Serveur d'exploration sur la grippe en Espagne

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Asthma in older people hospitalized with influenza in Spain: A case-control study.

Identifieur interne : 000111 ( Main/Exploration ); précédent : 000110; suivant : 000112

Asthma in older people hospitalized with influenza in Spain: A case-control study.

Auteurs : María Morales-Suárez-Varela ; Agustín Llopis-González ; Carlos Vergara-Hernández ; Estrella Fernandez-Fabrellas ; Francisco Sanz ; María José Perez-Lozano ; Vicente Martin ; Jenaro Astray ; Jesús Castilla ; Mikel Egurrola ; Luis Force ; Diana Toledo ; Àngela Domínguez

Source :

RBID : pubmed:28668107

Descripteurs français

English descriptors

Abstract

BACKGROUND

Influenza infection is an exacerbating factor for asthma, and its prevention is critical in older patients with asthma.

OBJECTIVE

This study investigated the association between asthma and influenza-related hospitalization, in Spain, of patients ages ≥ 65 years and their clinical evolution.

METHODS

A multicenter case-control study was carried out in 20 Spanish hospitals during the 2013-2014 and 2014-2015 influenza seasons. Patients ages ≥ 65 years hospitalized with laboratory-confirmed influenza with and without asthma were matched with controls according to the presence of asthma, sex, age, hospital, and date of hospitalization.

RESULTS

A total of 561 patients with influenza (15.9% with asthma) and 1258 patients without influenza (8.0% with asthma) were included as cases and controls, respectively. The adjusted risk of influenza for patients with asthma was calculated by multivariate conditional logistic regression. The adjustment variables were the following: smoker/nonsmoker, pneumonia in the 2 years before hospital admission, previous oral treatment with corticosteroids, influenza vaccination during the seasonal campaign, Barthel index (ordinal scale used to measure performance in activities of daily living), level of education, obesity, and the presence of other comorbidities. Patients with asthma presented a great risk of influenza (adjusted odds ratio 2.64 [95% confidence interval, 1.77-3.94]). Compared with patients without asthma, patients with asthma had more symptoms, and these had been present for longer before admission but presented a lower hospital or postdischarge mortality.

CONCLUSION

This study indicated that asthma was associated with hospitalization from influenza A infection. Although patients with asthma and with influenza had more symptoms, hospital or postdischarge mortality was lower, probably due to a better response to medical treatment.


DOI: 10.2500/aap.2017.38.4060
PubMed: 28668107


Affiliations:


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


Le document en format XML

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<term>Age Factors (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Asthma (diagnosis)</term>
<term>Asthma (epidemiology)</term>
<term>Asthma (mortality)</term>
<term>Case-Control Studies (MeSH)</term>
<term>Chi-Square Distribution (MeSH)</term>
<term>Female (MeSH)</term>
<term>Hospital Mortality (MeSH)</term>
<term>Hospitalization (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza A virus (isolation & purification)</term>
<term>Influenza, Human (diagnosis)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (mortality)</term>
<term>Influenza, Human (virology)</term>
<term>Logistic Models (MeSH)</term>
<term>Male (MeSH)</term>
<term>Multivariate Analysis (MeSH)</term>
<term>Odds Ratio (MeSH)</term>
<term>Patient Discharge (MeSH)</term>
<term>Prognosis (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Spain (epidemiology)</term>
<term>Time Factors (MeSH)</term>
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<term>Analyse multifactorielle (MeSH)</term>
<term>Asthme (diagnostic)</term>
<term>Asthme (mortalité)</term>
<term>Asthme (épidémiologie)</term>
<term>Espagne (épidémiologie)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Facteurs temps (MeSH)</term>
<term>Facteurs âges (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Grippe humaine (diagnostic)</term>
<term>Grippe humaine (mortalité)</term>
<term>Grippe humaine (virologie)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Hospitalisation (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Loi du khi-deux (MeSH)</term>
<term>Modèles logistiques (MeSH)</term>
<term>Mortalité hospitalière (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Odds ratio (MeSH)</term>
<term>Pronostic (MeSH)</term>
<term>Sortie du patient (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Virus de la grippe A (isolement et purification)</term>
<term>Études cas-témoins (MeSH)</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Asthma</term>
<term>Influenza, Human</term>
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<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Asthme</term>
<term>Grippe humaine</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Asthma</term>
<term>Influenza, Human</term>
<term>Spain</term>
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<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en">
<term>Influenza A virus</term>
</keywords>
<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr">
<term>Virus de la grippe A</term>
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<keywords scheme="MESH" qualifier="mortality" xml:lang="en">
<term>Asthma</term>
<term>Influenza, Human</term>
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<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr">
<term>Asthme</term>
<term>Grippe humaine</term>
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<term>Grippe humaine</term>
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<term>Influenza, Human</term>
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<term>Asthme</term>
<term>Espagne</term>
<term>Grippe humaine</term>
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<term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Case-Control Studies</term>
<term>Chi-Square Distribution</term>
<term>Female</term>
<term>Hospital Mortality</term>
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<term>Humans</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Multivariate Analysis</term>
<term>Odds Ratio</term>
<term>Patient Discharge</term>
<term>Prognosis</term>
<term>Risk Factors</term>
<term>Time Factors</term>
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<term>Analyse multifactorielle</term>
<term>Facteurs de risque</term>
<term>Facteurs temps</term>
<term>Facteurs âges</term>
<term>Femelle</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Loi du khi-deux</term>
<term>Modèles logistiques</term>
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<term>Mâle</term>
<term>Odds ratio</term>
<term>Pronostic</term>
<term>Sortie du patient</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>Influenza infection is an exacerbating factor for asthma, and its prevention is critical in older patients with asthma.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>This study investigated the association between asthma and influenza-related hospitalization, in Spain, of patients ages ≥ 65 years and their clinical evolution.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>A multicenter case-control study was carried out in 20 Spanish hospitals during the 2013-2014 and 2014-2015 influenza seasons. Patients ages ≥ 65 years hospitalized with laboratory-confirmed influenza with and without asthma were matched with controls according to the presence of asthma, sex, age, hospital, and date of hospitalization.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>A total of 561 patients with influenza (15.9% with asthma) and 1258 patients without influenza (8.0% with asthma) were included as cases and controls, respectively. The adjusted risk of influenza for patients with asthma was calculated by multivariate conditional logistic regression. The adjustment variables were the following: smoker/nonsmoker, pneumonia in the 2 years before hospital admission, previous oral treatment with corticosteroids, influenza vaccination during the seasonal campaign, Barthel index (ordinal scale used to measure performance in activities of daily living), level of education, obesity, and the presence of other comorbidities. Patients with asthma presented a great risk of influenza (adjusted odds ratio 2.64 [95% confidence interval, 1.77-3.94]). Compared with patients without asthma, patients with asthma had more symptoms, and these had been present for longer before admission but presented a lower hospital or postdischarge mortality.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>This study indicated that asthma was associated with hospitalization from influenza A infection. Although patients with asthma and with influenza had more symptoms, hospital or postdischarge mortality was lower, probably due to a better response to medical treatment.</p>
</div>
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<name sortKey="Dominguez, Angela" sort="Dominguez, Angela" uniqKey="Dominguez A" first="Àngela" last="Domínguez">Àngela Domínguez</name>
<name sortKey="Egurrola, Mikel" sort="Egurrola, Mikel" uniqKey="Egurrola M" first="Mikel" last="Egurrola">Mikel Egurrola</name>
<name sortKey="Fernandez Fabrellas, Estrella" sort="Fernandez Fabrellas, Estrella" uniqKey="Fernandez Fabrellas E" first="Estrella" last="Fernandez-Fabrellas">Estrella Fernandez-Fabrellas</name>
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<name sortKey="Llopis Gonzalez, Agustin" sort="Llopis Gonzalez, Agustin" uniqKey="Llopis Gonzalez A" first="Agustín" last="Llopis-González">Agustín Llopis-González</name>
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<name sortKey="Morales Suarez Varela, Maria" sort="Morales Suarez Varela, Maria" uniqKey="Morales Suarez Varela M" first="María" last="Morales-Suárez-Varela">María Morales-Suárez-Varela</name>
<name sortKey="Perez Lozano, Maria Jose" sort="Perez Lozano, Maria Jose" uniqKey="Perez Lozano M" first="María José" last="Perez-Lozano">María José Perez-Lozano</name>
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<name sortKey="Vergara Hernandez, Carlos" sort="Vergara Hernandez, Carlos" uniqKey="Vergara Hernandez C" first="Carlos" last="Vergara-Hernández">Carlos Vergara-Hernández</name>
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