1. Epidemiology of Hospital Admissions with Influenza during the 2013/2014 Northern Hemisphere Influenza Season: Results from the Global Influenza Hospital Surveillance Network
- Author
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Puig-Barberà, J, Natividad-Sancho, A, Trushakova, S, Sominina, A, Pisareva, M, Ciblak, M.A, Badur, S, Yu, H, Cowling, B.J, El Guerche-Séblain, C, Mira-Iglesias, A, Kisteneva, L, Stolyarov, K, Yurtcu, K, Feng, L, López-Labrador, X, Burtseva, E, Afanasieva, V, Aktaş, F, Borekci, S, Buigues-Vila, A, Buzitskaya, Z, Cai, J, Çakir, B, Carballido-Fernández, M, Carratalá-Munuera, C, Chai, C, Chen, E, Çelebi, S, Cui, Y, Deniz, D.B, Dong, H, Dong, X, Durusu, M, Fadeev, A, Feng, S, Garina, E, Gencer, S, Gil-Guillén, V, Hacimustafaoǧlu, M, Hancerli, S, Huang, L, Ip, D.K, Kolobukhina, L, Krasnoslobotsev, K, Li, C, Limón-Ramírez, R, Mahé, C, Merkulova, L, Mollar Maseres, J, Mukasheva, E, Ozisik, L, Otero-Reigada, M.C, Özer, S, Qin, Y, Eren-Şensoy, A, Smorodintseva, E, Sukhovetskaya, V, Sun, G, Tang, Y, Tormos, A, López-Labrador, F.X, Tortajada-Girbés, M, Vartanyan, R, Voloshchuk, L, Wang, Q, Wen, D, Wu, P, Yang, P, Yi, B, Zhang, S, Zhang, Y, Zheng, J., and İç Hastalıkları
- Subjects
Male ,RNA viruses ,Viral Diseases ,Influenza Viruses ,Turkey ,Pulmonology ,Epidemiology ,Maternal Health ,lcsh:Medicine ,Comorbidity ,Pathology and Laboratory Medicine ,Russia ,Patient Admission ,0302 clinical medicine ,Pregnancy ,Risk Factors ,Outcome Assessment, Health Care ,Health care ,Odds Ratio ,Medicine and Health Sciences ,Cluster Analysis ,Medicine ,Public and Occupational Health ,Prospective Studies ,030212 general & internal medicine ,Pregnancy Complications, Infectious ,Child ,lcsh:Science ,Aged, 80 and over ,Multidisciplinary ,biology ,Obstetrics and Gynecology ,virus diseases ,Middle Aged ,Orthomyxoviridae ,Vaccination and Immunization ,Hospitals ,Infectious Diseases ,Medical Microbiology ,Child, Preschool ,Viral Pathogens ,Epidemiological Monitoring ,Viruses ,Human mortality from H5N1 ,Female ,Pathogens ,Research Article ,Adult ,Risk ,China ,medicine.medical_specialty ,Adolescent ,Infectious Disease Control ,Immunology ,030231 tropical medicine ,Disease Surveillance ,Microbiology ,Young Adult ,03 medical and health sciences ,Influenza, Human ,Humans ,Intensive care medicine ,Microbial Pathogens ,Aged ,Biology and life sciences ,business.industry ,lcsh:R ,Infant, Newborn ,Organisms ,Northern Hemisphere ,Infant ,Odds ratio ,biology.organism_classification ,medicine.disease ,Influenza ,Health Care ,Spain ,Health Care Facilities ,Age Groups ,Infectious Disease Surveillance ,Multivariate Analysis ,People and Places ,Respiratory Infections ,Emergency medicine ,Women's Health ,Population Groupings ,lcsh:Q ,Preventive Medicine ,business ,Orthomyxoviruses - Abstract
Background The Global Influenza Hospital Surveillance Network was established in 2012 to obtain valid epidemiologic data on hospital admissions with influenza-like illness. Here we describe the epidemiology of admissions with influenza within the Northern Hemisphere sites during the 2013/2014 influenza season, identify risk factors for severe outcomes and complications, and assess the impact of different influenza viruses on clinically relevant outcomes in at-risk populations. Methods Eligible consecutive admissions were screened for inclusion at 19 hospitals in Russia, Turkey, China, and Spain using a prospective, active surveillance approach. Patients that fulfilled a common case definition were enrolled and epidemiological data were collected. Risk factors for hospitalization with laboratory-confirmed influenza were identified by multivariable logistic regression. Findings 5303 of 9507 consecutive admissions were included in the analysis. Of these, 1086 were influenza positive (534 A(H3N2), 362 A(H1N1), 130 B/Yamagata lineage, 3 B/Victoria lineage, 40 untyped A, and 18 untyped B). The risk of hospitalization with influenza (adjusted odds ratio [95% confidence interval]) was elevated for patients with cardiovascular disease (1.63 [1.33–2.02]), asthma (2.25 [1.67–3.03]), immunosuppression (2.25 [1.23–4.11]), renal disease (2.11 [1.48–3.01]), liver disease (1.94 [1.18–3.19], autoimmune disease (2.97 [1.58–5.59]), and pregnancy (3.84 [2.48–5.94]). Patients without comorbidities accounted for 60% of admissions with influenza. The need for intensive care or in-hospital death was not significantly different between patients with or without influenza. Influenza vaccination was associated with a lower risk of confirmed influenza (adjusted odds ratio = 0.61 [0.48–0.77]). Conclusions Influenza infection was detected among hospital admissions with and without known risk factors. Pregnancy and underlying comorbidity increased the risk of detecting influenza virus in patients hospitalized with influenza-like illness. Our results support influenza vaccination as a measure for reducing the risk of influenza-associated hospital admission.
- Published
- 2016