Evidence map›Paper›PMID 41294100›Full record

ArticleThe Journal of infectious diseases2026

Comparison of Healthcare Resource Utilization and Disease Outcomes in Adults Hospitalized with Human Metapneumovirus and Respiratory Syncytial Virus.

Emily Rayens, Lina S Sy, Lei Qian, Bradley K Ackerson, Jaejin An, Yi Luo, Xuan Huang, Jennifer H Ku, Punam P Modha, Radha M Bathala and 6 more

Abstract readComparative Study
In one paragraph

Article in The Journal of infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

16 authors.

Emily RayensDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.ORCID 0000-0003-3369-3475
Lina S SyDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.ORCID 0000-0003-2762-9266
Lei QianDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.ORCID 0000-0001-8001-3992
Bradley K AckersonDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.ORCID 0000-0002-0816-7345
Jaejin AnDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.ORCID 0000-0002-3161-5732
Yi LuoDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.ORCID 0000-0001-8990-2470
Xuan HuangDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.ORCID 0009-0001-2161-9123
Jennifer H KuCenter for Integrated Health Care Research, Kaiser Permanente, Honolulu, Hawaii, USA.ORCID 0000-0001-9469-5875
Punam P ModhaDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.ORCID 0009-0008-2274-1543
Radha M BathalaDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.ORCID 0009-0001-6549-9071
Sudhir VenkatesanBPM Evidence Statistics, BioPharmaceuticals Medical, AstraZeneca, Cambridge, United Kingdom.ORCID 0000-0002-2093-5781
Lisa GlasserVaccines and Immune Therapies, AstraZeneca, Wilmington, Delaware, USA.ORCID 0000-0002-9863-7098
Daniel MolnarVaccines and Immune Therapies, AstraZeneca, Barcelona, Spain.ORCID 0000-0002-6785-3812
Richard McNultyVaccines and Immune Therapies, AstraZeneca, Cambridge, United Kingdom.
Chengbin WangVaccines and Immune Therapies, AstraZeneca, Gaithersburg, Maryland, USA.ORCID 0000-0003-3415-0122
Hung Fu TsengDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.ORCID 0000-0001-6184-6534

Funding

AstraZeneca
6 · The paper itself

Abstract

backgroundHuman metapneumovirus (hMPV) and respiratory syncytial virus (RSV) are among the leading causes of acute respiratory infection. We evaluated the risk of severe outcomes in adults hospitalized with hMPV compared to RSV at Kaiser Permanente Southern California.

methodsWe performed a retrospective cohort analysis in adults aged ≥18 years who tested positive for hMPV or RSV from 7 days prior to 2 days after the date of hospital admission between 2011 and 2024. Outcomes included length of hospital stay, intensive care unit (ICU) admission, occurrence of complications, readmission, and mortality. Risk ratios (RR) and hazard ratios (HR) were estimated for hMPV compared to RSV hospitalizations.

resultsThis study included 2859 hMPV-associated and 3029 RSV-associated hospitalizations. Approximately 30% of hMPV and RSV hospitalizations had an extended hospital stay (≥7 days) and about 15% were admitted to the ICU. The risk of an extended hospital stay was lower in hMPV than RSV hospitalizations (RR: 0.91 [95% CI: 0.84-0.99]). Over half of hMPV and RSV hospitalizations had pneumonia diagnoses; the risk was higher in hMPV hospitalizations (RR: 1.17 [1.12-1.23]). 1-year mortality risk was lower in hMPV compared to RSV hospitalizations (HR: 0.84 [0.74-0.94]). The risk of most outcomes, including the occurrence of complications, exacerbation of chronic diseases, in-hospital mortality, and readmission was comparable between hMPV and RSV hospitalizations.

conclusionsBoth hMPV and RSV hospitalizations were associated with substantial and similar healthcare resource utilization and morbidity, highlighting the importance of clinical appreciation of severe outcomes associated with hMPV in hospitalized adults.

Indexed as

Health ResourcesHospitalizationMetapneumovirusParamyxoviridae InfectionsPatient Acceptance of Health CareRespiratory Syncytial Virus InfectionsRespiratory Tract InfectionsAdolescentAdultAgedCaliforniaFemaleHumansIntensive Care UnitsLength of StayMaleadultshealthcare resource utilizationhospitalizationhuman metapneumovirusrespiratory syncytial virus

Identifiers

PMID41294100
PMCPMC13016753

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.