Respiratory syncytial virus disease burden in adults aged 60 years and older in high-income countries: A systematic literature review and meta-analysis.

Respiratory syncytial virus disease burden in adults aged 60 years and older in high-income countries: A systematic literature review and meta-analysis.
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DOI:
10.1111/irv.13031
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发表时间:
2023-01
影响因子:
4.4
通讯作者:
Pircon, Jean-Yves
Pircon, Jean-Yves
中科院分区:
医学4区
文献类型:
--
作者:
Savic, Miloje;Penders, Yolanda;Shi, Ting;Branche, Angela;Pircon, Jean-Yves

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呼吸道合胞病毒(RSV)相关的急性呼吸道感染(ARI)是老年人疾病的一个未被充分认识的原因。我们进行了一项系统性文献综述和Meta分析,以估计高收入国家≥60岁成人的RSV疾病负担。基于系统性文献检索,收集了美国、加拿大、欧洲国家、日本和韩国≥60岁成人的RSV‐ARI和住院发作率以及住院病死率(hCFR)数据(2000年1月1日至2021年11月3日)或通过其他方法(引文检索、既往Meta分析引用的未发表研究、灰色文献和RSV特异性摘要小册子)。对纳入研究的估计值进行了随机效应Meta分析。21项研究被纳入Meta分析。RSV‐ARI发作率的汇总估计值为1.62%(95%置信区间[CI]:0.84-3.08),住院发作率为0.15%(95% CI:0.09-0.22),hCFR为7.13%(95% CI:5.40-9.36)。到2019年,这将转化为高收入国家60岁以上成年人的约520万例病例、47万例住院和3.3万例住院死亡。在高收入国家,≥60岁成人的RSV疾病负担高于先前的估计,这突出表明该年龄组需要进行RSV预防。
Respiratory syncytial virus (RSV)‐associated acute respiratory infection (ARI) is an underrecognized cause of illness in older adults. We conducted a systematic literature review and meta‐analysis to estimate the RSV disease burden in adults ≥60 years in high‐income countries. Data on RSV‐ARI and hospitalization attack rates and in‐hospital case fatality rates (hCFR) in adults ≥60 years from the United States, Canada, European countries, Japan, and South Korea were collected based on a systematic literature search (January 1, 2000–November 3, 2021) or via other methods (citation search, unpublished studies cited by a previous meta‐analysis, gray literature, and an RSV‐specific abstract booklet). A random effects meta‐analysis was performed on estimates from the included studies. Twenty‐one studies were included in the meta‐analysis. The pooled estimates were 1.62% (95% confidence interval [CI]: 0.84–3.08) for RSV‐ARI attack rate, 0.15% (95% CI: 0.09–0.22) for hospitalization attack rate, and 7.13% (95% CI: 5.40–9.36) for hCFR. In 2019, this would translate into approximately 5.2 million cases, 470,000 hospitalizations, and 33,000 in‐hospital deaths in ≥60‐year‐old adults in high‐income countries. RSV disease burden in adults aged ≥60 years in high‐income countries is higher than previously estimated, highlighting the need for RSV prophylaxis in this age group.
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