Severity of respiratory syncytial virus compared with SARS-CoV-2 and influenza among hospitalised adults ≥65 years
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.
Authors
- María Isabel Barranco Boada
- María del Carmen García‐Rodríguez (ORCID: https://orcid.org/0000-0001-5970-0835)
- Silvia Galindo (ORCID: https://orcid.org/0009-0004-8788-5434)
- Luis Javier Viloria Raymundo
- María Victoria García Rivera
- Violeta Ramos Marín
- Susana Monge (ORCID: https://orcid.org/0000-0003-1412-3012)
- Luca Basile (ORCID: https://orcid.org/0000-0002-4707-2621)
- Daniel Castrillejo (ORCID: https://orcid.org/0000-0002-6485-9039)
- Ana Fernández Ibáñez
- Amparo Larrauri (ORCID: https://orcid.org/0000-0002-1704-2245)
- Olaia Pérez‐Martínez (ORCID: https://orcid.org/0000-0002-6743-2380)
- Jaume Giménez Durán (ORCID: https://orcid.org/0000-0001-5642-0045)
- Virtudes Gallardo García
- Virginia Álvarez Río
- Nieves López González‐Coviella
- Carmen Quiñones Rubio (ORCID: https://orcid.org/0000-0002-7389-2658)
- Miriam García Vázquez
- Mercedes Belén Rumayor Zarzuelo
- Ana Lameiras Azevedo
- José Luis Mayordomo
- Lorena Vega-Piris
Institutions
- Andalusian Health Service (ES)
- Government of Spain (ES)
- Instituto de Salud Carlos III (ES)
- Generalitat Valenciana (ES)
- Directorate of Health (IS)
- Ministry of Health (ES)
- Centro Nacional de Epidemiología (ES)
- Instituto de Arqueología-Mérida (ES)
- Junta de Castilla y León (ES)
- Health Research Institute of the Balearic Islands (ES)
- Hospital General Universitario De Valencia (ES)
- Servicio de Salud de Castilla La Mancha (ES)
- Gobierno de La Rioja (ES)
Publication Details
- Journal
- Journal of Infection
- Published
- 2024-09-26
- DOI
- https://doi.org/10.1016/j.jinf.2024.106292
- Citations
- 11
- Primary Topic
- Respiratory viral infections research
- Type
- article
- Field-Weighted Citation Impact
- 4.25