Pediatric RSV infections surged 2017-23, straining U.S. hospitals

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Pediatric RSV infections surged 2017-23, straining U.S. hospitals
BronchiolitisChildrenCoronavirus
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A recent study found a significant post-pandemic surge in pediatric RSV infections, with increased hospitalizations and respiratory support needs, especially among older children.

By Tarun Sai LomteReviewed by Susha Cheriyedath, M.Sc.Jun 18 2024 In a recent study published in JAMA Network Open, researchers examined the demographics, clinical outcomes, and respiratory support modes of children infected with respiratory syncytial virus between 2017 and 2023.

About the study In the present study, researchers compared the clinical outcomes of RSV-infected children aged ≤ 5 pre- and post-COVID-19 pandemic. Patients from 48 children’s hospitals participating in the US Pediatric Health Information System were evaluated. Patients with an RSV infection between July 2017 and June 2023 were identified from the PHIS database. Demographic details, such as age, sex, child opportunity index score, and race/ethnicity, were collected.

The post-pandemic period was defined as 2022-23. Statistical differences were evaluated using the Cochran-Armitage or Pearson chi-squared test for categorical variables and the Kruskal-Wallis test for continuous variables. The Wilcoxon rank sum test compared pre-pandemic and post-pandemic RSV seasons. The total number of hospital, intensive care, and respiratory support days was estimated.

Related StoriesRSV-infected children and those hospitalized for RSV in the post-pandemic season were older than in pre-pandemic seasons. In all seasons, hospitalized patients were younger than those discharged from the emergency department . Notably, while more patients required hospitalization or intensive care in the post-pandemic season, the proportion of hospitalized patients was lower in 2022-23 than in pre-pandemic seasons.

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