Evidence map›Paper›PMID 40375693›Full record

ArticleInfluenza and other respiratory viruses2025

Unveiling the Spectrum of Respiratory Syncytial Virus Disease in Adults: From Community to Hospital.

Koos Korsten, Matthijs R A Welkers, Thijs van de Laar, Alex Wagemakers, Peter van Hengel, Peter C Wever, Eva Kolwijck

Abstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

7 authors.

Koos KorstenDepartment of Medical Microbiology and Infection Control, Amsterdam UMC, Amsterdam, the Netherlands.ORCID 0000-0003-2451-4113
Matthijs R A WelkersDepartment of Medical Microbiology and Infection Control, Amsterdam UMC, Amsterdam, the Netherlands.
Thijs van de LaarDepartment of Medical Microbiology, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands.
Alex WagemakersDepartment of Medical Microbiology, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands.
Peter van HengelDepartment of Pulmonary Diseases, Flevo Hospital, Almere, the Netherlands.
Peter C WeverDepartment of Medical Microbiology and Infection Prevention, Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands.
Eva KolwijckDepartment of Medical Microbiology and Infection Prevention, Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRespiratory syncytial virus can cause severe disease in the older adult population. Three vaccines for RSV are currently market approved but the risk of RSV-hospitalization in (older) adults from a community level remains elusive. We aimed to estimate the risk of RSV-hospitalization and characterize the patients that end up in hospital.

methodsWe manually analyzed records of adults aged ≥ 20 with RSV-infection between 2022 and 2024 in three hospitals in the Netherlands. These hospitals implemented routine RSV-testing at emergency departments. Using population-based data in combination with the in-hospital data, we estimated the population risk of RSV-hospitalization. Hospital records were analyzed to characterize the role RSV played in their course of disease.

resultsWe analyzed 709 RSV cases of whom 503 (70.9%) were hospitalized. Five hundred twenty-six patients were ≥ 60, and 183 were < 60 years of age. The population RSV-hospitalization rate was 6-20 per 100.000 patients aged 20-59 years and 43-236 per 100.000 for those ≥ 60. The highest risks were observed in those with COPD (1702 per 100.000) and with congestive heart disease (2383 per 100.000). RSV caused clinically relevant infection in 88% of hospitalized cases but was only mentioned using specific ICD-codes in 4.4%. Comorbidity was prevalent (88.5%) and exacerbation of underlying disease caused of 46.3% of RSV-related hospital admissions. ICU admittance was 11.2% and in-hospital mortality was 8.1%.

conclusionThe risk of RSV-hospitalization from the community is low but is increased substantially in those with underlying disease. RSV is often clinically relevant in hospitalized patients by causing exacerbation of underlying disease but is infrequently mentioned in specific ICD-codes.

Indexed as

HospitalizationRespiratory Syncytial Virus InfectionsAdultAgedAged, 80 and overFemaleHospitalsHumansMaleMiddle AgedNetherlandsRespiratory Syncytial Virus, HumanRisk FactorsYoung Adultadultsepidemiologyrespiratory syncytial virusRSV

Identifiers

PMID40375693
PMCPMC12081945

What Socratic 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 Socratic graph.