Pandemic 2009 A(H1N1) infection requiring hospitalization of elderly Spanish adults.
Identifieur interne : 000308 ( Main/Exploration ); précédent : 000307; suivant : 000309Pandemic 2009 A(H1N1) infection requiring hospitalization of elderly Spanish adults.
Auteurs : José Ram N Pa O-Pardo [Espagne] ; Diego Viasus ; Jer Nimo Pach N ; Antoni Campins ; Francisco L Pez-Medrano ; Aroa Villoslada ; Manuel Gutiérrez-Cuadra ; Tomás Pumarola ; María Dolores Del Toro ; José A. Oteo ; Joaquin Martínez-Montauti ; Juan Gutiérrez-Aroca ; Ferrán Segura ; Jordi CarratalàSource :
- Journal of the American Geriatrics Society [ 1532-5415 ] ; 2012.
Descripteurs français
- KwdFr :
- Espagne (épidémiologie), Femelle (MeSH), Grippe humaine (thérapie), Grippe humaine (épidémiologie), Hospitalisation (statistiques et données numériques), Humains (MeSH), Mortalité hospitalière (tendances), Mâle (MeSH), Pandémies (MeSH), Pronostic (MeSH), Sous-type H1N1 du virus de la grippe A (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Études de suivi (MeSH), Études prospectives (MeSH).
- MESH :
- statistiques et données numériques : Hospitalisation.
- tendances : Mortalité hospitalière.
- thérapie : Grippe humaine.
- épidémiologie : Espagne, Grippe humaine.
- Femelle, Humains, Mâle, Pandémies, Pronostic, Sous-type H1N1 du virus de la grippe A, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de suivi, Études prospectives.
- Wicri :
- geographic : Espagne.
English descriptors
- KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Female (MeSH), Follow-Up Studies (MeSH), Hospital Mortality (trends), Hospitalization (statistics & numerical data), Humans (MeSH), Influenza A Virus, H1N1 Subtype (MeSH), Influenza, Human (epidemiology), Influenza, Human (therapy), Male (MeSH), Pandemics (MeSH), Prognosis (MeSH), Prospective Studies (MeSH), Spain (epidemiology).
- MESH :
- geographic , epidemiology : Spain.
- epidemiology : Influenza, Human.
- statistics & numerical data : Hospitalization.
- therapy : Influenza, Human.
- trends : Hospital Mortality.
- Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Influenza A Virus, H1N1 Subtype, Male, Pandemics, Prognosis, Prospective Studies.
Abstract
OBJECTIVES
To describe the clinical presentation and prognosis of elderly adults hospitalized with pandemic 2009 A(H1N1) influenza infection and to compare these data with those of younger patients.
DESIGN
Prospective, observational, multicenter study.
SETTING
Thirteen hospitals in Spain.
PARTICIPANTS
Adults admitted to the hospital with confirmed pandemic 2009 A(H1N1) influenza infection.
MEASUREMENTS
Demographic, clinical, laboratory, radiological, and outcome variables.
RESULTS
Between June 12 and November 10, 2009, 585 adults with confirmed 2009 A(H1N1) influenza were hospitalized, of whom 50 (8.5%) were aged 65 and older (median age 72, range 65-87). Older adults (≥ 65) were more likely to have associated comorbidities (88.0% vs 51.2%; P < .001), primarily chronic pulmonary diseases (46.0% vs 27.3%; P < .001). Lower respiratory tract symptoms and signs such as dyspnea (60.0% vs 45.6%) and wheezing (46.0% vs 27.8%; P = .007) were also more common in these elderly adults, although pulmonary infiltrates were present in just 14 (28.0%) of the older adults, compared with 221 (41.3%) of the younger adults (P = .06). Multilobar involvement was less frequent in elderly adults with pulmonary infiltrates than younger adults with pulmonary infiltrates (21.4% vs 60.0%; P = .05). Rhinorrhea (4.0% vs 21.9%; P = .003), myalgias (42.0% vs 59.1%; P = .01), and sore throat (14.0% vs 29.2%; P = .02) were more frequent in younger adults. Early antiviral therapy (<48 hours) was similar in the two groups (34.0% vs 37.9%; P = .58). Two older adults (4.0%) died during hospitalization, compared with 11 (2.1%) younger adults (P = .30).
CONCLUSION
Elderly adults with 2009 A(H1N1) influenza had fewer viral-like upper respiratory symptoms than did younger adults. Pneumonia was more frequent in younger adults. No significant differences were observed in hospital mortality.
DOI: 10.1111/j.1532-5415.2012.03903.x
PubMed: 22462803
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Older adults (≥ 65) were more likely to have associated comorbidities (88.0% vs 51.2%; P < .001), primarily chronic pulmonary diseases (46.0% vs 27.3%; P < .001). Lower respiratory tract symptoms and signs such as dyspnea (60.0% vs 45.6%) and wheezing (46.0% vs 27.8%; P = .007) were also more common in these elderly adults, although pulmonary infiltrates were present in just 14 (28.0%) of the older adults, compared with 221 (41.3%) of the younger adults (P = .06). Multilobar involvement was less frequent in elderly adults with pulmonary infiltrates than younger adults with pulmonary infiltrates (21.4% vs 60.0%; P = .05). Rhinorrhea (4.0% vs 21.9%; P = .003), myalgias (42.0% vs 59.1%; P = .01), and sore throat (14.0% vs 29.2%; P = .02) were more frequent in younger adults. Early antiviral therapy (<48 hours) was similar in the two groups (34.0% vs 37.9%; P = .58). Two older adults (4.0%) died during hospitalization, compared with 11 (2.1%) younger adults (P = .30).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Elderly adults with 2009 A(H1N1) influenza had fewer viral-like upper respiratory symptoms than did younger adults. Pneumonia was more frequent in younger adults. No significant differences were observed in hospital mortality.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22462803</PMID><DateCompleted><Year>2012</Year><Month>06</Month><Day>19</Day></DateCompleted><DateRevised><Year>2012</Year><Month>04</Month><Day>12</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-5415</ISSN><JournalIssue CitedMedium="Internet"><Volume>60</Volume><Issue>4</Issue><PubDate><Year>2012</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Journal of the American Geriatrics Society</Title><ISOAbbreviation>J Am Geriatr Soc</ISOAbbreviation></Journal><ArticleTitle>Pandemic 2009 A(H1N1) infection requiring hospitalization of elderly Spanish adults.</ArticleTitle><Pagination><MedlinePgn>740-4</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/j.1532-5415.2012.03903.x</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To describe the clinical presentation and prognosis of elderly adults hospitalized with pandemic 2009 A(H1N1) influenza infection and to compare these data with those of younger patients.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Prospective, observational, multicenter study.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Thirteen hospitals in Spain.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Adults admitted to the hospital with confirmed pandemic 2009 A(H1N1) influenza infection.</AbstractText><AbstractText Label="MEASUREMENTS" NlmCategory="METHODS">Demographic, clinical, laboratory, radiological, and outcome variables.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Between June 12 and November 10, 2009, 585 adults with confirmed 2009 A(H1N1) influenza were hospitalized, of whom 50 (8.5%) were aged 65 and older (median age 72, range 65-87). Older adults (≥ 65) were more likely to have associated comorbidities (88.0% vs 51.2%; P < .001), primarily chronic pulmonary diseases (46.0% vs 27.3%; P < .001). Lower respiratory tract symptoms and signs such as dyspnea (60.0% vs 45.6%) and wheezing (46.0% vs 27.8%; P = .007) were also more common in these elderly adults, although pulmonary infiltrates were present in just 14 (28.0%) of the older adults, compared with 221 (41.3%) of the younger adults (P = .06). Multilobar involvement was less frequent in elderly adults with pulmonary infiltrates than younger adults with pulmonary infiltrates (21.4% vs 60.0%; P = .05). Rhinorrhea (4.0% vs 21.9%; P = .003), myalgias (42.0% vs 59.1%; P = .01), and sore throat (14.0% vs 29.2%; P = .02) were more frequent in younger adults. Early antiviral therapy (<48 hours) was similar in the two groups (34.0% vs 37.9%; P = .58). Two older adults (4.0%) died during hospitalization, compared with 11 (2.1%) younger adults (P = .30).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Elderly adults with 2009 A(H1N1) influenza had fewer viral-like upper respiratory symptoms than did younger adults. Pneumonia was more frequent in younger adults. No significant differences were observed in hospital mortality.</AbstractText><CopyrightInformation>© 2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Paño-Pardo</LastName><ForeName>José Ramón</ForeName><Initials>JR</Initials><AffiliationInfo><Affiliation>Infectious Diseases Unit, Hospital Universitario La Paz--IDIPAZ, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Viasus</LastName><ForeName>Diego</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Pachón</LastName><ForeName>Jerónimo</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Campins</LastName><ForeName>Antoni</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>López-Medrano</LastName><ForeName>Francisco</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Villoslada</LastName><ForeName>Aroa</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Gutiérrez-Cuadra</LastName><ForeName>Manuel</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Pumarola</LastName><ForeName>Tomás</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>del Toro</LastName><ForeName>María Dolores</ForeName><Initials>MD</Initials></Author><Author ValidYN="Y"><LastName>Oteo</LastName><ForeName>José A</ForeName><Initials>JA</Initials></Author><Author ValidYN="Y"><LastName>Martínez-Montauti</LastName><ForeName>Joaquin</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Gutiérrez-Aroca</LastName><ForeName>Juan</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Segura</LastName><ForeName>Ferrán</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Carratalà</LastName><ForeName>Jordi</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><CollectiveName>Novel Influenza A (H1N1) Study Group of Spanish Network for Research in Infectious Diseases</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2012</Year><Month>03</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Am Geriatr Soc</MedlineTA><NlmUniqueID>7503062</NlmUniqueID><ISSNLinking>0002-8614</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017052" MajorTopicYN="N">Hospital Mortality</DescriptorName><QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName></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="D053118" MajorTopicYN="Y">Influenza A Virus, H1N1 Subtype</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading></MeshHeadingList><InvestigatorList><Investigator ValidYN="Y"><LastName>Martín-Quirós</LastName><ForeName>Alejandro</ForeName><Initials>A</Initials></Investigator><Investigator ValidYN="Y"><LastName>Romero-Gómez</LastName><ForeName>María</ForeName><Initials>M</Initials></Investigator><Investigator ValidYN="Y"><LastName>Martínez Sánchez</LastName><ForeName>Nuria</ForeName><Initials>N</Initials></Investigator><Investigator ValidYN="Y"><LastName>Figueira</LastName><ForeName>Juan Carlos</ForeName><Initials>JC</Initials></Investigator><Investigator ValidYN="Y"><LastName>Prados</LastName><ForeName>María Concepción</ForeName><Initials>MC</Initials></Investigator><Investigator ValidYN="Y"><LastName>Gudiol</LastName><ForeName>Francesc</ForeName><Initials>F</Initials></Investigator><Investigator ValidYN="Y"><LastName>Niubo</LastName><ForeName>Jordi</ForeName><Initials>J</Initials></Investigator><Investigator ValidYN="Y"><LastName>Cordero</LastName><ForeName>Elisa</ForeName><Initials>E</Initials></Investigator><Investigator ValidYN="Y"><LastName>García-Cabrera</LastName><ForeName>Emilio</ForeName><Initials>E</Initials></Investigator><Investigator ValidYN="Y"><LastName>Riera</LastName><ForeName>Melchor</ForeName><Initials>M</Initials></Investigator><Investigator ValidYN="Y"><LastName>Aguado</LastName><ForeName>José María</ForeName><Initials>JM</Initials></Investigator><Investigator ValidYN="Y"><LastName>Vila</LastName><ForeName>Juan</ForeName><Initials>J</Initials></Investigator><Investigator ValidYN="Y"><LastName>Payeras</LastName><ForeName>Antoni</ForeName><Initials>A</Initials></Investigator><Investigator ValidYN="Y"><LastName>García-Gasalla</LastName><ForeName>Mercedes</ForeName><Initials>M</Initials></Investigator><Investigator ValidYN="Y"><LastName>Fariñas</LastName><ForeName>M Carmen</ForeName><Initials>MC</Initials></Investigator><Investigator ValidYN="Y"><LastName>González-Fernández</LastName><ForeName>José Luis</ForeName><Initials>JL</Initials></Investigator><Investigator ValidYN="Y"><LastName>Sanjuan</LastName><ForeName>María Victoria</ForeName><Initials>MV</Initials></Investigator><Investigator ValidYN="Y"><LastName>Moreno</LastName><ForeName>Asunción</ForeName><Initials>A</Initials></Investigator><Investigator ValidYN="Y"><LastName>Linares</LastName><ForeName>Laura</ForeName><Initials>L</Initials></Investigator><Investigator ValidYN="Y"><LastName>Marcos</LastName><ForeName>María Ángeles</ForeName><Initials>MÁ</Initials></Investigator><Investigator ValidYN="Y"><LastName>Rodríguez-Baño</LastName><ForeName>Jesús</ForeName><Initials>J</Initials></Investigator><Investigator ValidYN="Y"><LastName>Fernández-Cuenca</LastName><ForeName>Felipe</ForeName><Initials>F</Initials></Investigator><Investigator ValidYN="Y"><LastName>Pérez-Martínez</LastName><ForeName>Laura</ForeName><Initials>L</Initials></Investigator><Investigator ValidYN="Y"><LastName>García-Alvarez</LastName><ForeName>Lara</ForeName><Initials>L</Initials></Investigator><Investigator ValidYN="Y"><LastName>Ortega</LastName><ForeName>Lucia</ForeName><Initials>L</Initials></Investigator><Investigator ValidYN="Y"><LastName>Torre-Cisneros</LastName><ForeName>Julián</ForeName><Initials>J</Initials></Investigator><Investigator ValidYN="Y"><LastName>Casal</LastName><ForeName>Manuel</ForeName><Initials>M</Initials></Investigator><Investigator ValidYN="Y"><LastName>Causse</LastName><ForeName>Manuel</ForeName><Initials>M</Initials></Investigator><Investigator ValidYN="Y"><LastName>Gracia</LastName><ForeName>Irene</ForeName><Initials>I</Initials></Investigator><Investigator ValidYN="Y"><LastName>Lara</LastName><ForeName>Rosario</ForeName><Initials>R</Initials></Investigator><Investigator ValidYN="Y"><LastName>Rivero</LastName><ForeName>Antonio</ForeName><Initials>A</Initials></Investigator><Investigator ValidYN="Y"><LastName>Navarro</LastName><ForeName>Gemma</ForeName><Initials>G</Initials></Investigator><Investigator ValidYN="Y"><LastName>Granados</LastName><ForeName>Ana</ForeName><Initials>A</Initials></Investigator></InvestigatorList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>4</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>4</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>6</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22462803</ArticleId><ArticleId IdType="doi">10.1111/j.1532-5415.2012.03903.x</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country><region><li>Communauté de Madrid</li></region><settlement><li>Madrid</li></settlement></list><tree><noCountry><name sortKey="Campins, Antoni" sort="Campins, Antoni" uniqKey="Campins A" first="Antoni" last="Campins">Antoni Campins</name><name sortKey="Carratala, Jordi" sort="Carratala, Jordi" uniqKey="Carratala J" first="Jordi" last="Carratalà">Jordi Carratalà</name><name sortKey="Del Toro, Maria Dolores" sort="Del Toro, Maria Dolores" uniqKey="Del Toro M" first="María Dolores" last="Del Toro">María Dolores Del Toro</name><name sortKey="Gutierrez Aroca, Juan" sort="Gutierrez Aroca, Juan" uniqKey="Gutierrez Aroca J" first="Juan" last="Gutiérrez-Aroca">Juan Gutiérrez-Aroca</name><name sortKey="Gutierrez Cuadra, Manuel" sort="Gutierrez Cuadra, Manuel" uniqKey="Gutierrez Cuadra M" first="Manuel" last="Gutiérrez-Cuadra">Manuel Gutiérrez-Cuadra</name><name sortKey="L Pez Medrano, Francisco" sort="L Pez Medrano, Francisco" uniqKey="L Pez Medrano F" first="Francisco" last="L Pez-Medrano">Francisco L Pez-Medrano</name><name sortKey="Martinez Montauti, Joaquin" sort="Martinez Montauti, Joaquin" uniqKey="Martinez Montauti J" first="Joaquin" last="Martínez-Montauti">Joaquin Martínez-Montauti</name><name sortKey="Oteo, Jose A" sort="Oteo, Jose A" uniqKey="Oteo J" first="José A" last="Oteo">José A. Oteo</name><name sortKey="Pach N, Jer Nimo" sort="Pach N, Jer Nimo" uniqKey="Pach N J" first="Jer Nimo" last="Pach N">Jer Nimo Pach N</name><name sortKey="Pumarola, Tomas" sort="Pumarola, Tomas" uniqKey="Pumarola T" first="Tomás" last="Pumarola">Tomás Pumarola</name><name sortKey="Segura, Ferran" sort="Segura, Ferran" uniqKey="Segura F" first="Ferrán" last="Segura">Ferrán Segura</name><name sortKey="Viasus, Diego" sort="Viasus, Diego" uniqKey="Viasus D" first="Diego" last="Viasus">Diego Viasus</name><name sortKey="Villoslada, Aroa" sort="Villoslada, Aroa" uniqKey="Villoslada A" first="Aroa" last="Villoslada">Aroa Villoslada</name></noCountry><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Pa O Pardo, Jose Ram N" sort="Pa O Pardo, Jose Ram N" uniqKey="Pa O Pardo J" first="José Ram N" last="Pa O-Pardo">José Ram N Pa O-Pardo</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Pandemic 2009 A(H1N1) infection requiring hospitalization of elderly Spanish adults.
}}
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