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Comparison of patients presenting to emergency departments infected with respiratory syncytial virus versus influenza virus: A retrospective cohort study

dc.rights.licenseopenen_US
dc.contributor.authorALAMÉ, Karine
dc.contributor.authorLE HINGRAT, Quentin
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorCATOIRE, Pierre
dc.contributor.authorCHOCRON, Richard
dc.contributor.authorEYER, Xavier
dc.contributor.authorHERMAND, Christelle
dc.contributor.authorGORLICKI, Judith
dc.contributor.authorADDOU, Sarah
dc.contributor.authorBRICHLER, Ségolène
dc.contributor.authorSALMONA, Maud
dc.contributor.authorVEYER, David
dc.contributor.authorMAROT, Stéphane
dc.contributor.authorSCHNURIGER, Aurélie
dc.contributor.authorFREUND, Yonathan
dc.contributor.authorBOUZID, Donia
dc.date.accessioned2025-03-26T11:58:59Z
dc.date.available2025-03-26T11:58:59Z
dc.date.issued2025-03-07
dc.identifier.issn1873-5967en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/205691
dc.description.abstractEnIn recent years, there has been increased awareness of the impact of respiratory syncytial virus (RSV) on adult health, especially in elderly patients. Unlike influenza infection, its presentation and patient outcomes are not well studied. The aim of this study was to compare clinical outcomes in emergency department patients infected by RSV vs influenza. This was a multicenter retrospective study in seven emergency departments (ED) in France. Patients with a laboratory-confirmed RSV or influenza infection in the ED were included between January 2017 and December 2022. The primary endpoint was in-hospital mortality truncated at day 28. Secondary endpoints included one year occurrence of thrombo-embolic event, acute coronary syndrome, and stroke. 3397 patient charts were screened, and 3224 were analyzed. Of these, 551 (17 %) patients had RSV-positive PCR, and 2673 (83 %) had influenza-positive PCR. Patients with RSV were older (median age 73 vs. 68; difference, -5.00 % points [CI, -4.0 to -6.0 % points])), and had more comorbidities (15.0 % vs 22.0 % difference, -6.92 % points [CI, -10.6 to -3.21 % points])), compared to those with influenza. There was no significant difference in in-hospital mortality rate at day 28: 3.82 % for influenza vs. 4.72 % for RSV (adjusted OR 0.93, 95 %CI [0.59-1.46] p = 0.73). There was no significant difference in the occurrence of the secondary endpoints. In this large study of ED patients, although RSV patients were more fragile, no significant differences were found in in-hospital mortality or the occurrence of cardiovascular or thromboembolic events between RSV and influenza infections.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subject.enInfluenza
dc.subject.enRSV
dc.subject.enRespiratory viruses
dc.title.enComparison of patients presenting to emergency departments infected with respiratory syncytial virus versus influenza virus: A retrospective cohort study
dc.title.alternativeJ Clin Virolen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.jcv.2025.105775en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed40068229en_US
bordeaux.journalJournal of Clinical Virologyen_US
bordeaux.page105775en_US
bordeaux.volume177en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamBIOSTAT_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.import.sourcepubmed
hal.identifierhal-05006594
hal.version1
hal.date.transferred2025-03-26T11:59:02Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
workflow.import.sourcepubmed
dc.rights.ccPas de Licence CCen_US
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