Epidemiological features of influenza in Canadian adult intensive care unit patients.
Identifieur interne : 000158 ( Main/Exploration ); précédent : 000157; suivant : 000159Epidemiological features of influenza in Canadian adult intensive care unit patients.
Auteurs : G. Taylor [Canada] ; K. Abdesselam [Canada] ; L. Pelude [Canada] ; R. Fernandes [Canada] ; R. Mitchell [Canada] ; A. Mcgeer [Canada] ; C. Frenette [Canada] ; K N Suh [Canada] ; A. Wong [Canada] ; K. Katz [Canada] ; K. Wilkinson [Canada] ; T. Mersereau [Canada] ; D. Gravel [Canada]Source :
- Epidemiology and infection [ 1469-4409 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
- virologie : Grippe humaine.
- épidémiologie : Canada, Grippe humaine.
- Adulte, Adulte d'âge moyen, Femelle, Hospitalisation, Humains, Jeune adulte, Modèles logistiques, Mâle, Pandémies, Sujet âgé, Sujet âgé de 80 ans ou plus, Unités de soins intensifs, Études prospectives.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Canada (epidemiology), Female, Hospitalization (statistics & numerical data), Humans, Influenza, Human (epidemiology), Influenza, Human (virology), Intensive Care Units (statistics & numerical data), Logistic Models, Male, Middle Aged, Pandemics, Prospective Studies, Young Adult.
- MESH :
- epidemiology : Canada, Influenza, Human.
- statistics & numerical data : Hospitalization, Intensive Care Units.
- virology : Influenza, Human.
- Adult, Aged, Aged, 80 and over, Female, Humans, Logistic Models, Male, Middle Aged, Pandemics, Prospective Studies, Young Adult.
Abstract
To identify predictive factors and mortality of patients with influenza admitted to intensive care units (ICU) we carried out a prospective cohort study of patients hospitalized with laboratory-confirmed influenza in adult ICUs in a network of Canadian hospitals between 2006 and 2012. There were 626 influenza-positive patients admitted to ICUs over the six influenza seasons, representing 17·9% of hospitalized influenza patients, 3·1/10,000 hospital admissions. Variability occurred in admission rate and proportion of hospital influenza patients who were admitted to ICUs (proportion range by year: 11·7-29·4%; 21·3% in the 2009-2010 pandemic). In logistic regression models ICU patients were younger during the pandemic and post-pandemic period, and more likely to be obese than hospital non-ICU patients. Influenza B accounted for 14·2% of all ICU cases and had a similar ICU admission rate as influenza A. Influenza-related mortality was 17·8% in ICU patients compared to 2·0% in non-ICU patients.
DOI: 10.1017/S0950268815002113
PubMed: 26384310
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Wong</name><affiliation wicri:level="1"><nlm:affiliation>Royal University Hospital,Saskatoon,Saskatchewan,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Royal University Hospital,Saskatoon,Saskatchewan</wicri:regionArea><wicri:noRegion>Saskatchewan</wicri:noRegion></affiliation></author><author><name sortKey="Katz, K" sort="Katz, K" uniqKey="Katz K" first="K" last="Katz">K. Katz</name><affiliation wicri:level="1"><nlm:affiliation>North York General Hospital,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>North York General Hospital,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Wilkinson, K" sort="Wilkinson, K" uniqKey="Wilkinson K" first="K" last="Wilkinson">K. Wilkinson</name><affiliation wicri:level="1"><nlm:affiliation>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Mersereau, T" sort="Mersereau, T" uniqKey="Mersereau T" first="T" last="Mersereau">T. Mersereau</name><affiliation wicri:level="1"><nlm:affiliation>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Gravel, D" sort="Gravel, D" uniqKey="Gravel D" first="D" last="Gravel">D. 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Taylor</name><affiliation wicri:level="1"><nlm:affiliation>University of Alberta Hospital,Edmonton,Alberta,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>University of Alberta Hospital,Edmonton,Alberta</wicri:regionArea><wicri:noRegion>Alberta</wicri:noRegion></affiliation></author><author><name sortKey="Abdesselam, K" sort="Abdesselam, K" uniqKey="Abdesselam K" first="K" last="Abdesselam">K. Abdesselam</name><affiliation wicri:level="1"><nlm:affiliation>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Pelude, L" sort="Pelude, L" uniqKey="Pelude L" first="L" last="Pelude">L. Pelude</name><affiliation wicri:level="1"><nlm:affiliation>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Fernandes, R" sort="Fernandes, R" uniqKey="Fernandes R" first="R" last="Fernandes">R. Fernandes</name><affiliation wicri:level="1"><nlm:affiliation>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Mitchell, R" sort="Mitchell, R" uniqKey="Mitchell R" first="R" last="Mitchell">R. Mitchell</name><affiliation wicri:level="1"><nlm:affiliation>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Mcgeer, A" sort="Mcgeer, A" uniqKey="Mcgeer A" first="A" last="Mcgeer">A. Mcgeer</name><affiliation wicri:level="1"><nlm:affiliation>Mount Sinai Hospital,Toronto,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Mount Sinai Hospital,Toronto,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Frenette, C" sort="Frenette, C" uniqKey="Frenette C" first="C" last="Frenette">C. Frenette</name><affiliation wicri:level="1"><nlm:affiliation>McGill University Health Centre,Montreal,Quebec,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>McGill University Health Centre,Montreal,Quebec</wicri:regionArea><wicri:noRegion>Quebec</wicri:noRegion></affiliation></author><author><name sortKey="Suh, K N" sort="Suh, K N" uniqKey="Suh K" first="K N" last="Suh">K N Suh</name><affiliation wicri:level="1"><nlm:affiliation>Ottawa Hospital,Ottawa,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Ottawa Hospital,Ottawa,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Wong, A" sort="Wong, A" uniqKey="Wong A" first="A" last="Wong">A. Wong</name><affiliation wicri:level="1"><nlm:affiliation>Royal University Hospital,Saskatoon,Saskatchewan,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Royal University Hospital,Saskatoon,Saskatchewan</wicri:regionArea><wicri:noRegion>Saskatchewan</wicri:noRegion></affiliation></author><author><name sortKey="Katz, K" sort="Katz, K" uniqKey="Katz K" first="K" last="Katz">K. Katz</name><affiliation wicri:level="1"><nlm:affiliation>North York General Hospital,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>North York General Hospital,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Wilkinson, K" sort="Wilkinson, K" uniqKey="Wilkinson K" first="K" last="Wilkinson">K. Wilkinson</name><affiliation wicri:level="1"><nlm:affiliation>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Mersereau, T" sort="Mersereau, T" uniqKey="Mersereau T" first="T" last="Mersereau">T. Mersereau</name><affiliation wicri:level="1"><nlm:affiliation>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Gravel, D" sort="Gravel, D" uniqKey="Gravel D" first="D" last="Gravel">D. Gravel</name><affiliation wicri:level="1"><nlm:affiliation>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author></analytic><series><title level="j">Epidemiology and infection</title><idno type="eISSN">1469-4409</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Canada (epidemiology)</term><term>Female</term><term>Hospitalization (statistics & numerical data)</term><term>Humans</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (virology)</term><term>Intensive Care Units (statistics & numerical data)</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Prospective Studies</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Canada (épidémiologie)</term><term>Femelle</term><term>Grippe humaine (virologie)</term><term>Grippe humaine (épidémiologie)</term><term>Hospitalisation ()</term><term>Humains</term><term>Jeune adulte</term><term>Modèles logistiques</term><term>Mâle</term><term>Pandémies</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Unités de soins intensifs ()</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Canada</term><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitalization</term><term>Intensive Care Units</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Canada</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Prospective Studies</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Hospitalisation</term><term>Humains</term><term>Jeune adulte</term><term>Modèles logistiques</term><term>Mâle</term><term>Pandémies</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Unités de soins intensifs</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To identify predictive factors and mortality of patients with influenza admitted to intensive care units (ICU) we carried out a prospective cohort study of patients hospitalized with laboratory-confirmed influenza in adult ICUs in a network of Canadian hospitals between 2006 and 2012. There were 626 influenza-positive patients admitted to ICUs over the six influenza seasons, representing 17·9% of hospitalized influenza patients, 3·1/10,000 hospital admissions. Variability occurred in admission rate and proportion of hospital influenza patients who were admitted to ICUs (proportion range by year: 11·7-29·4%; 21·3% in the 2009-2010 pandemic). In logistic regression models ICU patients were younger during the pandemic and post-pandemic period, and more likely to be obese than hospital non-ICU patients. Influenza B accounted for 14·2% of all ICU cases and had a similar ICU admission rate as influenza A. Influenza-related mortality was 17·8% in ICU patients compared to 2·0% in non-ICU patients.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26384310</PMID><DateCompleted><Year>2016</Year><Month>06</Month><Day>02</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1469-4409</ISSN><JournalIssue CitedMedium="Internet"><Volume>144</Volume><Issue>4</Issue><PubDate><Year>2016</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Epidemiology and infection</Title><ISOAbbreviation>Epidemiol. Infect.</ISOAbbreviation></Journal><ArticleTitle>Epidemiological features of influenza in Canadian adult intensive care unit patients.</ArticleTitle><Pagination><MedlinePgn>741-50</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1017/S0950268815002113</ELocationID><Abstract><AbstractText>To identify predictive factors and mortality of patients with influenza admitted to intensive care units (ICU) we carried out a prospective cohort study of patients hospitalized with laboratory-confirmed influenza in adult ICUs in a network of Canadian hospitals between 2006 and 2012. There were 626 influenza-positive patients admitted to ICUs over the six influenza seasons, representing 17·9% of hospitalized influenza patients, 3·1/10,000 hospital admissions. Variability occurred in admission rate and proportion of hospital influenza patients who were admitted to ICUs (proportion range by year: 11·7-29·4%; 21·3% in the 2009-2010 pandemic). In logistic regression models ICU patients were younger during the pandemic and post-pandemic period, and more likely to be obese than hospital non-ICU patients. Influenza B accounted for 14·2% of all ICU cases and had a similar ICU admission rate as influenza A. Influenza-related mortality was 17·8% in ICU patients compared to 2·0% in non-ICU patients.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Taylor</LastName><ForeName>G</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>University of Alberta Hospital,Edmonton,Alberta,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Abdesselam</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pelude</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fernandes</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mitchell</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McGeer</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Mount Sinai Hospital,Toronto,Ontario,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Frenette</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>McGill University Health Centre,Montreal,Quebec,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Suh</LastName><ForeName>K N</ForeName><Initials>KN</Initials><AffiliationInfo><Affiliation>Ottawa Hospital,Ottawa,Ontario,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wong</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Royal University Hospital,Saskatoon,Saskatchewan,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Katz</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>North York General Hospital,Ontario,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wilkinson</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mersereau</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gravel</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Public Health Agency of Canada,Centre for Communicable Diseases and Infection Control,Ottawa,Ontario,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>Canadian Nosocomial Infection Surveillance Program (CNISP)</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>09</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Epidemiol Infect</MedlineTA><NlmUniqueID>8703737</NlmUniqueID><ISSNLinking>0950-2688</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002170" MajorTopicYN="N">Canada</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007362" MajorTopicYN="N">Intensive Care Units</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" 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