[Critically ill patients with 2009 pandemic influenza A (H1N1) infection in Spain: factors associated with death, April 2009-January 2010].
Identifieur interne : 000438 ( Main/Exploration ); précédent : 000437; suivant : 000439[Critically ill patients with 2009 pandemic influenza A (H1N1) infection in Spain: factors associated with death, April 2009-January 2010].
Auteurs : Patricia Santa-Olalla Peralta [Espagne] ; Marta Cortes García ; Aurora Limia Sánchez ; Josefa Andrés Prado ; Isabel Pach N Del Amo ; Maria José Sierra MorosSource :
- Revista espanola de salud publica [ 1135-5727 ]
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Cause de décès (MeSH), Documents (MeSH), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Espagne (épidémiologie), Facteurs temps (MeSH), Femelle (MeSH), Grippe humaine (mortalité), Grippe humaine (épidémiologie), Humains (MeSH), Jeune adulte (MeSH), Maladie grave (MeSH), Mâle (MeSH), Nourrisson (MeSH), Pandémies (MeSH), Sous-type H1N1 du virus de la grippe A (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH).
- MESH :
- mortalité : Grippe humaine.
- épidémiologie : Espagne, Grippe humaine.
- Adolescent, Adulte, Adulte d'âge moyen, Cause de décès, Documents, Enfant, Enfant d'âge préscolaire, Facteurs temps, Femelle, Humains, Jeune adulte, Maladie grave, Mâle, Nourrisson, Pandémies, Sous-type H1N1 du virus de la grippe A, Sujet âgé, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Cause of Death (MeSH), Child (MeSH), Child, Preschool (MeSH), Critical Illness (MeSH), Female (MeSH), Humans (MeSH), Infant (MeSH), Influenza A Virus, H1N1 Subtype (MeSH), Influenza, Human (epidemiology), Influenza, Human (mortality), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Records (MeSH), Spain (epidemiology), Time Factors (MeSH), Young Adult (MeSH).
- MESH :
- epidemiology : Influenza, Human, Spain.
- mortality : Influenza, Human.
- Adolescent, Adult, Aged, Aged, 80 and over, Cause of Death, Child, Child, Preschool, Critical Illness, Female, Humans, Infant, Influenza A Virus, H1N1 Subtype, Male, Middle Aged, Pandemics, Records, Time Factors, Young Adult.
Abstract
BACKGROUND
It is necessary to analyse the severe cases of pandemic influenza infection in order to identify vulnerable populations and adapt prevention and control policies accordingly. We analysed the clinical and epidemiological characteristics and risk factors associated with death in patients with 2009 pandemic influenza A (H1N1) infection hospitalised in intensive care units (ICUs) in Spain and reported from 24 April 2009 to 31 January 2010.
METHODS
As part of the national strategy for surveillance of hospitalized cases with pandemic influenza, cased-based clinical and epidemiological information on all cases admitted to an ICU with 2009 pandemic virus (H1N1) infection was collected nationwide.
RESULTS
Of 1,231 cases admitted to ICU, 271 died (case fatality ratio, 22%). The median age was 40 years (range: 0-90). A total of 838 (76.3%) patients had an underlying risk condition, being respiratory disease the most frequently reported (34.1%), followed by morbid obesity (18.8%), in adults. Antiviral treatment was given in 93.1% patients and in 25.6% (n = 231) it was initiated within 48 hours of symptoms onset. In a multivariate analysis, cancer (OR 2.71, 95%CI 1.44 to 5.1), immunodeficiency (OR 2.25, 95%CI 1.29 - 3.92) and morbid obesity (OR 1.79, 95%CI 1.13 to 2.85) were significantly associated with death in adults.
CONCLUSIONS
The characterization of severe pandemic influenza cases has been crucial in identifying as risk factors of complications and death from influenza the presence of cancer and immunodeficiencies and for the first time, morbid obesity in adults.
DOI: 10.1590/s1135-57272010000500008
PubMed: 21203719
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Cortes Garcia, Marta" sort="Cortes Garcia, Marta" uniqKey="Cortes Garcia M" first="Marta" last="Cortes García">Marta Cortes García</name></author><author><name sortKey="Limia Sanchez, Aurora" sort="Limia Sanchez, Aurora" uniqKey="Limia Sanchez A" first="Aurora" last="Limia Sánchez">Aurora Limia Sánchez</name></author><author><name sortKey="Andres Prado, Josefa" sort="Andres Prado, Josefa" uniqKey="Andres Prado J" first="Josefa" last="Andrés Prado">Josefa Andrés Prado</name></author><author><name sortKey="Pach N Del Amo, Isabel" sort="Pach N Del Amo, Isabel" uniqKey="Pach N Del Amo I" first="Isabel" last="Pach N Del Amo">Isabel Pach N Del Amo</name></author><author><name sortKey="Sierra Moros, Maria Jose" sort="Sierra Moros, Maria Jose" uniqKey="Sierra Moros M" first="Maria José" last="Sierra Moros">Maria José Sierra Moros</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010 Sep-Oct</date><idno type="RBID">pubmed:21203719</idno><idno type="pmid">21203719</idno><idno type="doi">10.1590/s1135-57272010000500008</idno><idno type="wicri:Area/Main/Corpus">00419</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">00419</idno><idno type="wicri:Area/Main/Curation">000419</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000419</idno><idno type="wicri:Area/Main/Exploration">000419</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Critically ill patients with 2009 pandemic influenza A (H1N1) infection in Spain: factors associated with death, April 2009-January 2010].</title><author><name sortKey="Santa Olalla Peralta, Patricia" sort="Santa Olalla Peralta, Patricia" uniqKey="Santa Olalla Peralta P" first="Patricia" last="Santa-Olalla Peralta">Patricia Santa-Olalla Peralta</name><affiliation wicri:level="3"><nlm:affiliation>Centro de Coordinación de Alertas y Emergencias Sanitarias (CCAES), Dirección General de Salud Pública y Sanidad Exterior, Ministerio de Sanidad y Política Social de España, Madrid, Spain. psantaolalla@msps.es</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Centro de Coordinación de Alertas y Emergencias Sanitarias (CCAES), Dirección General de Salud Pública y Sanidad Exterior, Ministerio de Sanidad y Política Social de España, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Cortes Garcia, Marta" sort="Cortes Garcia, Marta" uniqKey="Cortes Garcia M" first="Marta" last="Cortes García">Marta Cortes García</name></author><author><name sortKey="Limia Sanchez, Aurora" sort="Limia Sanchez, Aurora" uniqKey="Limia Sanchez A" first="Aurora" last="Limia Sánchez">Aurora Limia Sánchez</name></author><author><name sortKey="Andres Prado, Josefa" sort="Andres Prado, Josefa" uniqKey="Andres Prado J" first="Josefa" last="Andrés Prado">Josefa Andrés Prado</name></author><author><name sortKey="Pach N Del Amo, Isabel" sort="Pach N Del Amo, Isabel" uniqKey="Pach N Del Amo I" first="Isabel" last="Pach N Del Amo">Isabel Pach N Del Amo</name></author><author><name sortKey="Sierra Moros, Maria Jose" sort="Sierra Moros, Maria Jose" uniqKey="Sierra Moros M" first="Maria José" last="Sierra Moros">Maria José Sierra Moros</name></author></analytic><series><title level="j">Revista espanola de salud publica</title><idno type="ISSN">1135-5727</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Cause of Death (MeSH)</term><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Critical Illness (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Infant (MeSH)</term><term>Influenza A Virus, H1N1 Subtype (MeSH)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (mortality)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (MeSH)</term><term>Records (MeSH)</term><term>Spain (epidemiology)</term><term>Time Factors (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Cause de décès (MeSH)</term><term>Documents (MeSH)</term><term>Enfant (MeSH)</term><term>Enfant d'âge préscolaire (MeSH)</term><term>Espagne (épidémiologie)</term><term>Facteurs temps (MeSH)</term><term>Femelle (MeSH)</term><term>Grippe humaine (mortalité)</term><term>Grippe humaine (épidémiologie)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Maladie grave (MeSH)</term><term>Mâle (MeSH)</term><term>Nourrisson (MeSH)</term><term>Pandémies (MeSH)</term><term>Sous-type H1N1 du virus de la grippe A (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (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="épidémiologie" xml:lang="fr"><term>Espagne</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cause of Death</term><term>Child</term><term>Child, Preschool</term><term>Critical Illness</term><term>Female</term><term>Humans</term><term>Infant</term><term>Influenza A Virus, H1N1 Subtype</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Records</term><term>Time Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Cause de décès</term><term>Documents</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Maladie grave</term><term>Mâle</term><term>Nourrisson</term><term>Pandémies</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>It is necessary to analyse the severe cases of pandemic influenza infection in order to identify vulnerable populations and adapt prevention and control policies accordingly. We analysed the clinical and epidemiological characteristics and risk factors associated with death in patients with 2009 pandemic influenza A (H1N1) infection hospitalised in intensive care units (ICUs) in Spain and reported from 24 April 2009 to 31 January 2010.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>As part of the national strategy for surveillance of hospitalized cases with pandemic influenza, cased-based clinical and epidemiological information on all cases admitted to an ICU with 2009 pandemic virus (H1N1) infection was collected nationwide.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Of 1,231 cases admitted to ICU, 271 died (case fatality ratio, 22%). The median age was 40 years (range: 0-90). A total of 838 (76.3%) patients had an underlying risk condition, being respiratory disease the most frequently reported (34.1%), followed by morbid obesity (18.8%), in adults. Antiviral treatment was given in 93.1% patients and in 25.6% (n = 231) it was initiated within 48 hours of symptoms onset. In a multivariate analysis, cancer (OR 2.71, 95%CI 1.44 to 5.1), immunodeficiency (OR 2.25, 95%CI 1.29 - 3.92) and morbid obesity (OR 1.79, 95%CI 1.13 to 2.85) were significantly associated with death in adults.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The characterization of severe pandemic influenza cases has been crucial in identifying as risk factors of complications and death from influenza the presence of cancer and immunodeficiencies and for the first time, morbid obesity in adults.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21203719</PMID><DateCompleted><Year>2011</Year><Month>02</Month><Day>24</Day></DateCompleted><DateRevised><Year>2019</Year><Month>11</Month><Day>11</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1135-5727</ISSN><JournalIssue CitedMedium="Print"><Volume>84</Volume><Issue>5</Issue><PubDate><MedlineDate>2010 Sep-Oct</MedlineDate></PubDate></JournalIssue><Title>Revista espanola de salud publica</Title><ISOAbbreviation>Rev. Esp. Salud Publica</ISOAbbreviation></Journal><ArticleTitle>[Critically ill patients with 2009 pandemic influenza A (H1N1) infection in Spain: factors associated with death, April 2009-January 2010].</ArticleTitle><Pagination><MedlinePgn>547-67</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1135-57272010000500008</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">It is necessary to analyse the severe cases of pandemic influenza infection in order to identify vulnerable populations and adapt prevention and control policies accordingly. We analysed the clinical and epidemiological characteristics and risk factors associated with death in patients with 2009 pandemic influenza A (H1N1) infection hospitalised in intensive care units (ICUs) in Spain and reported from 24 April 2009 to 31 January 2010.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">As part of the national strategy for surveillance of hospitalized cases with pandemic influenza, cased-based clinical and epidemiological information on all cases admitted to an ICU with 2009 pandemic virus (H1N1) infection was collected nationwide.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 1,231 cases admitted to ICU, 271 died (case fatality ratio, 22%). The median age was 40 years (range: 0-90). A total of 838 (76.3%) patients had an underlying risk condition, being respiratory disease the most frequently reported (34.1%), followed by morbid obesity (18.8%), in adults. Antiviral treatment was given in 93.1% patients and in 25.6% (n = 231) it was initiated within 48 hours of symptoms onset. In a multivariate analysis, cancer (OR 2.71, 95%CI 1.44 to 5.1), immunodeficiency (OR 2.25, 95%CI 1.29 - 3.92) and morbid obesity (OR 1.79, 95%CI 1.13 to 2.85) were significantly associated with death in adults.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The characterization of severe pandemic influenza cases has been crucial in identifying as risk factors of complications and death from influenza the presence of cancer and immunodeficiencies and for the first time, morbid obesity in adults.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Santa-Olalla Peralta</LastName><ForeName>Patricia</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Centro de Coordinación de Alertas y Emergencias Sanitarias (CCAES), Dirección General de Salud Pública y Sanidad Exterior, Ministerio de Sanidad y Política Social de España, Madrid, Spain. psantaolalla@msps.es</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cortes García</LastName><ForeName>Marta</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Limia Sánchez</LastName><ForeName>Aurora</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Andrés Prado</LastName><ForeName>Josefa</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Pachón Del Amo</LastName><ForeName>Isabel</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Sierra Moros</LastName><ForeName>Maria José</ForeName><Initials>MJ</Initials></Author><Author ValidYN="Y"><CollectiveName>Subcomité de Vigilancia Epidemiológica del Plan Nacional de Preparación y Respuesta ante una Pandemia de Gripe</CollectiveName></Author></AuthorList><Language>spa</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Casos de infección por gripe pandémica (H1N1) 2009 hospitalizados en cuidados intensivos en España: factores asociados a riesgo de muerte, Abril 2009-Enero 2010.</VernacularTitle></Article><MedlineJournalInfo><Country>Spain</Country><MedlineTA>Rev Esp Salud Publica</MedlineTA><NlmUniqueID>9600212</NlmUniqueID><ISSNLinking>1135-5727</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</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="D002423" MajorTopicYN="N">Cause of Death</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016638" MajorTopicYN="N">Critical Illness</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</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="N">epidemiology</QualifierName><QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011996" MajorTopicYN="N">Records</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N">Spain</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>1</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>1</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>2</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21203719</ArticleId><ArticleId IdType="pii">S1135-57272010000500008</ArticleId><ArticleId IdType="doi">10.1590/s1135-57272010000500008</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="Andres Prado, Josefa" sort="Andres Prado, Josefa" uniqKey="Andres Prado J" first="Josefa" last="Andrés Prado">Josefa Andrés Prado</name><name sortKey="Cortes Garcia, Marta" sort="Cortes Garcia, Marta" uniqKey="Cortes Garcia M" first="Marta" last="Cortes García">Marta Cortes García</name><name sortKey="Limia Sanchez, Aurora" sort="Limia Sanchez, Aurora" uniqKey="Limia Sanchez A" first="Aurora" last="Limia Sánchez">Aurora Limia Sánchez</name><name sortKey="Pach N Del Amo, Isabel" sort="Pach N Del Amo, Isabel" uniqKey="Pach N Del Amo I" first="Isabel" last="Pach N Del Amo">Isabel Pach N Del Amo</name><name sortKey="Sierra Moros, Maria Jose" sort="Sierra Moros, Maria Jose" uniqKey="Sierra Moros M" first="Maria José" last="Sierra Moros">Maria José Sierra Moros</name></noCountry><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Santa Olalla Peralta, Patricia" sort="Santa Olalla Peralta, Patricia" uniqKey="Santa Olalla Peralta P" first="Patricia" last="Santa-Olalla Peralta">Patricia Santa-Olalla Peralta</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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