Epidemiological Burden and Hospitalization Trends of Human Metapneumovirus in Spain (2016–2023): A Retrospective Study
摘要
The hospitalization burden of human metapneumovirus (HMPV) in Spain was estimated assessing disease manifestations and risk factors to guide future vaccine strategies.
MethodsThis study was a retrospective analysis of Spain's National Hospital Data System (CMBD) from 2016–2023, performed using ICD-10-CM diagnosis codes, with age-stratified analyses for children under 6 years and adults over 60 years, assessing comorbidities and associated mortality risks.
ResultsA total of 4824 hospitalizations were identified; 75% in children, 16% in older adults. Bronchiolitis dominated in children while pneumonia was most common in older adults. Overall annual hospitalization rate was 18.70 hospitalizations per 100,000 in children up to 5 years old, and the annual hospitalization rate was 0.79 hospitalizations per 100,000 in adults over 60 years, Hospital costs totaled over €22 million, and, beyond this overall burden, expenditures showed a significant year-on-year increasing trend. There were 2 deaths among children < 6 years, 18 in individuals between 16 and 59 years and 74 in adults over 60 years old, reaching a case fatality rate of 9.65% in adults, with higher risk associated with kidney failure, liver disease, and cancer.
ConclusionsHMPV poses a significant burden on vulnerable groups in Spain. Despite underdiagnosis, rising cases post-COVID highlight the need for targeted prevention. These findings offer a foundation for public health planning and vaccine prioritization.