Table 2.
Study characteristics | Park et al24 | Lee et al25 |
---|---|---|
Study population | Hospitalized adults with an RSV RTI presenting at the emergency department (n = 227); 133 (59%) community acquired, 94 (41%) healthcare‐associated. In total, 84 (37%) patients were immunocompromised (25 solid organ recipients, 9 patients, with HCT 50 using immunosuppressants/ corticosteroids) and 42 (19%) had a chronic pulmonary disease | Hospitalized adults with an RSV RTI (n = 607). In total, 83 (13.7%) patients were immunocompromised and 216 (36%) had a chronic pulmonary disease |
Exclusion: ≤18 y, outpatient treatment, RSV diagnosis >48 h after admission, concurrent infections at other sites | Exclusion: none | |
Primary outcome | Life‐threatening RSV‐infection (admission to ICU, need for ventilator care or in‐hospital death; n = 34, 15.0%) | 30‐d mortality (n = 55, 9.1%), 60‐d mortality (n = 72, 11.9%) |
Patient identification and data collection | Identification using RSV positive PCR assays; retrospective data collection | Identification of RSV positive viral antigen immunofluorescence assay tests; retrospective data collection |
Inclusion location | ED of a 2700‐bed tertiary care hospital in Seoul, South Korea | Three acute care, general public hospitals in Hong Kong, China |
Inclusion period | October 2013‐September 2015 | January 2009‐December 2011 |
Modeling technique | Multivariable logistic regression analysis with stepwise backward variable selection | Multivariable Cox proportional hazards analysis with stepwise backward variable selection |
Variable selection for multivariable analysis | Variables with P ≤ .05 in univariate analyses of association with life‐threatening infection. Exclusion of variables in causal pathway (confusion, saturation); subjective symptoms (dyspnea); correlated variables (smoking history, correlated with chronic pulmonary disease) | Variables with P ≤ .1 in univariate analyses of association with mortality. Inclusion of demographics, comorbidities, cardiorespiratory complications, ventilation requirement, bacterial superinfection, and corticosteroid use |
Variables included in multivariable analysis a | Lower RTI, chronic pulmonary disease, bacterial coinfection, fever ≥38°C, rhinorrhoea, CRP, procalcitonin, RSV type A and B, antimicrobial use b , ribavirin use b | Age, gender, major systemic comorbidity, chronic pulmonary disease exacerbation, cardiovascular complications, pneumonia, need for ventilatory support, bacterial coinfection, urea, total white cell count, systemic corticosteroid use |
Variables in final model a | Lower RTI, chronic pulmonary disease, bacterial coinfection, fever ≥38⁰C | Age >75 y, male gender, pneumonia, need for ventilatory support, bacterial coinfection, urea |
Missing data handling | Not described | Not described |
Abbreviations: CRP, C‐reactive protein; DFA, direct fluorescent antibody; ED, emergency department; HCT, hematopoietic cell transplant; ICU, intensive care unit; PCR, polymerase chain reaction; RSV, respiratory syncytial virus; RTI, respiratory tract infection.
Table S2 for definitions.
No further definition or details given.