GrippeCanadaV3, Main, Exploration, bibRecord, 000581

Risk of severe outcomes among patients admitted to hospital with pandemic (H1N1) influenza.

Identifieur interne : 000581 ( Main/Exploration ); précédent : 000580; suivant : 000582

Risk of severe outcomes among patients admitted to hospital with pandemic (H1N1) influenza.

Auteurs : Alexia Campbell [Canada] ; Rachel Rodin ; Rhonda Kropp ; Yang Mao ; Zhiyong Hong ; Julie Vachon ; John Spika ; Louise Pelletier

Source :

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne [ 1488-2329 ] ; 2010.

RBID : pubmed:20159893

Descripteurs français

KwdFr :
- Admission du patient (), Adolescent, Adulte, Adulte d'âge moyen, Canada (épidémiologie), Enfant, Enfant d'âge préscolaire, Facteurs de risque, Facteurs temps, Femelle, Flambées de maladies, Grippe humaine (rééducation et réadaptation), Grippe humaine (virologie), Grippe humaine (épidémiologie), Hospitalisation (), Humains, Jeune adulte, Mâle, Nourrisson, Nouveau-né, Sous-type H1N1 du virus de la grippe A (isolement et purification), Unités de soins intensifs (), Échec thérapeutique.
MESH :
- isolement et purification : Sous-type H1N1 du virus de la grippe A.
- rééducation et réadaptation : Grippe humaine.
- virologie : Grippe humaine.
- épidémiologie : Canada, Grippe humaine.
- Admission du patient, Adolescent, Adulte, Adulte d'âge moyen, Enfant, Enfant d'âge préscolaire, Facteurs de risque, Facteurs temps, Femelle, Flambées de maladies, Hospitalisation, Humains, Jeune adulte, Mâle, Nourrisson, Nouveau-né, Unités de soins intensifs, Échec thérapeutique.
Wicri :
- geographic : Canada.

English descriptors

KwdEn :
- Adolescent, Adult, Canada (epidemiology), Child, Child, Preschool, Disease Outbreaks, Female, Hospitalization (statistics & numerical data), Humans, Infant, Infant, Newborn, Influenza A Virus, H1N1 Subtype (isolation & purification), Influenza, Human (epidemiology), Influenza, Human (rehabilitation), Influenza, Human (virology), Intensive Care Units (statistics & numerical data), Male, Middle Aged, Patient Admission (statistics & numerical data), Risk Factors, Time Factors, Treatment Failure, Young Adult.
MESH :
- geographic , epidemiology : Canada.
- epidemiology : Influenza, Human.
- isolation & purification : Influenza A Virus, H1N1 Subtype.
- rehabilitation : Influenza, Human.
- statistics & numerical data : Hospitalization, Intensive Care Units, Patient Admission.
- virology : Influenza, Human.
- Adolescent, Adult, Child, Child, Preschool, Disease Outbreaks, Female, Humans, Infant, Infant, Newborn, Male, Middle Aged, Risk Factors, Time Factors, Treatment Failure, Young Adult.

Abstract

BACKGROUND

We describe the disease characteristics and outcomes, including risk factors for admission to intensive care unit (ICU) and death, of all patients in Canada admitted to hospital with pandemic (H1N1) influenza during the first five months of the pandemic.

METHODS

We obtained data for all patients admitted to hospital with laboratory-confirmed pandemic (H1N1) influenza reported to the Public Health Agency of Canada from Apr. 26 to Sept. 26, 2009. We compared inpatients who had nonsevere disease with those who had severe disease, as indicated by admission to ICU or death.

RESULTS

A total of 1479 patients were admitted to hospital with confirmed pandemic (H1N1) influenza during the study period. Of these, 1171 (79.2%) did not have a severe outcome, 236 (16.0%) were admitted to ICU and survived, and 72 (4.9%) died. The median age was 23 years for all of the patients, 18 years for those with a nonsevere outcome, 34 years for those admitted to ICU who survived and 51 years for those who died. The risk of a severe outcome was elevated among those who had an underlying medical condition and those 20 years of age and older. A delay of one day in the median time between the onset of symptoms and admission to hospital increased the risk of death by 5.5%. The risk of a severe outcome remained relatively constant over the five-month period.

INTERPRETATION

The population-based incidence of admission to hospital with laboratory-confirmed pandemic (H1N1) influenza was low in the first five months of the pandemic in Canada. The risk of a severe outcome was associated with the presence of one or more underlying medical conditions, age of 20 years or more and a delay in hospital admission.

DOI: 10.1503/cmaj.091823
PubMed: 20159893

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000679
to stream Main, to step Curation: 000679

Le document en format XML

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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>We describe the disease characteristics and outcomes, including risk factors for admission to intensive care unit (ICU) and death, of all patients in Canada admitted to hospital with pandemic (H1N1) influenza during the first five months of the pandemic.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>We obtained data for all patients admitted to hospital with laboratory-confirmed pandemic (H1N1) influenza reported to the Public Health Agency of Canada from Apr. 26 to Sept. 26, 2009. We compared inpatients who had nonsevere disease with those who had severe disease, as indicated by admission to ICU or death.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>A total of 1479 patients were admitted to hospital with confirmed pandemic (H1N1) influenza during the study period. Of these, 1171 (79.2%) did not have a severe outcome, 236 (16.0%) were admitted to ICU and survived, and 72 (4.9%) died. The median age was 23 years for all of the patients, 18 years for those with a nonsevere outcome, 34 years for those admitted to ICU who survived and 51 years for those who died. The risk of a severe outcome was elevated among those who had an underlying medical condition and those 20 years of age and older. A delay of one day in the median time between the onset of symptoms and admission to hospital increased the risk of death by 5.5%. The risk of a severe outcome remained relatively constant over the five-month period.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>INTERPRETATION</b>
</p>
<p>The population-based incidence of admission to hospital with laboratory-confirmed pandemic (H1N1) influenza was low in the first five months of the pandemic in Canada. The risk of a severe outcome was associated with the presence of one or more underlying medical conditions, age of 20 years or more and a delay in hospital admission.</p>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">We describe the disease characteristics and outcomes, including risk factors for admission to intensive care unit (ICU) and death, of all patients in Canada admitted to hospital with pandemic (H1N1) influenza during the first five months of the pandemic.</AbstractText>
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<tree><noCountry><name sortKey="Hong, Zhiyong" sort="Hong, Zhiyong" uniqKey="Hong Z" first="Zhiyong" last="Hong">Zhiyong Hong</name>
<name sortKey="Kropp, Rhonda" sort="Kropp, Rhonda" uniqKey="Kropp R" first="Rhonda" last="Kropp">Rhonda Kropp</name>
<name sortKey="Mao, Yang" sort="Mao, Yang" uniqKey="Mao Y" first="Yang" last="Mao">Yang Mao</name>
<name sortKey="Pelletier, Louise" sort="Pelletier, Louise" uniqKey="Pelletier L" first="Louise" last="Pelletier">Louise Pelletier</name>
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Risk of severe outcomes among patients admitted to hospital with pandemic (H1N1) influenza.

Risk of severe outcomes among patients admitted to hospital with pandemic (H1N1) influenza.

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