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Prognosis of hospitalized patients with 2009 H1N1 influenza in Spain: influence of neuraminidase inhibitors

Identifieur interne : 001817 ( PascalFrancis/Curation ); précédent : 001816; suivant : 001818

Prognosis of hospitalized patients with 2009 H1N1 influenza in Spain: influence of neuraminidase inhibitors

Auteurs : Miguel Delgado-Rodriguez [Espagne] ; Jesus Castilla [Espagne] ; Pere Godoy [Espagne] ; Vicente Martin [Espagne] ; Nuria Soldevita [Espagne] ; Jordi Alonso [Espagne] ; Jenaro Astray [Espagne] ; Maretva Baricot [Espagne] ; Rafael Canton [Espagne] ; Ady Castro [Espagne] ; Fernando Gonzalez-Candelas [Espagne] ; Jose María Mayoral [Espagne] ; Jose María Quintana [Espagne] ; Tomás Pumarola [Espagne] ; Sonia Tamames [Espagne] ; Marc Saez [Espagne] ; Angela Dominguez [Espagne]

Source :

RBID : Pascal:12-0261772

Descripteurs français

English descriptors

Abstract

Background: The H1N1 influenza pandemic strain has been associated with a poor prognosis in hospitalized patients. The present report evaluates the factors influencing prognosis. Methods: A total of 813 patients hospitalized with H1N1 influenza in 36 hospitals (nationwide) in Spain were analysed. Detailed histories of variables preceding hospital admission were obtained by interview, validating data on medications and vaccine with their attending physicians. Data on treatment and complications during hospital stay were recorded. As definition of poor outcome, the endpoints of death and admission to intensive care were combined; and as a further outcome, length of stay was used. Results: The mean age was 38.5 years (SD 22.8 years). There were 10 deaths and 79 admissions to intensive care (combined, 88). The use of neuraminidase inhibitors was reported by 495 patients (60.9%). The variables significantly associated with a poor outcome were diabetes (OR=2.21, 95% CI=1.21-4.02), corticosteroid therapy (OR=3.37, 95% CI=1.39-8.20) and use of histamine-2 receptor antagonists (OR=2.68, 95% CI=1.14-6.36), while the use of neuraminidase inhibitors (OR=0.57, 95% CI=0.34-0.94) was protective. Neuraminidase inhibitors within the first 2 days after the influenza onset reduced hospital stay by a mean of 1.9 days (95% CI=4.7-6.6). Conclusions: The use of neuraminidase inhibitors decreases the length of hospital stay and admission to intensive care and/or death.
pA  
A01 01  1    @0 0305-7453
A02 01      @0 JACHDX
A03   1    @0 J. antimicrob. chemother. : (Print)
A05       @2 67
A06       @2 7
A08 01  1  ENG  @1 Prognosis of hospitalized patients with 2009 H1N1 influenza in Spain: influence of neuraminidase inhibitors
A11 01  1    @1 DELGADO-RODRIGUEZ (Miguel)
A11 02  1    @1 CASTILLA (Jesus)
A11 03  1    @1 GODOY (Pere)
A11 04  1    @1 MARTIN (Vicente)
A11 05  1    @1 SOLDEVITA (Nuria)
A11 06  1    @1 ALONSO (Jordi)
A11 07  1    @1 ASTRAY (Jenaro)
A11 08  1    @1 BARICOT (Maretva)
A11 09  1    @1 CANTON (Rafael)
A11 10  1    @1 CASTRO (Ady)
A11 11  1    @1 GONZALEZ-CANDELAS (Fernando)
A11 12  1    @1 MAYORAL (Jose María)
A11 13  1    @1 QUINTANA (Jose María)
A11 14  1    @1 PUMAROLA (Tomás)
A11 15  1    @1 TAMAMES (Sonia)
A11 16  1    @1 SAEZ (Marc)
A11 17  1    @1 DOMINGUEZ (Angela)
A14 01      @1 Universidad de Jaén, Campus de las Lagunillas @2 23071 Jaén @3 ESP @Z 1 aut.
A14 02      @1 CIBERESP, Instituto de Salud Carlos III, Sinesio Delgado 6 @2 28071 Madrid @3 ESP @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut. @Z 8 aut. @Z 9 aut. @Z 11 aut. @Z 13 aut. @Z 17 aut.
A14 03      @1 Instituto de Salud Pública de Navarra, Leyre 15 @2 31003 Pamplona @3 ESP @Z 2 aut.
A14 04      @1 Departament de Salut, Generalitat de Catalunya, Travessera de les Corts 131 @2 08028 Barcelona @3 ESP @Z 3 aut.
A14 05      @1 Instituto de Biomedicina, Universidad de Leon, Campus Universitario de Vegazana @2 24071 Leon @3 ESP @Z 4 aut.
A14 06      @1 Institut Municipal de Investigoció Médica, Barcelona, Dr. Aiguader 80 @2 08003 Barcelona @3 ESP @Z 6 aut.
A14 07      @1 Area de Epidemiologia, Comunidad de Madrid, Antonio Grilo 10 @2 28029 Madrid @3 ESP @Z 7 aut.
A14 08      @1 Hospital Universitario Ramon y Cajal, Carretera de Colmenar Viejo km 9.1 @2 28034 Madrid @3 ESP @Z 9 aut.
A14 09      @1 CIBER Enfermedades Respiratorias, Recinto Hospital Joan March, Carretera Soller km 12, 07110 Bunyola, Mallorca @2 Illes Balears @3 ESP @Z 10 aut.
A14 10      @1 Centro Superior de Investigación en Salud Pública, Universitat de València, Av. de Cataluña 21 @2 46020 Valencia @3 ESP @Z 11 aut.
A14 11      @1 Servicio de Vigilancia de Andalucia (Consejería de Salud), Avenida de la Innovación (Edificio Arenas) @2 41020 Sevilla @3 ESP @Z 12 aut.
A14 12      @1 Unidad de Investigación, Hospital Galdakao-Usansolo, Barrio Labeaga, Galdakao @2 48960 Bizkaia @3 ESP @Z 13 aut.
A14 13      @1 Red Española de Investigación en Patología Infecciosa (REIPI), ISCIII, Sinesio Delgado 6 @2 28071 Madrid @3 ESP @Z 14 aut.
A14 14      @1 Dirección General de Salud Pública e Investigación, Desarrollo e Innovación, Junta de Castilla y León, Paseo de Zorrilla 1 @2 47007 Valladolid @3 ESP @Z 15 aut.
A14 15      @1 Universitat de Girona, Emili Grahit 77 @2 17071 Girona @3 ESP @Z 16 aut.
A14 16      @1 Universitat de Barcelona, Casanova 143, 4 planta @2 08036 Barcelona @3 ESP @Z 17 aut.
A17 01  1    @1 CIBERESP Cases and Controls in Pandemic Influenza Working Group @3 INC
A20       @1 1739-1745
A21       @1 2012
A23 01      @0 ENG
A43 01      @1 INIST @2 17084 @5 354000507970430260
A44       @0 0000 @1 © 2012 INIST-CNRS. All rights reserved.
A45       @0 22 ref.
A47 01  1    @0 12-0261772
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of antimicrobial chemotherapy : (Print)
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C01 01    ENG  @0 Background: The H1N1 influenza pandemic strain has been associated with a poor prognosis in hospitalized patients. The present report evaluates the factors influencing prognosis. Methods: A total of 813 patients hospitalized with H1N1 influenza in 36 hospitals (nationwide) in Spain were analysed. Detailed histories of variables preceding hospital admission were obtained by interview, validating data on medications and vaccine with their attending physicians. Data on treatment and complications during hospital stay were recorded. As definition of poor outcome, the endpoints of death and admission to intensive care were combined; and as a further outcome, length of stay was used. Results: The mean age was 38.5 years (SD 22.8 years). There were 10 deaths and 79 admissions to intensive care (combined, 88). The use of neuraminidase inhibitors was reported by 495 patients (60.9%). The variables significantly associated with a poor outcome were diabetes (OR=2.21, 95% CI=1.21-4.02), corticosteroid therapy (OR=3.37, 95% CI=1.39-8.20) and use of histamine-2 receptor antagonists (OR=2.68, 95% CI=1.14-6.36), while the use of neuraminidase inhibitors (OR=0.57, 95% CI=0.34-0.94) was protective. Neuraminidase inhibitors within the first 2 days after the influenza onset reduced hospital stay by a mean of 1.9 days (95% CI=4.7-6.6). Conclusions: The use of neuraminidase inhibitors decreases the length of hospital stay and admission to intensive care and/or death.
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C03 01  X  ENG  @0 Prognosis @5 01
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C03 05  X  SPA  @0 España @2 NG @5 05
C03 06  X  FRE  @0 Inhibiteur neuraminidase @2 FR @5 06
C03 06  X  ENG  @0 Neuraminidase inhibitor @2 FR @5 06
C03 06  X  SPA  @0 Inhibidor neuraminidas @2 FR @5 06
C03 07  X  FRE  @0 Prévention @5 07
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C03 09  X  FRE  @0 Temps séjour @5 09
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C03 09  X  SPA  @0 Tiempo estancia @5 09
C03 10  X  FRE  @0 Pandémie @4 INC @5 86
C03 11  X  FRE  @0 Grippe H1N1 @4 CD @5 96
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N21       @1 198
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Pascal:12-0261772

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<name sortKey="Castro, Ady" sort="Castro, Ady" uniqKey="Castro A" first="Ady" last="Castro">Ady Castro</name>
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<name sortKey="Gonzalez Candelas, Fernando" sort="Gonzalez Candelas, Fernando" uniqKey="Gonzalez Candelas F" first="Fernando" last="Gonzalez-Candelas">Fernando Gonzalez-Candelas</name>
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<name sortKey="Mayoral, Jose Maria" sort="Mayoral, Jose Maria" uniqKey="Mayoral J" first="Jose María" last="Mayoral">Jose María Mayoral</name>
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<name sortKey="Pumarola, Tomas" sort="Pumarola, Tomas" uniqKey="Pumarola T" first="Tomás" last="Pumarola">Tomás Pumarola</name>
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<name sortKey="Tamames, Sonia" sort="Tamames, Sonia" uniqKey="Tamames S" first="Sonia" last="Tamames">Sonia Tamames</name>
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<name sortKey="Saez, Marc" sort="Saez, Marc" uniqKey="Saez M" first="Marc" last="Saez">Marc Saez</name>
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<s1>Universitat de Girona, Emili Grahit 77</s1>
<s2>17071 Girona</s2>
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<name sortKey="Dominguez, Angela" sort="Dominguez, Angela" uniqKey="Dominguez A" first="Angela" last="Dominguez">Angela Dominguez</name>
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<s1>Universitat de Barcelona, Casanova 143, 4 planta</s1>
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<s3>ESP</s3>
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<title xml:lang="en" level="a">Prognosis of hospitalized patients with 2009 H1N1 influenza in Spain: influence of neuraminidase inhibitors</title>
<author>
<name sortKey="Delgado Rodriguez, Miguel" sort="Delgado Rodriguez, Miguel" uniqKey="Delgado Rodriguez M" first="Miguel" last="Delgado-Rodriguez">Miguel Delgado-Rodriguez</name>
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<s1>Universidad de Jaén, Campus de las Lagunillas</s1>
<s2>23071 Jaén</s2>
<s3>ESP</s3>
<sZ>1 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
</affiliation>
<affiliation wicri:level="1">
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<s1>CIBERESP, Instituto de Salud Carlos III, Sinesio Delgado 6</s1>
<s2>28071 Madrid</s2>
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<author>
<name sortKey="Castilla, Jesus" sort="Castilla, Jesus" uniqKey="Castilla J" first="Jesus" last="Castilla">Jesus Castilla</name>
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<s1>Instituto de Salud Pública de Navarra, Leyre 15</s1>
<s2>31003 Pamplona</s2>
<s3>ESP</s3>
<sZ>2 aut.</sZ>
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</author>
<author>
<name sortKey="Godoy, Pere" sort="Godoy, Pere" uniqKey="Godoy P" first="Pere" last="Godoy">Pere Godoy</name>
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<s1>Departament de Salut, Generalitat de Catalunya, Travessera de les Corts 131</s1>
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</author>
<author>
<name sortKey="Martin, Vicente" sort="Martin, Vicente" uniqKey="Martin V" first="Vicente" last="Martin">Vicente Martin</name>
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<s1>CIBERESP, Instituto de Salud Carlos III, Sinesio Delgado 6</s1>
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<s1>Instituto de Biomedicina, Universidad de Leon, Campus Universitario de Vegazana</s1>
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<sZ>4 aut.</sZ>
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<author>
<name sortKey="Soldevita, Nuria" sort="Soldevita, Nuria" uniqKey="Soldevita N" first="Nuria" last="Soldevita">Nuria Soldevita</name>
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<s1>CIBERESP, Instituto de Salud Carlos III, Sinesio Delgado 6</s1>
<s2>28071 Madrid</s2>
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</affiliation>
</author>
<author>
<name sortKey="Alonso, Jordi" sort="Alonso, Jordi" uniqKey="Alonso J" first="Jordi" last="Alonso">Jordi Alonso</name>
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<s1>CIBERESP, Instituto de Salud Carlos III, Sinesio Delgado 6</s1>
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<s1>Institut Municipal de Investigoció Médica, Barcelona, Dr. Aiguader 80</s1>
<s2>08003 Barcelona</s2>
<s3>ESP</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
</affiliation>
</author>
<author>
<name sortKey="Astray, Jenaro" sort="Astray, Jenaro" uniqKey="Astray J" first="Jenaro" last="Astray">Jenaro Astray</name>
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<inist:fA14 i1="07">
<s1>Area de Epidemiologia, Comunidad de Madrid, Antonio Grilo 10</s1>
<s2>28029 Madrid</s2>
<s3>ESP</s3>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
</affiliation>
</author>
<author>
<name sortKey="Baricot, Maretva" sort="Baricot, Maretva" uniqKey="Baricot M" first="Maretva" last="Baricot">Maretva Baricot</name>
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<s1>CIBERESP, Instituto de Salud Carlos III, Sinesio Delgado 6</s1>
<s2>28071 Madrid</s2>
<s3>ESP</s3>
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<country>Espagne</country>
</affiliation>
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<author>
<name sortKey="Canton, Rafael" sort="Canton, Rafael" uniqKey="Canton R" first="Rafael" last="Canton">Rafael Canton</name>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>CIBERESP, Instituto de Salud Carlos III, Sinesio Delgado 6</s1>
<s2>28071 Madrid</s2>
<s3>ESP</s3>
<sZ>1 aut.</sZ>
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<inist:fA14 i1="08">
<s1>Hospital Universitario Ramon y Cajal, Carretera de Colmenar Viejo km 9.1</s1>
<s2>28034 Madrid</s2>
<s3>ESP</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
</affiliation>
</author>
<author>
<name sortKey="Castro, Ady" sort="Castro, Ady" uniqKey="Castro A" first="Ady" last="Castro">Ady Castro</name>
<affiliation wicri:level="1">
<inist:fA14 i1="09">
<s1>CIBER Enfermedades Respiratorias, Recinto Hospital Joan March, Carretera Soller km 12, 07110 Bunyola, Mallorca</s1>
<s2>Illes Balears</s2>
<s3>ESP</s3>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
</affiliation>
</author>
<author>
<name sortKey="Gonzalez Candelas, Fernando" sort="Gonzalez Candelas, Fernando" uniqKey="Gonzalez Candelas F" first="Fernando" last="Gonzalez-Candelas">Fernando Gonzalez-Candelas</name>
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<inist:fA14 i1="02">
<s1>CIBERESP, Instituto de Salud Carlos III, Sinesio Delgado 6</s1>
<s2>28071 Madrid</s2>
<s3>ESP</s3>
<sZ>1 aut.</sZ>
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<affiliation wicri:level="1">
<inist:fA14 i1="10">
<s1>Centro Superior de Investigación en Salud Pública, Universitat de València, Av. de Cataluña 21</s1>
<s2>46020 Valencia</s2>
<s3>ESP</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
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</author>
<author>
<name sortKey="Mayoral, Jose Maria" sort="Mayoral, Jose Maria" uniqKey="Mayoral J" first="Jose María" last="Mayoral">Jose María Mayoral</name>
<affiliation wicri:level="1">
<inist:fA14 i1="11">
<s1>Servicio de Vigilancia de Andalucia (Consejería de Salud), Avenida de la Innovación (Edificio Arenas)</s1>
<s2>41020 Sevilla</s2>
<s3>ESP</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
</affiliation>
</author>
<author>
<name sortKey="Quintana, Jose Maria" sort="Quintana, Jose Maria" uniqKey="Quintana J" first="Jose María" last="Quintana">Jose María Quintana</name>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>CIBERESP, Instituto de Salud Carlos III, Sinesio Delgado 6</s1>
<s2>28071 Madrid</s2>
<s3>ESP</s3>
<sZ>1 aut.</sZ>
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<sZ>13 aut.</sZ>
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<country>Espagne</country>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="12">
<s1>Unidad de Investigación, Hospital Galdakao-Usansolo, Barrio Labeaga, Galdakao</s1>
<s2>48960 Bizkaia</s2>
<s3>ESP</s3>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
</affiliation>
</author>
<author>
<name sortKey="Pumarola, Tomas" sort="Pumarola, Tomas" uniqKey="Pumarola T" first="Tomás" last="Pumarola">Tomás Pumarola</name>
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<inist:fA14 i1="13">
<s1>Red Española de Investigación en Patología Infecciosa (REIPI), ISCIII, Sinesio Delgado 6</s1>
<s2>28071 Madrid</s2>
<s3>ESP</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
</affiliation>
</author>
<author>
<name sortKey="Tamames, Sonia" sort="Tamames, Sonia" uniqKey="Tamames S" first="Sonia" last="Tamames">Sonia Tamames</name>
<affiliation wicri:level="1">
<inist:fA14 i1="14">
<s1>Dirección General de Salud Pública e Investigación, Desarrollo e Innovación, Junta de Castilla y León, Paseo de Zorrilla 1</s1>
<s2>47007 Valladolid</s2>
<s3>ESP</s3>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
</affiliation>
</author>
<author>
<name sortKey="Saez, Marc" sort="Saez, Marc" uniqKey="Saez M" first="Marc" last="Saez">Marc Saez</name>
<affiliation wicri:level="1">
<inist:fA14 i1="15">
<s1>Universitat de Girona, Emili Grahit 77</s1>
<s2>17071 Girona</s2>
<s3>ESP</s3>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
</affiliation>
</author>
<author>
<name sortKey="Dominguez, Angela" sort="Dominguez, Angela" uniqKey="Dominguez A" first="Angela" last="Dominguez">Angela Dominguez</name>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>CIBERESP, Instituto de Salud Carlos III, Sinesio Delgado 6</s1>
<s2>28071 Madrid</s2>
<s3>ESP</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="16">
<s1>Universitat de Barcelona, Casanova 143, 4 planta</s1>
<s2>08036 Barcelona</s2>
<s3>ESP</s3>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
</affiliation>
</author>
</analytic>
<series>
<title level="j" type="main">Journal of antimicrobial chemotherapy : (Print)</title>
<title level="j" type="abbreviated">J. antimicrob. chemother. : (Print)</title>
<idno type="ISSN">0305-7453</idno>
<imprint>
<date when="2012">2012</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">Journal of antimicrobial chemotherapy : (Print)</title>
<title level="j" type="abbreviated">J. antimicrob. chemother. : (Print)</title>
<idno type="ISSN">0305-7453</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Complication</term>
<term>H1N1 influenza</term>
<term>Hospitalization</term>
<term>Human</term>
<term>Neuraminidase inhibitor</term>
<term>Patient</term>
<term>Prevention</term>
<term>Prognosis</term>
<term>Residence time</term>
<term>Spain</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Pronostic</term>
<term>Hospitalisation</term>
<term>Homme</term>
<term>Malade</term>
<term>Espagne</term>
<term>Inhibiteur neuraminidase</term>
<term>Prévention</term>
<term>Complication</term>
<term>Temps séjour</term>
<term>Pandémie</term>
<term>Grippe H1N1</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr">
<term>Espagne</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Hospitalisation</term>
<term>Homme</term>
</keywords>
</textClass>
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<front>
<div type="abstract" xml:lang="en">Background: The H1N1 influenza pandemic strain has been associated with a poor prognosis in hospitalized patients. The present report evaluates the factors influencing prognosis. Methods: A total of 813 patients hospitalized with H1N1 influenza in 36 hospitals (nationwide) in Spain were analysed. Detailed histories of variables preceding hospital admission were obtained by interview, validating data on medications and vaccine with their attending physicians. Data on treatment and complications during hospital stay were recorded. As definition of poor outcome, the endpoints of death and admission to intensive care were combined; and as a further outcome, length of stay was used. Results: The mean age was 38.5 years (SD 22.8 years). There were 10 deaths and 79 admissions to intensive care (combined, 88). The use of neuraminidase inhibitors was reported by 495 patients (60.9%). The variables significantly associated with a poor outcome were diabetes (OR=2.2
<sub>1</sub>
, 95% CI=
<sub>1</sub>
.2
<sub>1</sub>
-4.
<sub>02</sub>
), corticosteroid therapy (OR=3.37, 95% CI
<sub>=</sub>
1.39-8.20) and use of histamine-2 receptor antagonists (OR=2.6
<sub>8</sub>
, 95% CI=1.14-6.36), while the use of neuraminidase inhibitors (OR=0.57, 95% CI
<sub>=</sub>
0.34-0.94) was protective. Neuraminidase inhibitors within the first 2 days after the influenza onset reduced hospital stay by a mean of 1.9 days (95% CI
<sub>=</sub>
4.7-6.6). Conclusions: The use of neuraminidase inhibitors decreases the length of hospital stay and admission to intensive care and/or death.</div>
</front>
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<s1>DELGADO-RODRIGUEZ (Miguel)</s1>
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<s1>CASTILLA (Jesus)</s1>
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<fA11 i1="03" i2="1">
<s1>GODOY (Pere)</s1>
</fA11>
<fA11 i1="04" i2="1">
<s1>MARTIN (Vicente)</s1>
</fA11>
<fA11 i1="05" i2="1">
<s1>SOLDEVITA (Nuria)</s1>
</fA11>
<fA11 i1="06" i2="1">
<s1>ALONSO (Jordi)</s1>
</fA11>
<fA11 i1="07" i2="1">
<s1>ASTRAY (Jenaro)</s1>
</fA11>
<fA11 i1="08" i2="1">
<s1>BARICOT (Maretva)</s1>
</fA11>
<fA11 i1="09" i2="1">
<s1>CANTON (Rafael)</s1>
</fA11>
<fA11 i1="10" i2="1">
<s1>CASTRO (Ady)</s1>
</fA11>
<fA11 i1="11" i2="1">
<s1>GONZALEZ-CANDELAS (Fernando)</s1>
</fA11>
<fA11 i1="12" i2="1">
<s1>MAYORAL (Jose María)</s1>
</fA11>
<fA11 i1="13" i2="1">
<s1>QUINTANA (Jose María)</s1>
</fA11>
<fA11 i1="14" i2="1">
<s1>PUMAROLA (Tomás)</s1>
</fA11>
<fA11 i1="15" i2="1">
<s1>TAMAMES (Sonia)</s1>
</fA11>
<fA11 i1="16" i2="1">
<s1>SAEZ (Marc)</s1>
</fA11>
<fA11 i1="17" i2="1">
<s1>DOMINGUEZ (Angela)</s1>
</fA11>
<fA14 i1="01">
<s1>Universidad de Jaén, Campus de las Lagunillas</s1>
<s2>23071 Jaén</s2>
<s3>ESP</s3>
<sZ>1 aut.</sZ>
</fA14>
<fA14 i1="02">
<s1>CIBERESP, Instituto de Salud Carlos III, Sinesio Delgado 6</s1>
<s2>28071 Madrid</s2>
<s3>ESP</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>17 aut.</sZ>
</fA14>
<fA14 i1="03">
<s1>Instituto de Salud Pública de Navarra, Leyre 15</s1>
<s2>31003 Pamplona</s2>
<s3>ESP</s3>
<sZ>2 aut.</sZ>
</fA14>
<fA14 i1="04">
<s1>Departament de Salut, Generalitat de Catalunya, Travessera de les Corts 131</s1>
<s2>08028 Barcelona</s2>
<s3>ESP</s3>
<sZ>3 aut.</sZ>
</fA14>
<fA14 i1="05">
<s1>Instituto de Biomedicina, Universidad de Leon, Campus Universitario de Vegazana</s1>
<s2>24071 Leon</s2>
<s3>ESP</s3>
<sZ>4 aut.</sZ>
</fA14>
<fA14 i1="06">
<s1>Institut Municipal de Investigoció Médica, Barcelona, Dr. Aiguader 80</s1>
<s2>08003 Barcelona</s2>
<s3>ESP</s3>
<sZ>6 aut.</sZ>
</fA14>
<fA14 i1="07">
<s1>Area de Epidemiologia, Comunidad de Madrid, Antonio Grilo 10</s1>
<s2>28029 Madrid</s2>
<s3>ESP</s3>
<sZ>7 aut.</sZ>
</fA14>
<fA14 i1="08">
<s1>Hospital Universitario Ramon y Cajal, Carretera de Colmenar Viejo km 9.1</s1>
<s2>28034 Madrid</s2>
<s3>ESP</s3>
<sZ>9 aut.</sZ>
</fA14>
<fA14 i1="09">
<s1>CIBER Enfermedades Respiratorias, Recinto Hospital Joan March, Carretera Soller km 12, 07110 Bunyola, Mallorca</s1>
<s2>Illes Balears</s2>
<s3>ESP</s3>
<sZ>10 aut.</sZ>
</fA14>
<fA14 i1="10">
<s1>Centro Superior de Investigación en Salud Pública, Universitat de València, Av. de Cataluña 21</s1>
<s2>46020 Valencia</s2>
<s3>ESP</s3>
<sZ>11 aut.</sZ>
</fA14>
<fA14 i1="11">
<s1>Servicio de Vigilancia de Andalucia (Consejería de Salud), Avenida de la Innovación (Edificio Arenas)</s1>
<s2>41020 Sevilla</s2>
<s3>ESP</s3>
<sZ>12 aut.</sZ>
</fA14>
<fA14 i1="12">
<s1>Unidad de Investigación, Hospital Galdakao-Usansolo, Barrio Labeaga, Galdakao</s1>
<s2>48960 Bizkaia</s2>
<s3>ESP</s3>
<sZ>13 aut.</sZ>
</fA14>
<fA14 i1="13">
<s1>Red Española de Investigación en Patología Infecciosa (REIPI), ISCIII, Sinesio Delgado 6</s1>
<s2>28071 Madrid</s2>
<s3>ESP</s3>
<sZ>14 aut.</sZ>
</fA14>
<fA14 i1="14">
<s1>Dirección General de Salud Pública e Investigación, Desarrollo e Innovación, Junta de Castilla y León, Paseo de Zorrilla 1</s1>
<s2>47007 Valladolid</s2>
<s3>ESP</s3>
<sZ>15 aut.</sZ>
</fA14>
<fA14 i1="15">
<s1>Universitat de Girona, Emili Grahit 77</s1>
<s2>17071 Girona</s2>
<s3>ESP</s3>
<sZ>16 aut.</sZ>
</fA14>
<fA14 i1="16">
<s1>Universitat de Barcelona, Casanova 143, 4 planta</s1>
<s2>08036 Barcelona</s2>
<s3>ESP</s3>
<sZ>17 aut.</sZ>
</fA14>
<fA17 i1="01" i2="1">
<s1>CIBERESP Cases and Controls in Pandemic Influenza Working Group</s1>
<s3>INC</s3>
</fA17>
<fA20>
<s1>1739-1745</s1>
</fA20>
<fA21>
<s1>2012</s1>
</fA21>
<fA23 i1="01">
<s0>ENG</s0>
</fA23>
<fA43 i1="01">
<s1>INIST</s1>
<s2>17084</s2>
<s5>354000507970430260</s5>
</fA43>
<fA44>
<s0>0000</s0>
<s1>© 2012 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45>
<s0>22 ref.</s0>
</fA45>
<fA47 i1="01" i2="1">
<s0>12-0261772</s0>
</fA47>
<fA60>
<s1>P</s1>
</fA60>
<fA61>
<s0>A</s0>
</fA61>
<fA64 i1="01" i2="1">
<s0>Journal of antimicrobial chemotherapy : (Print)</s0>
</fA64>
<fA66 i1="01">
<s0>GBR</s0>
</fA66>
<fC01 i1="01" l="ENG">
<s0>Background: The H1N1 influenza pandemic strain has been associated with a poor prognosis in hospitalized patients. The present report evaluates the factors influencing prognosis. Methods: A total of 813 patients hospitalized with H1N1 influenza in 36 hospitals (nationwide) in Spain were analysed. Detailed histories of variables preceding hospital admission were obtained by interview, validating data on medications and vaccine with their attending physicians. Data on treatment and complications during hospital stay were recorded. As definition of poor outcome, the endpoints of death and admission to intensive care were combined; and as a further outcome, length of stay was used. Results: The mean age was 38.5 years (SD 22.8 years). There were 10 deaths and 79 admissions to intensive care (combined, 88). The use of neuraminidase inhibitors was reported by 495 patients (60.9%). The variables significantly associated with a poor outcome were diabetes (OR=2.2
<sub>1</sub>
, 95% CI=
<sub>1</sub>
.2
<sub>1</sub>
-4.
<sub>02</sub>
), corticosteroid therapy (OR=3.37, 95% CI
<sub>=</sub>
1.39-8.20) and use of histamine-2 receptor antagonists (OR=2.6
<sub>8</sub>
, 95% CI=1.14-6.36), while the use of neuraminidase inhibitors (OR=0.57, 95% CI
<sub>=</sub>
0.34-0.94) was protective. Neuraminidase inhibitors within the first 2 days after the influenza onset reduced hospital stay by a mean of 1.9 days (95% CI
<sub>=</sub>
4.7-6.6). Conclusions: The use of neuraminidase inhibitors decreases the length of hospital stay and admission to intensive care and/or death.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B02S</s0>
</fC02>
<fC02 i1="02" i2="X">
<s0>002B05C02C</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Pronostic</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Prognosis</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Pronóstico</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Hospitalisation</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Hospitalization</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Hospitalización</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Homme</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Human</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Malade</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Patient</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Enfermo</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Espagne</s0>
<s2>NG</s2>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Spain</s0>
<s2>NG</s2>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>España</s0>
<s2>NG</s2>
<s5>05</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Inhibiteur neuraminidase</s0>
<s2>FR</s2>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Neuraminidase inhibitor</s0>
<s2>FR</s2>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Inhibidor neuraminidas</s0>
<s2>FR</s2>
<s5>06</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Prévention</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Prevention</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Prevención</s0>
<s5>07</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Complication</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Complication</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Complicación</s0>
<s5>08</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Temps séjour</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Residence time</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Tiempo estancia</s0>
<s5>09</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Pandémie</s0>
<s4>INC</s4>
<s5>86</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Grippe H1N1</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>H1N1 influenza</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Gripe H1N1</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Europe</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Europe</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Europa</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Pathologie de l'appareil respiratoire</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Respiratory disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Aparato respiratorio patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Virose</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Viral disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Virosis</s0>
<s5>38</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Infection</s0>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Infection</s0>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Infección</s0>
</fC07>
<fN21>
<s1>198</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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