Serveur d'exploration sur la grippe en Espagne

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[Premature mortality excess related to influenza in Spain during an interpandemic period].

Identifieur interne : 000281 ( Main/Exploration ); précédent : 000280; suivant : 000282

[Premature mortality excess related to influenza in Spain during an interpandemic period].

Auteurs : Lorena Sim N Méndez [Espagne] ; Teresa L Pez-Cuadrado ; Noemí L Pez Perea ; Amparo Larrauri Cámara ; Salvador De Mateo Onta N

Source :

RBID : pubmed:22991058

Descripteurs français

English descriptors

Abstract

BACKGROUND

The indicator of Potential Years of Life Lost (PYLL) has been frequently used to analysis of premature mortality and recently has been used to estimate the impact of the last influenza A(H1N1)pdm09 pandemic. The aim of this study was to estimate the excess deaths from pneumonia and influenza (P&I) in Spain and the PYLL during the period 1980-2008, measuring the mortality attributable to influenza regarding the type/subtype of influenza dominant in each season.

METHODS

Monthly excess deaths were calculated with cyclical regression models. The PYLL calculation was performed as the product of the number of excess deaths and the difference between life expectancy at birth and years lived for each age group. The analysis of the variation between P&I excess deaths and PYLL, depending on the predominant influenza virus type/subtype was carried out with a Poisson regression analysis.

RESULTS

In seasons dominated by influenza virus A(H3) the average P&I excess deaths was estimated at 1,348, and for PYLL in 5.297, while in seasons dominated by A(H1) or B the average P&I excess deaths was 648, and for PYLL 2.885. The adjusted rate ratios of excess (2.11, CI-95%=2.05-2.16) and PYLL (1.86, CI-95%=1.83-1.88) indicate that the relative frequencies for both indicators are significantly larger in seasons dominated by influenza virus A(H3).

CONCLUSIONS

Excess deaths and PYLL doubled when comparing seasons predominantly subtype A(H3) and other influenza viruses.


DOI: 10.1590/S1135-57272012000200004
PubMed: 22991058


Affiliations:


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Le document en format XML

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<nlm:affiliation>Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, España.</nlm:affiliation>
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<name sortKey="L Pez Cuadrado, Teresa" sort="L Pez Cuadrado, Teresa" uniqKey="L Pez Cuadrado T" first="Teresa" last="L Pez-Cuadrado">Teresa L Pez-Cuadrado</name>
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<name sortKey="L Pez Perea, Noemi" sort="L Pez Perea, Noemi" uniqKey="L Pez Perea N" first="Noemí" last="L Pez Perea">Noemí L Pez Perea</name>
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<name sortKey="Larrauri Camara, Amparo" sort="Larrauri Camara, Amparo" uniqKey="Larrauri Camara A" first="Amparo" last="Larrauri Cámara">Amparo Larrauri Cámara</name>
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<name sortKey="De Mateo Onta N, Salvador" sort="De Mateo Onta N, Salvador" uniqKey="De Mateo Onta N S" first="Salvador" last="De Mateo Onta N">Salvador De Mateo Onta N</name>
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<term>Child (MeSH)</term>
<term>Child, Preschool (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Infant (MeSH)</term>
<term>Infant, Newborn (MeSH)</term>
<term>Influenza A virus (MeSH)</term>
<term>Influenza B virus (MeSH)</term>
<term>Influenza, Human (mortality)</term>
<term>Middle Aged (MeSH)</term>
<term>Mortality, Premature (MeSH)</term>
<term>Pneumonia (mortality)</term>
<term>Poisson Distribution (MeSH)</term>
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<term>Spain (epidemiology)</term>
<term>Young Adult (MeSH)</term>
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<term>Adulte (MeSH)</term>
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<term>Analyse de régression (MeSH)</term>
<term>Enfant (MeSH)</term>
<term>Enfant d'âge préscolaire (MeSH)</term>
<term>Espagne (épidémiologie)</term>
<term>Grippe humaine (mortalité)</term>
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<term>Jeune adulte (MeSH)</term>
<term>Loi de Poisson (MeSH)</term>
<term>Mortalité prématurée (MeSH)</term>
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<term>Nouveau-né (MeSH)</term>
<term>Pneumopathie infectieuse (mortalité)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Virus de la grippe A (MeSH)</term>
<term>Virus influenza B (MeSH)</term>
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<term>Pneumonia</term>
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<term>Pneumopathie infectieuse</term>
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<term>Child</term>
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<term>Infant</term>
<term>Infant, Newborn</term>
<term>Influenza A virus</term>
<term>Influenza B virus</term>
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<term>Mortality, Premature</term>
<term>Poisson Distribution</term>
<term>Regression Analysis</term>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de régression</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Humains</term>
<term>Jeune adulte</term>
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<b>BACKGROUND</b>
</p>
<p>The indicator of Potential Years of Life Lost (PYLL) has been frequently used to analysis of premature mortality and recently has been used to estimate the impact of the last influenza A(H1N1)pdm09 pandemic. The aim of this study was to estimate the excess deaths from pneumonia and influenza (P&I) in Spain and the PYLL during the period 1980-2008, measuring the mortality attributable to influenza regarding the type/subtype of influenza dominant in each season.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Monthly excess deaths were calculated with cyclical regression models. The PYLL calculation was performed as the product of the number of excess deaths and the difference between life expectancy at birth and years lived for each age group. The analysis of the variation between P&I excess deaths and PYLL, depending on the predominant influenza virus type/subtype was carried out with a Poisson regression analysis.</p>
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<p>
<b>RESULTS</b>
</p>
<p>In seasons dominated by influenza virus A(H3) the average P&I excess deaths was estimated at 1,348, and for PYLL in 5.297, while in seasons dominated by A(H1) or B the average P&I excess deaths was 648, and for PYLL 2.885. The adjusted rate ratios of excess (2.11, CI-95%=2.05-2.16) and PYLL (1.86, CI-95%=1.83-1.88) indicate that the relative frequencies for both indicators are significantly larger in seasons dominated by influenza virus A(H3).</p>
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<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
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<p>Excess deaths and PYLL doubled when comparing seasons predominantly subtype A(H3) and other influenza viruses.</p>
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