Evidence map›Paper›PMID 38520629›Full record

ArticleInfectious diseases and therapy2024

Estimated Incidence of Hospitalizations and Deaths Attributable to Respiratory Syncytial Virus Infections Among Adults in Germany Between 2015 and 2019.

Aleksandra Polkowska-Kramek, Elizabeth Begier, Robin Bruyndonckx, Caihua Liang, Caroline Beese, Gordon Brestrich, Thao Mai Phuong Tran, Charles Nuttens, Maribel Casas, Lea Johanna Bayer and 6 more

Open access · goldAbstract read
In one paragraph

Article in Infectious diseases and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
16.2field-weighted citation impact, top 1% of its field
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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. The risk of cardiac disease events after respiratory syncytial virus disease: a systematic literature review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
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  4. Bivalent RSVpreF Vaccine in Adults 18 to <60 Years Old With High-Risk Conditions.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Trial
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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 at 6 institutions in 5 countries.

Aleksandra Polkowska-KramekP95 Pharmacovigilance and Epidemiology Services, Leuven, Belgium.
Elizabeth BegierPfizer Inc, Dublin, Ireland.
Robin BruyndonckxP95 Pharmacovigilance and Epidemiology Services, Leuven, Belgium.
Caihua LiangPfizer Inc, 66 Hudson Blvd E, New York, NY, 10001, USA. caihua.liang@pfizer.com.ORCID http://orcid.org/0009-0004-8375-631X
Caroline BeesePfizer Pharma GmbH, Berlin, Germany.
Gordon BrestrichPfizer Pharma GmbH, Berlin, Germany.
Thao Mai Phuong TranP95 Pharmacovigilance and Epidemiology Services, Leuven, Belgium.
Charles NuttensPfizer Inc, Paris, France.
Maribel CasasP95 Pharmacovigilance and Epidemiology Services, Leuven, Belgium.
Lea Johanna BayerPfizer Pharma GmbH, Berlin, Germany.
Bennet HuebbePfizer Pharma GmbH, Berlin, Germany.
Worku Biyadgie EwnetuP95 Pharmacovigilance and Epidemiology Services, Leuven, Belgium.
Juan Luis Ramirez AgudeloP95 Pharmacovigilance and Epidemiology Services, Leuven, Belgium.
Bradford D GessnerPfizer Inc, 66 Hudson Blvd E, New York, NY, 10001, USA.
Christof von EiffPfizer Pharma GmbH, Berlin, Germany.
Gernot RohdeMedical Clinic I, Department of Respiratory Medicine, Goethe University Frankfurt, University Hospital, Frankfurt/Main, Germany.ORCID http://orcid.org/0000-0002-5193-7755
KU Leuven · BEPfizer (Germany) · DEPfizer (United States) · USGoethe University Frankfurt · DEPfizer (France) · FRPfizer (Ireland) · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRespiratory syncytial virus (RSV) burden in adults is underestimated mainly due to unspecific symptoms and limited standard-of-care testing. We estimated the population-based incidence of hospitalization and mortality attributable to RSV among adults with and without risk factors in Germany.

methodsWeekly counts of hospitalizations and deaths for respiratory, cardiovascular, and cardiorespiratory diseases were obtained (Statutory Health Insurance database, 2015-2019). A quasi-Poisson regression model was fitted to estimate the number of hospitalizations and deaths attributable to RSV as a function of periodic and aperiodic time trends, and viral activity while allowing for potential overdispersion. Weekly counts of RSV and influenza hospitalizations in children < 2 years and adults ≥ 60 years, respectively, were used as viral activity indicators. Models were stratified by age group and risk status (defined as presence of selected comorbidities).

resultsPopulation-based RSV-attributable hospitalization incidence rates were high among adults ≥ 60 years: respiratory hospitalizations (236-363 per 100,000 person-years) and cardiorespiratory hospitalizations (584-912 per 100,000 person-years). RSV accounted for 2-3% of all cardiorespiratory hospitalizations in this age group. The increase in cardiorespiratory hospitalization risk associated with underlying risk factors was greater in 18-44 year old persons (five to sixfold higher) than in ≥ 75 year old persons (two to threefold higher).

conclusionsThis is a first model-based study to comprehensively assess adult RSV burden in Germany. Estimated cardiorespiratory RSV hospitalization rates increased with age and were substantially higher in people with risk factors compared to those without risk factors. Our study indicates that RSV, like other respiratory viruses, contributes to both respiratory and cardiovascular hospitalizations. Effective prevention strategies are needed, especially among older adults ≥ 60 years and among adults with underlying risk factors.

Indexed as

AdultsDisease burdenGermanyHospitalizationModelingMortalityQuasi-Poisson regressionRespiratory syncytial virus

Identifiers

PMID38520629
PMCPMC11058748
OpenAlexW4393119611

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.