Evidence map›Paper›PMID 42246298›Full record

ArticleInfluenza and other respiratory viruses2026

Severity and Cost of Respiratory Syncytial Virus Versus Influenza in Hospitalized Adults in Spain.

Elisa Correcher-Martínez, Cintia Muñoz-Quiles, Mónica López-Lacort, Ainara Mira-Iglesias, María Díaz-López, Beatriz Mengual-Chuliá, F Xavier López-Labrador, Javier Díez-Domingo, Alejandro Orrico-Sánchez

Abstract readComparative Study
In one paragraph

Article in Influenza and other respiratory viruses, 2026. 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

9 authors.

Elisa Correcher-MartínezVaccines Research Unit. Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, FISABIO-Public Health, Valencia, Spain.
Cintia Muñoz-QuilesVaccines Research Unit. Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, FISABIO-Public Health, Valencia, Spain.ORCID https://orcid.org/0000-0002-6519-4905
Mónica López-LacortVaccines Research Unit. Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, FISABIO-Public Health, Valencia, Spain.
Ainara Mira-IglesiasVaccines Research Unit. Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, FISABIO-Public Health, Valencia, Spain.ORCID https://orcid.org/0000-0001-6371-8229
María Díaz-LópezVaccines Research Unit. Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, FISABIO-Public Health, Valencia, Spain.
Beatriz Mengual-ChuliáCIBER de Epidemiología y Salud Pública, Instituto de Salud Carlos III, Madrid, Spain.ORCID https://orcid.org/0000-0002-7605-8175
F Xavier López-LabradorCIBER de Epidemiología y Salud Pública, Instituto de Salud Carlos III, Madrid, Spain.ORCID https://orcid.org/0000-0002-9403-8258
Javier Díez-DomingoVaccines Research Unit. Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, FISABIO-Public Health, Valencia, Spain.
Alejandro Orrico-SánchezVaccines Research Unit. Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, FISABIO-Public Health, Valencia, Spain.

Funding

Instituto de Salud Carlos III CD22/00122Merck Sharp & Dohme LLC
6 · The paper itself

Abstract

backgroundRespiratory syncytial virus (RSV) can lead to severe outcomes, particularly in older and vulnerable adults, yet it remains underdiagnosed due to limited testing. This study compared the severity and costs of laboratory-confirmed RSV versus influenza hospitalizations.

methodsWe performed a retrospective analysis using data from the Valencia Hospital Network for the Study of Infectious Diseases (VAHNSI), covering up to 46% of the Valencia Region's population. Hospitalized influenza-like illness (ILI) cases in individuals aged ≥ 65 years across six seasons (2014/15-2019/20) were included. RSV and influenza were identified by multiplex RT-PCR. Outcomes assessed included mechanical ventilation (MV), hospital length of stay (LOS), in-hospital death, 30-day post-discharge death, and hospitalization costs. Logistic and log-normal regression models were used to compare severity and cost outcomes between RSV and influenza, adjusting for age, sex, comorbidities, and influenza vaccination status. Odds ratios (ORs) and mean ratios (MRs) with 95% confidence intervals (CIs) were calculated.

resultsOf 1954 hospitalizations, 429 (22%) were due to RSV and 1525 (78%) to influenza. RSV cases showed higher MV use (9.26% vs. 4.15%; adjusted OR 2.43 [95% CI: 1.61-3.67]) and longer LOS (7.7 vs. 6.8 days; adjusted MR 1.10 [95% CI: 1.02-1.19]). Mortality outcomes were similar. RSV hospitalizations incurred 6% higher mean costs (€3907 vs. €3806).

conclusionsRSV hospitalizations in older adults were less frequent but more severe and costly than influenza, with comparable mortality. These findings highlight the importance of RSV prevention and support the development of targeted vaccination programs for the elderly.

Indexed as

HospitalizationInfluenza, HumanRespiratory Syncytial Virus InfectionsAgedAged, 80 and overFemaleHumansLength of StayMaleRespiratory Syncytial Virus, HumanRetrospective StudiesSeverity of Illness IndexSpainadultshospitalizationhospital mortalityinfluenzalength of staymonitoringprospectiverespiratory syncytial virusretrospectivereverse transcriptase polymerase chain reaction

Identifiers

PMID42246298
PMCPMC13102681

What OpenQuestion holds

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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.