Evidence map›Paper›PMID 40736447›Full record

ArticleThe Journal of infectious diseases2025

Incidence of Respiratory Syncytial Virus-Associated Hospitalization Among Adults in Ontario, Canada, 2017-2019.

Sarah A Buchan, Jenna Alessandrini, Samantha S M Drover, Melissa K Andrew, Susan E Bronskill, Kevin A Brown, Nick Daneman, Shelley L Deeks, Jonathan B Gubbay, Jennie Johnstone and 10 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2025. 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. Ten tips for the first hemodialysis sessions.Clinical kidney journal · 2026
    Review
  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

20 authors.

Sarah A BuchanCommunicable Disease Control, Public Health Ontario, Toronto, Ontario, Canada.ORCID 0000-0002-5286-8974
Jenna AlessandriniCommunicable Disease Control, Public Health Ontario, Toronto, Ontario, Canada.
Samantha S M DroverResearch and Analytics, ICES, Toronto, Ontario, Canada.ORCID 0009-0005-8385-147X
Melissa K AndrewDepartment of Medicine (Geriatrics), Dalhousie University, Halifax, Nova Scotia, Canada.
Susan E BronskillDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-7341-0655
Kevin A BrownCommunicable Disease Control, Public Health Ontario, Toronto, Ontario, Canada.
Nick DanemanCommunicable Disease Control, Public Health Ontario, Toronto, Ontario, Canada.
Shelley L DeeksCommunity Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada.
Jonathan B GubbayDepartment of Pathology and Laboratory Medicine, British Columbia Children's and Women's Hospitals, Vancouver, British Columbia, Canada.
Jennie JohnstoneDivision of Infectious Diseases, Sinai Health, Toronto, Ontario, Canada.ORCID 0000-0002-3785-6617
Timothy M KarnauchowDepartment of Pathology and Laboratory Medicine, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Samantha LeeResearch and Analytics, ICES, Toronto, Ontario, Canada.ORCID 0000-0003-1162-8744
Allison J McGeerDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
J Dayre McNallyResearch Institute, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Shelly A McNeilCanadian Center for Vaccinology, Dalhousie University, Halifax, Nova Scotia, Canada.
Samira MubarekaDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0001-5012-2311
Michelle MurtiDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Marek SmiejaDepartment of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0003-1655-3761
Sarah E WilsonCommunicable Disease Control, Public Health Ontario, Toronto, Ontario, Canada.
Jeffrey C KwongCommunicable Disease Control, Public Health Ontario, Toronto, Ontario, Canada.ORCID 0000-0002-7820-2046

Funding

CIHR PJT 173460Institute for Clinical Evaluative SciencesMinistry of Long-Term CareOntario Ministry of Health
6 · The paper itself

Abstract

backgroundRespiratory syncytial virus (RSV) causes substantial morbidity and mortality among adults. Given recent RSV vaccine authorizations, data on groups at highest risk are needed to support vaccine program decision making.

methodsWe identified adults aged ≥ 18 years hospitalized with laboratory-confirmed RSV and hospitalizations with RSV-related diagnostic codes in Ontario, Canada (2017-2019). We calculated incidence of hospitalization with 95% confidence intervals (CIs) using Poisson regression stratified by demographic and clinical risk factors, and substratified by age. We reported secondary outcomes including the proportion of individuals with fatal outcomes.

resultsOver 2 respiratory virus seasons, we identified 3928 RSV-associated hospitalizations. Incidence increased steadily with age from 2.0 (95% CI, 1.8-2.3) per 100 000 for those aged 18-49 years to 43.7 (95% CI, 41.0-46.6) per 100 000 for those aged 70-79 years, with a sharp increase to 134.7 (95% CI, 128.6-141.1) per 100 000 for those aged ≥ 80 years. Incidence was higher for those with comorbidities, including chronic kidney disease (receiving dialysis) (494.7; 95% CI, 410.7-595.8) and transplant recipients (370.9; 95% CI, 318.0-432.6), as well as for those living in lower (22.4; 95% CI, 21.1-23.7) versus higher-income neighborhoods (11.8; 95% CI, 10.8-12.8). Among those hospitalized, 10.3% (n = 403) died within 30 days of admission, and 93.1% of deaths occurred in those aged ≥ 60 years. Of survivors, 44.6% of community-dwelling adults aged ≥ 60 years had functional decline requiring formal supports at discharge. DISCUSSION: We found a substantial burden of RSV among older adults, particularly among those with preexisting medical conditions and those of lower socioeconomic status. These results will inform equitable vaccine recommendations for adults.

Indexed as

HospitalizationRespiratory Syncytial Virus InfectionsAdolescentAdultAgedAged, 80 and overAge FactorsFemaleHumansIncidenceMaleMiddle AgedOntarioRespiratory Syncytial Virus, HumanRisk FactorsYoung Adultadministrative dataadulthospitalizationrisk factorsRSV

Identifiers

PMID40736447
PMCPMC12614998

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.