Seasonal influenza in octogenarians and nonagenarians admitted to a general hospital: epidemiology, clinical presentation and prognostic factors.
Identifieur interne : 000131 ( Main/Exploration ); précédent : 000130; suivant : 000132Seasonal influenza in octogenarians and nonagenarians admitted to a general hospital: epidemiology, clinical presentation and prognostic factors.
Auteurs : J M Ramos [Espagne] ; M M García-Navarro ; M P González De La Aleja ; R. Sánchez-Martínez ; A. Gimeno-Gasc N ; S. Reus ; E. Merino ; J C Rodríguez-Díaz ; J. PortillaSource :
- Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia [ 1988-9518 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Comorbidité (MeSH), Espagne (épidémiologie), Facteurs de risque (MeSH), Facteurs âges (MeSH), Femelle (MeSH), Grippe humaine (mortalité), Grippe humaine (thérapie), Grippe humaine (épidémiologie), Hospitalisation (statistiques et données numériques), Humains (MeSH), Hôpitaux généraux (MeSH), Mâle (MeSH), Pronostic (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Études rétrospectives (MeSH), Études transversales (MeSH).
- MESH :
- mortalité : Grippe humaine.
- statistiques et données numériques : Hospitalisation.
- thérapie : Grippe humaine.
- épidémiologie : Espagne, Grippe humaine.
- Adulte d'âge moyen, Comorbidité, Facteurs de risque, Facteurs âges, Femelle, Humains, Hôpitaux généraux, Mâle, Pronostic, Sujet âgé, Sujet âgé de 80 ans ou plus, Études rétrospectives, Études transversales.
English descriptors
- KwdEn :
- Age Factors (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Comorbidity (MeSH), Cross-Sectional Studies (MeSH), Female (MeSH), Hospitalization (statistics & numerical data), Hospitals, General (MeSH), Humans (MeSH), Influenza, Human (epidemiology), Influenza, Human (mortality), Influenza, Human (therapy), Male (MeSH), Middle Aged (MeSH), Prognosis (MeSH), Retrospective Studies (MeSH), Risk Factors (MeSH), Spain (epidemiology).
- MESH :
- epidemiology : Influenza, Human, Spain.
- mortality : Influenza, Human.
- statistics & numerical data : Hospitalization.
- therapy : Influenza, Human.
- Age Factors, Aged, Aged, 80 and over, Comorbidity, Cross-Sectional Studies, Female, Hospitals, General, Humans, Male, Middle Aged, Prognosis, Retrospective Studies, Risk Factors.
Abstract
OBJECTIVE
Seasonal influenza is responsible for high annual morbidity and mortality worldwide, especially in elderly patients. The aim of the study was to analyse the epidemiological, clinical and prognostic features of influenza in octogenarians and nonagenarians admitted to a general hospital, as well as risk factors associated with mortality.
METHODS
Retrospective, cross-sectional, descriptive study in patients admitted and diagnosed with influenza by molecular biology in the General University Hospital of Alicante from 1 January to 31 April 2015.
RESULTS
A total of 219 patients were diagnosed with influenza in the study period: 55 (25.1%) were ≤64 years-old; 77 (35.2%) were aged 65-79; 67 (30.6%) were aged 80-89 years; and 20 (9.1%) were aged ≥90 years. Most flu episodes were caused by influenza A (n=181, 82.6%). Patients aged 80 years or older had lower glomerular filtration rate (mean: 49.7 mL/min vs. 62.2 mL/min; p=0.006), a greater need for non-invasive mechanical ventilation (22% vs 9.3%; p=0.02), greater co-morbidity due to cardiac insufficiency (40.5% vs. 16.4%; p<0.001) and chronic renal disease (32.9 vs. 20%, p=0.03), and greater mortality (19% vs. 2.9%; p<0.001). In a multivariate analysis, mortality was higher in those aged 80 or over (adjusted odds ratio [ORa] 9.2, 95% confidence interval [CI] 1.65-51.1), those who had acquired the flu in a long-term care facility (ORa 11.9, 95% CI 1.06-134), and those with hyperlactataemia (ORa 1.89, 95% CI 1.20-3.00).
CONCLUSIONS
Seasonal influenza is a serious problem leading to elevated mortality in octogenarian and nonagenarian patients admitted to a general hospital.
PubMed: 27714398
Affiliations:
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C/ Pintor Baeza 12, 03010 Alicante</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté valencienne</region></placeName></affiliation></author><author><name sortKey="Garcia Navarro, M M" sort="Garcia Navarro, M M" uniqKey="Garcia Navarro M" first="M M" last="García-Navarro">M M García-Navarro</name></author><author><name sortKey="Gonzalez De La Aleja, M P" sort="Gonzalez De La Aleja, M P" uniqKey="Gonzalez De La Aleja M" first="M P" last="González De La Aleja">M P González De La Aleja</name></author><author><name sortKey="Sanchez Martinez, R" sort="Sanchez Martinez, R" uniqKey="Sanchez Martinez R" first="R" last="Sánchez-Martínez">R. Sánchez-Martínez</name></author><author><name sortKey="Gimeno Gasc N, A" sort="Gimeno Gasc N, A" uniqKey="Gimeno Gasc N A" first="A" last="Gimeno-Gasc N">A. Gimeno-Gasc N</name></author><author><name sortKey="Reus, S" sort="Reus, S" uniqKey="Reus S" first="S" last="Reus">S. Reus</name></author><author><name sortKey="Merino, E" sort="Merino, E" uniqKey="Merino E" first="E" last="Merino">E. Merino</name></author><author><name sortKey="Rodriguez Diaz, J C" sort="Rodriguez Diaz, J C" uniqKey="Rodriguez Diaz J" first="J C" last="Rodríguez-Díaz">J C Rodríguez-Díaz</name></author><author><name sortKey="Portilla, J" sort="Portilla, J" uniqKey="Portilla J" first="J" last="Portilla">J. 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Hospital General Universitario de Alicante. C/ Pintor Baeza 12, 03010 Alicante, Spain. jramosrincon@yahoo.es.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>José Manuel Ramos, Servicio de Medicina Interna. Hospital General Universitario de Alicante. C/ Pintor Baeza 12, 03010 Alicante</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté valencienne</region></placeName></affiliation></author><author><name sortKey="Garcia Navarro, M M" sort="Garcia Navarro, M M" uniqKey="Garcia Navarro M" first="M M" last="García-Navarro">M M García-Navarro</name></author><author><name sortKey="Gonzalez De La Aleja, M P" sort="Gonzalez De La Aleja, M P" uniqKey="Gonzalez De La Aleja M" first="M P" last="González De La Aleja">M P González De La Aleja</name></author><author><name sortKey="Sanchez Martinez, R" sort="Sanchez Martinez, R" uniqKey="Sanchez Martinez R" first="R" last="Sánchez-Martínez">R. Sánchez-Martínez</name></author><author><name sortKey="Gimeno Gasc N, A" sort="Gimeno Gasc N, A" uniqKey="Gimeno Gasc N A" first="A" last="Gimeno-Gasc N">A. Gimeno-Gasc N</name></author><author><name sortKey="Reus, S" sort="Reus, S" uniqKey="Reus S" first="S" last="Reus">S. Reus</name></author><author><name sortKey="Merino, E" sort="Merino, E" uniqKey="Merino E" first="E" last="Merino">E. Merino</name></author><author><name sortKey="Rodriguez Diaz, J C" sort="Rodriguez Diaz, J C" uniqKey="Rodriguez Diaz J" first="J C" last="Rodríguez-Díaz">J C Rodríguez-Díaz</name></author><author><name sortKey="Portilla, J" sort="Portilla, J" uniqKey="Portilla J" first="J" last="Portilla">J. Portilla</name></author></analytic><series><title level="j">Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia</title><idno type="eISSN">1988-9518</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Age Factors (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Comorbidity (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Female (MeSH)</term><term>Hospitalization (statistics & numerical data)</term><term>Hospitals, General (MeSH)</term><term>Humans (MeSH)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (mortality)</term><term>Influenza, Human (therapy)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Prognosis (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Risk Factors (MeSH)</term><term>Spain (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Comorbidité (MeSH)</term><term>Espagne (épidémiologie)</term><term>Facteurs de risque (MeSH)</term><term>Facteurs âges (MeSH)</term><term>Femelle (MeSH)</term><term>Grippe humaine (mortalité)</term><term>Grippe humaine (thérapie)</term><term>Grippe humaine (épidémiologie)</term><term>Hospitalisation (statistiques et données numériques)</term><term>Humains (MeSH)</term><term>Hôpitaux généraux (MeSH)</term><term>Mâle (MeSH)</term><term>Pronostic (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Études rétrospectives (MeSH)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term><term>Spain</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitalization</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Hospitalisation</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Espagne</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Comorbidity</term><term>Cross-Sectional Studies</term><term>Female</term><term>Hospitals, General</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prognosis</term><term>Retrospective Studies</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Comorbidité</term><term>Facteurs de risque</term><term>Facteurs âges</term><term>Femelle</term><term>Humains</term><term>Hôpitaux généraux</term><term>Mâle</term><term>Pronostic</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études rétrospectives</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Seasonal influenza is responsible for high annual morbidity and mortality worldwide, especially in elderly patients. The aim of the study was to analyse the epidemiological, clinical and prognostic features of influenza in octogenarians and nonagenarians admitted to a general hospital, as well as risk factors associated with mortality.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Retrospective, cross-sectional, descriptive study in patients admitted and diagnosed with influenza by molecular biology in the General University Hospital of Alicante from 1 January to 31 April 2015.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 219 patients were diagnosed with influenza in the study period: 55 (25.1%) were ≤64 years-old; 77 (35.2%) were aged 65-79; 67 (30.6%) were aged 80-89 years; and 20 (9.1%) were aged ≥90 years. Most flu episodes were caused by influenza A (n=181, 82.6%). Patients aged 80 years or older had lower glomerular filtration rate (mean: 49.7 mL/min vs. 62.2 mL/min; p=0.006), a greater need for non-invasive mechanical ventilation (22% vs 9.3%; p=0.02), greater co-morbidity due to cardiac insufficiency (40.5% vs. 16.4%; p<0.001) and chronic renal disease (32.9 vs. 20%, p=0.03), and greater mortality (19% vs. 2.9%; p<0.001). In a multivariate analysis, mortality was higher in those aged 80 or over (adjusted odds ratio [ORa] 9.2, 95% confidence interval [CI] 1.65-51.1), those who had acquired the flu in a long-term care facility (ORa 11.9, 95% CI 1.06-134), and those with hyperlactataemia (ORa 1.89, 95% CI 1.20-3.00).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Seasonal influenza is a serious problem leading to elevated mortality in octogenarian and nonagenarian patients admitted to a general hospital.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27714398</PMID><DateCompleted><Year>2017</Year><Month>04</Month><Day>11</Day></DateCompleted><DateRevised><Year>2017</Year><Month>04</Month><Day>11</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1988-9518</ISSN><JournalIssue CitedMedium="Internet"><Volume>29</Volume><Issue>6</Issue><PubDate><Year>2016</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia</Title><ISOAbbreviation>Rev Esp Quimioter</ISOAbbreviation></Journal><ArticleTitle>Seasonal influenza in octogenarians and nonagenarians admitted to a general hospital: epidemiology, clinical presentation and prognostic factors.</ArticleTitle><Pagination><MedlinePgn>296-301</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">ramos07oct2016</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Seasonal influenza is responsible for high annual morbidity and mortality worldwide, especially in elderly patients. The aim of the study was to analyse the epidemiological, clinical and prognostic features of influenza in octogenarians and nonagenarians admitted to a general hospital, as well as risk factors associated with mortality.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Retrospective, cross-sectional, descriptive study in patients admitted and diagnosed with influenza by molecular biology in the General University Hospital of Alicante from 1 January to 31 April 2015.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 219 patients were diagnosed with influenza in the study period: 55 (25.1%) were ≤64 years-old; 77 (35.2%) were aged 65-79; 67 (30.6%) were aged 80-89 years; and 20 (9.1%) were aged ≥90 years. Most flu episodes were caused by influenza A (n=181, 82.6%). Patients aged 80 years or older had lower glomerular filtration rate (mean: 49.7 mL/min vs. 62.2 mL/min; p=0.006), a greater need for non-invasive mechanical ventilation (22% vs 9.3%; p=0.02), greater co-morbidity due to cardiac insufficiency (40.5% vs. 16.4%; p<0.001) and chronic renal disease (32.9 vs. 20%, p=0.03), and greater mortality (19% vs. 2.9%; p<0.001). In a multivariate analysis, mortality was higher in those aged 80 or over (adjusted odds ratio [ORa] 9.2, 95% confidence interval [CI] 1.65-51.1), those who had acquired the flu in a long-term care facility (ORa 11.9, 95% CI 1.06-134), and those with hyperlactataemia (ORa 1.89, 95% CI 1.20-3.00).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Seasonal influenza is a serious problem leading to elevated mortality in octogenarian and nonagenarian patients admitted to a general hospital.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ramos</LastName><ForeName>J M</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>José Manuel Ramos, Servicio de Medicina Interna. Hospital General Universitario de Alicante. C/ Pintor Baeza 12, 03010 Alicante, Spain. jramosrincon@yahoo.es.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>García-Navarro</LastName><ForeName>M M</ForeName><Initials>MM</Initials></Author><Author ValidYN="Y"><LastName>González de la Aleja</LastName><ForeName>M P</ForeName><Initials>MP</Initials></Author><Author ValidYN="Y"><LastName>Sánchez-Martínez</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Gimeno-Gascón</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Reus</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Merino</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Rodríguez-Díaz</LastName><ForeName>J C</ForeName><Initials>JC</Initials></Author><Author ValidYN="Y"><LastName>Portilla</LastName><ForeName>J</ForeName><Initials>J</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>10</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>Spain</Country><MedlineTA>Rev Esp Quimioter</MedlineTA><NlmUniqueID>9108821</NlmUniqueID><ISSNLinking>0214-3429</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</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="D015897" MajorTopicYN="N">Comorbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></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="D006769" MajorTopicYN="N">Hospitals, General</DescriptorName></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="Q000401" MajorTopicYN="N">mortality</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N">Spain</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>10</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>4</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>10</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27714398</ArticleId><ArticleId IdType="pii">ramos07oct2016</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country><region><li>Communauté valencienne</li></region></list><tree><noCountry><name sortKey="Garcia Navarro, M M" sort="Garcia Navarro, M M" uniqKey="Garcia Navarro M" first="M M" last="García-Navarro">M M García-Navarro</name><name sortKey="Gimeno Gasc N, A" sort="Gimeno Gasc N, A" uniqKey="Gimeno Gasc N A" first="A" last="Gimeno-Gasc N">A. Gimeno-Gasc N</name><name sortKey="Gonzalez De La Aleja, M P" sort="Gonzalez De La Aleja, M P" uniqKey="Gonzalez De La Aleja M" first="M P" last="González De La Aleja">M P González De La Aleja</name><name sortKey="Merino, E" sort="Merino, E" uniqKey="Merino E" first="E" last="Merino">E. Merino</name><name sortKey="Portilla, J" sort="Portilla, J" uniqKey="Portilla J" first="J" last="Portilla">J. Portilla</name><name sortKey="Reus, S" sort="Reus, S" uniqKey="Reus S" first="S" last="Reus">S. Reus</name><name sortKey="Rodriguez Diaz, J C" sort="Rodriguez Diaz, J C" uniqKey="Rodriguez Diaz J" first="J C" last="Rodríguez-Díaz">J C Rodríguez-Díaz</name><name sortKey="Sanchez Martinez, R" sort="Sanchez Martinez, R" uniqKey="Sanchez Martinez R" first="R" last="Sánchez-Martínez">R. Sánchez-Martínez</name></noCountry><country name="Espagne"><region name="Communauté valencienne"><name sortKey="Ramos, J M" sort="Ramos, J M" uniqKey="Ramos J" first="J M" last="Ramos">J M Ramos</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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