Evidence map›Paper›PMID 41472216›Full record

ArticleViruses2025

Comparative Clinical Outcomes of Major Respiratory Viruses in Hospitalized Adults During the Post-Pandemic Period: A Retrospective Cohort Study.

Hasip Kahraman, Gizem Keser, Furkan Süha Ölmezoğlu, Betül Altıntaş Öner, Onur Sedat Kurt, Tercan Us, Fatma Erdem

Abstract readComparative Study
In one paragraph

Article in Viruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

7 authors.

Hasip KahramanDepartment of Infectious Diseases and Clinical Microbiology, Eskişehir Osmangazi University Faculty of Medicine, Eskisehir 26040, Türkiye.ORCID 0000-0002-5120-4877
Gizem KeserDepartment of Infectious Diseases and Clinical Microbiology, Eskişehir Osmangazi University Faculty of Medicine, Eskisehir 26040, Türkiye.ORCID 0009-0001-1032-2957
Furkan Süha ÖlmezoğluDepartment of Infectious Diseases and Clinical Microbiology, Eskişehir Osmangazi University Faculty of Medicine, Eskisehir 26040, Türkiye.ORCID 0009-0008-0481-3734
Betül Altıntaş ÖnerDepartment of Infectious Diseases and Clinical Microbiology, Eskişehir City Hospital, Eskişehir 26080, Türkiye.ORCID 0000-0003-0955-3923
Onur Sedat KurtDepartment of Infectious Diseases and Clinical Microbiology, Eskişehir Osmangazi University Faculty of Medicine, Eskisehir 26040, Türkiye.ORCID 0009-0001-9490-1365
Tercan UsDepartment of Clinical Microbiology, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir 26040, Türkiye.ORCID 0000-0002-9772-6777
Fatma ErdemDepartment of Clinical Microbiology, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir 26040, Türkiye.ORCID 0000-0002-5310-313X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the post-pandemic era, respiratory viruses continue to cause substantial morbidity and mortality among hospitalized adults. SARS-CoV-2 and influenza remain the most common pathogens, while RSV and rhinovirus have re-emerged as relevant causes of severe illness. This study compared the characteristics and outcomes of virus-specific infections detected by multiplex real-time PCR over two consecutive seasons.

methodsThis retrospective cohort study was conducted at a 1010-bed tertiary-care hospital in Türkiye between June 2022 and June 2024. Adults hospitalized with at least one respiratory virus detected by MRT-PCR were included. Demographic, clinical, and laboratory data were analyzed. Pathogen-specific comparisons were limited to monoinfections, and predictors of in-hospital mortality were identified using multivariable logistic regression.

resultsAmong 518 admissions, influenza (33.6%) and SARS-CoV-2 (29.3%) were the predominant pathogens, followed by rhinovirus (11.2%), RSV (6.6%), and other respiratory viruses (19.6%). Overall in-hospital mortality was 26.6%. Mortality differed across virus groups in unadjusted analyses, being highest in SARS-CoV-2 and RSV and lowest in rhinovirus. Non-survivors were older, more comorbid, more often immunosuppressed, and more likely to require oxygen therapy or ICU care at sampling. In multivariable analysis, independent predictors of mortality were ICU location at sampling (aOR 5.52), oxygen requirement (aOR 3.39), immunosuppression (aOR 3.67), older age (per 10-year increase: aOR 1.25), and secondary bacterial infection (aOR 7.00). Viral etiology, including SARS-CoV-2, was not independently associated with mortality after adjustment.

conclusionsAmong hospitalized adults, mortality was driven primarily by host-related factors and secondary bacterial infection rather than by viral etiology. These findings highlight the need for strengthened adult immunization programs, reliable respiratory virus surveillance, the prevention of bacterial superinfection, and the development of and equitable access to effective vaccines and antiviral therapies to reduce severe outcomes in high-risk adults.

Indexed as

COVID-19Respiratory Tract InfectionsAdultAgedAged, 80 and overFemaleHospitalizationHospital MortalityHumansInfluenza, HumanMaleMiddle AgedRespiratory Syncytial Virus InfectionsRetrospective StudiesRhinovirusSARS-CoV-2influenzamultiplex PCRrespiratory tract infectionsRSVSARS-CoV-2

Identifiers

PMID41472216
PMCPMC12737539

What OpenQuestion holds

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LicenceCC BY
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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.