five European countries.

Joanne G Wildenbeest, Louis Bont, Daniela Cianci, Geert W J Frederix, Cristina Calvo, Johannes Liese, Renato Cutrera, Chiara Azzari, Jacques Brouard, Federico Martinon-Torres and 7 more

Abstract readClinical StudyMulticenter Study
In one paragraph

Article in European journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Joanne G WildenbeestDepartment of Paediatric Infectious Diseases and Immunology, Wilhelmina Children's Hospital, University Medical Center Utrecht, KC.03.063.0, P.O. Box 85090, 3508 AB, Utrecht, the Netherlands. j.g.wildenbeest@umcutrecht.nl.
Louis BontDepartment of Paediatric Infectious Diseases and Immunology, Wilhelmina Children's Hospital, University Medical Center Utrecht, KC.03.063.0, P.O. Box 85090, 3508 AB, Utrecht, the Netherlands.
Daniela CianciJulius Center for Health Sciences and Primary Care, Department of Data Science & Biostatistics, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Geert W J FrederixJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands.
Cristina CalvoHospital Universitario La Paz, IdiPaz Foundation, CIBERINFEC, Universidad Autónoma de Madrid, Madrid, Spain.
Johannes LieseDepartment of Paediatrics, University Hospital Würzburg, Würzburg, Germany.
Renato CutreraPneumology and Cystic Fibrosis Unit, Bambino Gesù' Children's Hospital, IRCCS, Rome, Italy.
Chiara AzzariDepartment of Health Sciences, University of Florence, Florence, Italy.
Jacques BrouardINSERM U1311, Dynamicure, UNICAEN, UNIROUEN, Department of Medical Pediatrics, University Hospital Center of Caen, Caen, France.
Federico Martinon-TorresTranslational Paediatrics and Infectious Diseases Section, Paediatrics Department, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, Spain.
Egbert HertingUniversity Hospital Schleswig Holstein - Campus Lübeck, Lübeck, Germany.
Simon B DrysdaleSt. George's University Hospital NHS Foundation Trust, London, United Kingdom.
Ralph EpaudPaediatric Department, Centre Hospitalier Intercommunal de Créteil, Reference Centre for Rare Lung Diseases (RespiRare®), University Paris Est Créteil, INSERM, IMRB, Créteil, France.
Atul GuptaPaediatric Respiratory Department, King's College Hospital, London, United Kingdom.
Madelyn RuggieriValue and Implementation Outcomes Research, Merck & Co., Inc., Rahway, NJ, USA.
Yoonyoung ChoiValue and Implementation Outcomes Research, Merck & Co., Inc., Rahway, NJ, USA.
BRICE Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Respiratory syncytial virus (RSV) is a leading cause of hospitalizations in young children globally. We evaluated direct medical costs, caregiver work loss, and child quality of life (QoL) impairment associated with RSV hospitalization. Children ≤ 2 years with laboratory-confirmed RSV infection were prospectively identified between October 2020 and May 2023 at ten hospitals in Germany, Spain, Italy, France, and England. Direct costs were calculated based on country-specific unit costs per hospital day. Productivity loss and QoL impairment were ascertained by two validated, caregiver-administered instruments: 1) Work Productivity and Activity Impairment Questionnaire: Child's Hospitalization for Respiratory Illness (WPAI:CHRI), administered before discharge and 2) TNO AZL Child Quality of Life (TAPQOL), administered at baseline (shortly after admission) and before discharge. Among 382 hospitalized children, 261 (69%) were < 6 months and 306 (80%) were previously healthy. Median length of stay was 6 days (Interquartile Range (IQR) 4-8) and 50 (13%) were admitted to Paediatric Intensive Care Unit (PICU). Median hospital costs/admission were €4,266 (IQR 2,438-8,442), substantially varying by country (range €2,377-€8,541). Productivity loss was substantial with 129/211 (61%) employed caregivers reporting lost work-hours (mean 30.5 ± 18/admission). Child QoL was significantly reduced during RSV hospitalization in most domains, with the highest QoL impairment observed in the lung domain (mean difference 34.2 out of 100 [95% CI 30-38.4]. Conclusion: RSV hospitalization in children ≤ 2 years was associated with significant costs and QoL impairment in five European countries, emphasizing the importance of preventing severe RSV disease.

Indexed as

CaregiversEfficiencyHealth Care CostsHospitalizationQuality of LifeRespiratory Syncytial Virus InfectionsCost of IllnessEuropeFemaleHumansInfantMaleProspective StudiesSurveys and QuestionnairesChildrenHealthcare costsProductivity impairmentQuality of lifeRSV hospitalization

Identifiers

PMID41137948
PMCPMC12553594

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.