Severity of respiratory syncytial virus compared with SARS-CoV-2 and influenza among hospitalised adults ≥65 years.
Introduction: Our aim was to estimate the risk of pneumonia, admission to intensive care unit (ICU) or death in individuals ≥65 years old admitted to hospital with RSV, compared to influenza or COVID-19. Methods: We included hospitalised patients from Severe Acute Respiratory Infection Surveillance...
| Autores: | , , , , , , , , , , , , , , , , , , , , , , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2024 |
| País: | España |
| Institución: | Instituto de Salud Carlos III (ISCIII) |
| Repositorio: | Repisalud |
| Idioma: | inglés |
| OAI Identifier: | oai:repisalud.isciii.es:20.500.12105/25460 |
| Acceso en línea: | https://hdl.handle.net/20.500.12105/25460 |
| Access Level: | acceso abierto |
| Palabra clave: | ICU admission Influenza Mortality Pneumonia SARS-CoV2 Severe acute respiratory infection Syncytial respiratory virus Vaccination Aged Aged, 80 and over COVID-19 Female Hospital Mortality Hospitalization Humans Influenza, Human Intensive Care Units Male Respiratory Syncytial Virus Infections Respiratory Syncytial Virus, Human SARS-CoV-2 Severity of Illness Index Spain |
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Severity of respiratory syncytial virus compared with SARS-CoV-2 and influenza among hospitalised adults ≥65 years.Vega-Piris, LorenaGalindo Carretero, SilviaMayordomo, José LuisRumayor-Zarzuelo, Mercedes BelénÁlvarez Río, VirginiaGallardo García, VirtudesGarcía Vázquez, MiriamGarcía Rodríguez, María Del CarmenBasile, LucaLópez González-Coviella, NievesBarranco Boada, Maria IsabelPérez-Martínez, OlaiaLameiras Azevedo, AnaQuiñones-Rubio, CarmenGiménez Duran, JaumeFernández Ibáñez, AnaGarcía Rivera, María VictoriaRamos Marín, VioletaCastrillejo, DanielVoloria Raymundo, Luis JavierLarrauri, AmparoMonge Corella, SusanaSARI Sentinel Surveillance GroupICU admissionInfluenzaMortalityPneumoniaSARS-CoV2Severe acute respiratory infectionSyncytial respiratory virusVaccinationAgedAged, 80 and overCOVID-19FemaleHospital MortalityHospitalizationHumansInfluenza, HumanIntensive Care UnitsMaleRespiratory Syncytial Virus InfectionsRespiratory Syncytial Virus, HumanSARS-CoV-2Severity of Illness IndexSpainIntroduction: Our aim was to estimate the risk of pneumonia, admission to intensive care unit (ICU) or death in individuals ≥65 years old admitted to hospital with RSV, compared to influenza or COVID-19. Methods: We included hospitalised patients from Severe Acute Respiratory Infection Surveillance in Spain between 2021-2024, aged ≥65 years, laboratory confirmed for RSV, influenza or SARS-CoV-2. Using a binomial regression with logarithmic link, we estimated the relative risk (RR) of pneumonia, ICU admission and in-hospital mortality, in patients with RSV compared to influenza or SARS-CoV-2, adjusting for age, sex, season and comorbidities. We stratified the estimates by vaccination status for influenza or SARS-CoV2. Results: Among patients unvaccinated for influenza or SARS-CoV-2, those with RSV had similar or lower risk of pneumonia [vs. influenza: RR= 0.91 (95% Confidence Interval: 0.72-1.16); vs. SARS-CoV-2: 0.81 (0.67-0.98)], ICU admission [vs. influenza: 0.93 (0.41-2.08); vs. SARS-CoV-2: 1.10 (0.61-1.99)] and mortality [vs. influenza: 0.64 (0.32-1.28); vs. SARS-CoV-2: 0.56 (0.30-1.04)]. Among the vaccinated, results were largely similar except for a higher risk of ICU admission with RSV [vs. influenza: 2.13(1.16-3.89); vs. SARS-CoV-2: 1.83 (1.02-3.28)] CONCLUSIONS: RSV presented similar or lower intrinsic severity than influenza or SARS-CoV2. Among vaccinated patients, RSV was associated to higher ICU-admission, suggesting the potential for preventive RSV vaccination.Elsevier20242024-11-0820242024-11-0120242024-11-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/pdfhttps://hdl.handle.net/20.500.12105/25460reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/254602026-06-12T12:43:37Z |
| dc.title.none.fl_str_mv |
Severity of respiratory syncytial virus compared with SARS-CoV-2 and influenza among hospitalised adults ≥65 years. |
| title |
Severity of respiratory syncytial virus compared with SARS-CoV-2 and influenza among hospitalised adults ≥65 years. |
| spellingShingle |
Severity of respiratory syncytial virus compared with SARS-CoV-2 and influenza among hospitalised adults ≥65 years. Vega-Piris, Lorena ICU admission Influenza Mortality Pneumonia SARS-CoV2 Severe acute respiratory infection Syncytial respiratory virus Vaccination Aged Aged, 80 and over COVID-19 Female Hospital Mortality Hospitalization Humans Influenza, Human Intensive Care Units Male Respiratory Syncytial Virus Infections Respiratory Syncytial Virus, Human SARS-CoV-2 Severity of Illness Index Spain |
| title_short |
Severity of respiratory syncytial virus compared with SARS-CoV-2 and influenza among hospitalised adults ≥65 years. |
| title_full |
Severity of respiratory syncytial virus compared with SARS-CoV-2 and influenza among hospitalised adults ≥65 years. |
| title_fullStr |
Severity of respiratory syncytial virus compared with SARS-CoV-2 and influenza among hospitalised adults ≥65 years. |
| title_full_unstemmed |
Severity of respiratory syncytial virus compared with SARS-CoV-2 and influenza among hospitalised adults ≥65 years. |
| title_sort |
Severity of respiratory syncytial virus compared with SARS-CoV-2 and influenza among hospitalised adults ≥65 years. |
| dc.creator.none.fl_str_mv |
Vega-Piris, Lorena Galindo Carretero, Silvia Mayordomo, José Luis Rumayor-Zarzuelo, Mercedes Belén Álvarez Río, Virginia Gallardo García, Virtudes García Vázquez, Miriam García Rodríguez, María Del Carmen Basile, Luca López González-Coviella, Nieves Barranco Boada, Maria Isabel Pérez-Martínez, Olaia Lameiras Azevedo, Ana Quiñones-Rubio, Carmen Giménez Duran, Jaume Fernández Ibáñez, Ana García Rivera, María Victoria Ramos Marín, Violeta Castrillejo, Daniel Voloria Raymundo, Luis Javier Larrauri, Amparo Monge Corella, Susana SARI Sentinel Surveillance Group |
| author |
Vega-Piris, Lorena |
| author_facet |
Vega-Piris, Lorena Galindo Carretero, Silvia Mayordomo, José Luis Rumayor-Zarzuelo, Mercedes Belén Álvarez Río, Virginia Gallardo García, Virtudes García Vázquez, Miriam García Rodríguez, María Del Carmen Basile, Luca López González-Coviella, Nieves Barranco Boada, Maria Isabel Pérez-Martínez, Olaia Lameiras Azevedo, Ana Quiñones-Rubio, Carmen Giménez Duran, Jaume Fernández Ibáñez, Ana García Rivera, María Victoria Ramos Marín, Violeta Castrillejo, Daniel Voloria Raymundo, Luis Javier Larrauri, Amparo Monge Corella, Susana SARI Sentinel Surveillance Group |
| author_role |
author |
| author2 |
Galindo Carretero, Silvia Mayordomo, José Luis Rumayor-Zarzuelo, Mercedes Belén Álvarez Río, Virginia Gallardo García, Virtudes García Vázquez, Miriam García Rodríguez, María Del Carmen Basile, Luca López González-Coviella, Nieves Barranco Boada, Maria Isabel Pérez-Martínez, Olaia Lameiras Azevedo, Ana Quiñones-Rubio, Carmen Giménez Duran, Jaume Fernández Ibáñez, Ana García Rivera, María Victoria Ramos Marín, Violeta Castrillejo, Daniel Voloria Raymundo, Luis Javier Larrauri, Amparo Monge Corella, Susana SARI Sentinel Surveillance Group |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
|
| dc.subject.none.fl_str_mv |
ICU admission Influenza Mortality Pneumonia SARS-CoV2 Severe acute respiratory infection Syncytial respiratory virus Vaccination Aged Aged, 80 and over COVID-19 Female Hospital Mortality Hospitalization Humans Influenza, Human Intensive Care Units Male Respiratory Syncytial Virus Infections Respiratory Syncytial Virus, Human SARS-CoV-2 Severity of Illness Index Spain |
| topic |
ICU admission Influenza Mortality Pneumonia SARS-CoV2 Severe acute respiratory infection Syncytial respiratory virus Vaccination Aged Aged, 80 and over COVID-19 Female Hospital Mortality Hospitalization Humans Influenza, Human Intensive Care Units Male Respiratory Syncytial Virus Infections Respiratory Syncytial Virus, Human SARS-CoV-2 Severity of Illness Index Spain |
| description |
Introduction: Our aim was to estimate the risk of pneumonia, admission to intensive care unit (ICU) or death in individuals ≥65 years old admitted to hospital with RSV, compared to influenza or COVID-19. Methods: We included hospitalised patients from Severe Acute Respiratory Infection Surveillance in Spain between 2021-2024, aged ≥65 years, laboratory confirmed for RSV, influenza or SARS-CoV-2. Using a binomial regression with logarithmic link, we estimated the relative risk (RR) of pneumonia, ICU admission and in-hospital mortality, in patients with RSV compared to influenza or SARS-CoV-2, adjusting for age, sex, season and comorbidities. We stratified the estimates by vaccination status for influenza or SARS-CoV2. Results: Among patients unvaccinated for influenza or SARS-CoV-2, those with RSV had similar or lower risk of pneumonia [vs. influenza: RR= 0.91 (95% Confidence Interval: 0.72-1.16); vs. SARS-CoV-2: 0.81 (0.67-0.98)], ICU admission [vs. influenza: 0.93 (0.41-2.08); vs. SARS-CoV-2: 1.10 (0.61-1.99)] and mortality [vs. influenza: 0.64 (0.32-1.28); vs. SARS-CoV-2: 0.56 (0.30-1.04)]. Among the vaccinated, results were largely similar except for a higher risk of ICU admission with RSV [vs. influenza: 2.13(1.16-3.89); vs. SARS-CoV-2: 1.83 (1.02-3.28)] CONCLUSIONS: RSV presented similar or lower intrinsic severity than influenza or SARS-CoV2. Among vaccinated patients, RSV was associated to higher ICU-admission, suggesting the potential for preventive RSV vaccination. |
| publishDate |
2024 |
| dc.date.none.fl_str_mv |
2024 2024-11-08 2024 2024-11-01 2024 2024-11-01 |
| dc.type.none.fl_str_mv |
research article http://purl.org/coar/resource_type/c_2df8fbb1 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/20.500.12105/25460 |
| url |
https://hdl.handle.net/20.500.12105/25460 |
| dc.language.none.fl_str_mv |
Inglés eng |
| language_invalid_str_mv |
Inglés |
| language |
eng |
| dc.rights.none.fl_str_mv |
open access http://purl.org/coar/access_right/c_abf2 Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| dc.rights.openaire.fl_str_mv |
info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
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application/pdf application/pdf application/pdf |
| dc.publisher.none.fl_str_mv |
Elsevier |
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Elsevier |
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reponame:Repisalud instname:Instituto de Salud Carlos III (ISCIII) |
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Instituto de Salud Carlos III (ISCIII) |
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Repisalud |
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Repisalud |
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1869423515620343808 |
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15.811543 |