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. 2021 Jun 21;9(8):e1077–e1087. doi: 10.1016/S2214-109X(21)00218-7

Table 3.

hCFR meta-estimates of hPIV-associated ALRI and in-hospital deaths in age groups of children younger than 5 years in 2018, by World Bank income level and child mortality setting

Low-income and lower-middle-income countries Upper-middle-income countries High-income countries Low child mortality settings High child mortality settings Global estimates (low and high child mortality settings)
Number of studies 15 8 4 7 20 ..
0–5 months
hCFR, % (95% CI) 3·9 (2·1–7·3) 2·4 (1·3–4·6) 0·9 (0·2–3·6) 1·3 (0·6–3·1) 3·6 (2·2–5·8) ..
Deaths (UR) 6600 (2600–17 000) 2500 (1100–6100) 300 (100–1500) 1100 (400–3100) 9600 (5000–18 600) 10 700 (5400–2 1700)
6–11 months
hCFR, % (95% CI) 2·0 (0·5–7·4) 3·8 (2·2–6·6) 1·2 (0·3–4·7) 2·6 (1·0–6·9) 2·3 (0·9–5·8) ..
Deaths (UR) 3100 (700–13 800) 2700 (1100–6400) 300 (100–1200) 1200 (300–4200) 4900 (1800–13 300) 6100 (2200–17300)
12–59 months
hCFR, % (95% CI) 3·5 (2·2–5·6) 1·9 (0·8–4·1) 0·9 (0·4–1·9) 1·2 (0·7–2·3) 2·8 (1·8–4·4) ..
Deaths (UR) 9600 (4500–20 900) 2200 (800–6400) 400 (100–1700) 1800 (600–5200) 7000 (3800–13 000) 8800 (4400–18 100)
0–59 months
Deaths (UR) 19 400 (7800–50 800) 7400 (3000–18 900) 1000 (200–4100) 4100 (1400–12 400) 21 600 (10 600–44 100) 25 700 (12 000–56 500)

The median value of the 2018 younger than 5 years mortality rate was used as the cutoff point for settings with high child mortality and low child mortality. The in-hospital deaths were estimated using adjusted hospital admissions and adjusted hCFRs to account for the missing hPIV-4. hCFR estimates were from meta-analyses. ALRI=acute lower respiratory infections. hCFR=In-hospital case-fatality ratio. hPIV=human parainfluenza virus. UR=uncertainty range.