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...

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Autores: 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
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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oai_identifier_str oai:repisalud.isciii.es:20.500.12105/25460
network_acronym_str ES
network_name_str España
repository_id_str
spelling 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
rights_invalid_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/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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