Clinical courses and outcomes of hospitalized adult patients with seasonal influenza in Korea, 2011–2012: Hospital-based Influenza Morbidity & Mortality (HIMM) surveillance

Abstract Influenza is an acute respiratory illness, which can be accompanied by complications such as pneumonia. This study was conducted to survey the clinical courses and outcomes of hospitalized adult patients with laboratory-confirmed seasonal influenza. A prospective case–control study was perf...

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Veröffentlicht in:Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy 2014, Vol.20 (1), p.9-14
Hauptverfasser: Hong, Kyung-Wook, Cheong, Hee Jin, Choi, Won Suk, Lee, Jacob, Wie, Seong-Heon, Baek, Ji Hyeon, Kim, Hyo Youl, Jeong, Hye Won, Kim, Woo Joo
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container_title Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy
container_volume 20
creator Hong, Kyung-Wook
Cheong, Hee Jin
Choi, Won Suk
Lee, Jacob
Wie, Seong-Heon
Baek, Ji Hyeon
Kim, Hyo Youl
Jeong, Hye Won
Kim, Woo Joo
description Abstract Influenza is an acute respiratory illness, which can be accompanied by complications such as pneumonia. This study was conducted to survey the clinical courses and outcomes of hospitalized adult patients with laboratory-confirmed seasonal influenza. A prospective case–control study was performed in adult influenza patients who were admitted to hospitals participating in the Hospital-based Influenza Morbidity and Mortality (HIMM) surveillance system in Korea from October 2011 to May 2012. Cases with complicated influenza were compared to those without complications. A total of 123 (5.6%) patients among 2184 laboratory-confirmed adult influenza patients were hospitalized during the 2011–2012 influenza epidemic season. Forty (32.5%) experienced 50 complication episodes. Age older than 60 years ( P  
doi_str_mv 10.1016/j.jiac.2013.07.001
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This study was conducted to survey the clinical courses and outcomes of hospitalized adult patients with laboratory-confirmed seasonal influenza. A prospective case–control study was performed in adult influenza patients who were admitted to hospitals participating in the Hospital-based Influenza Morbidity and Mortality (HIMM) surveillance system in Korea from October 2011 to May 2012. Cases with complicated influenza were compared to those without complications. A total of 123 (5.6%) patients among 2184 laboratory-confirmed adult influenza patients were hospitalized during the 2011–2012 influenza epidemic season. Forty (32.5%) experienced 50 complication episodes. Age older than 60 years ( P  &lt; 0.01), male sex ( P  = 0.04), diabetes ( P  &lt; 0.01), chronic cardiovascular disease ( P  &lt; 0.01) and neuromuscular disease ( P  = 0.02) were significantly related to development of complications in univariate analysis. Multivariate logistic regression analysis revealed that diabetes (odds ratio [OR] 3.63, 95% confidence interval [CI] 1.15–11.51, P  = 0.02) was an independent risk factor for complicated seasonal influenza. C-reactive protein (CRP) was discriminative between complicated and uncomplicated influenza (cutoff value 13 mg/L, sensitivity 70%, specificity 74%). Complicated patients received antibiotics more frequently ( P  &lt; 0.01) with longer hospital stays ( P  = 0.01). In conclusion, diabetic patients are at great risk for complicated influenza, and CRP would be useful to predicting complication. Therefore, early interventions such as antiviral therapy should be considered for high risk patients with diabetes, especially those with increased serum CRP level.</description><identifier>ISSN: 1341-321X</identifier><identifier>EISSN: 1437-7780</identifier><identifier>DOI: 10.1016/j.jiac.2013.07.001</identifier><identifier>PMID: 24462445</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; C-Reactive Protein - metabolism ; Case-Control Studies ; Complications ; Female ; Hematology, Oncology and Palliative Medicine ; Hospital Mortality ; Hospitalization - statistics &amp; numerical data ; Hospitalized ; Hospitals ; Humans ; Influenza ; Influenza A Virus, H1N1 Subtype ; Influenza, Human - drug therapy ; Influenza, Human - metabolism ; Influenza, Human - mortality ; Influenza, Human - virology ; Male ; Middle Aged ; Prospective Studies ; Republic of Korea - epidemiology ; Risk Factors ; Seasons</subject><ispartof>Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 2014, Vol.20 (1), p.9-14</ispartof><rights>2013</rights><rights>Copyright © 2013. 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Multivariate logistic regression analysis revealed that diabetes (odds ratio [OR] 3.63, 95% confidence interval [CI] 1.15–11.51, P  = 0.02) was an independent risk factor for complicated seasonal influenza. C-reactive protein (CRP) was discriminative between complicated and uncomplicated influenza (cutoff value 13 mg/L, sensitivity 70%, specificity 74%). Complicated patients received antibiotics more frequently ( P  &lt; 0.01) with longer hospital stays ( P  = 0.01). In conclusion, diabetic patients are at great risk for complicated influenza, and CRP would be useful to predicting complication. 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Mortality (HIMM) surveillance</title><author>Hong, Kyung-Wook ; Cheong, Hee Jin ; Choi, Won Suk ; Lee, Jacob ; Wie, Seong-Heon ; Baek, Ji Hyeon ; Kim, Hyo Youl ; Jeong, Hye Won ; Kim, Woo Joo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-490e8cdcb904d74cd7eab6d0773bc9939e08b156711ad38a755184861cdbcdca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>C-Reactive Protein - metabolism</topic><topic>Case-Control Studies</topic><topic>Complications</topic><topic>Female</topic><topic>Hematology, Oncology and Palliative Medicine</topic><topic>Hospital Mortality</topic><topic>Hospitalization - statistics &amp; numerical data</topic><topic>Hospitalized</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Influenza</topic><topic>Influenza A Virus, H1N1 Subtype</topic><topic>Influenza, Human - drug therapy</topic><topic>Influenza, Human - metabolism</topic><topic>Influenza, Human - mortality</topic><topic>Influenza, Human - virology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Republic of Korea - epidemiology</topic><topic>Risk Factors</topic><topic>Seasons</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hong, Kyung-Wook</creatorcontrib><creatorcontrib>Cheong, Hee Jin</creatorcontrib><creatorcontrib>Choi, Won Suk</creatorcontrib><creatorcontrib>Lee, Jacob</creatorcontrib><creatorcontrib>Wie, Seong-Heon</creatorcontrib><creatorcontrib>Baek, Ji Hyeon</creatorcontrib><creatorcontrib>Kim, Hyo Youl</creatorcontrib><creatorcontrib>Jeong, Hye Won</creatorcontrib><creatorcontrib>Kim, Woo Joo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hong, Kyung-Wook</au><au>Cheong, Hee Jin</au><au>Choi, Won Suk</au><au>Lee, Jacob</au><au>Wie, Seong-Heon</au><au>Baek, Ji Hyeon</au><au>Kim, Hyo Youl</au><au>Jeong, Hye Won</au><au>Kim, Woo Joo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical courses and outcomes of hospitalized adult patients with seasonal influenza in Korea, 2011–2012: Hospital-based Influenza Morbidity &amp; Mortality (HIMM) surveillance</atitle><jtitle>Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy</jtitle><addtitle>J Infect Chemother</addtitle><date>2014</date><risdate>2014</risdate><volume>20</volume><issue>1</issue><spage>9</spage><epage>14</epage><pages>9-14</pages><issn>1341-321X</issn><eissn>1437-7780</eissn><abstract>Abstract Influenza is an acute respiratory illness, which can be accompanied by complications such as pneumonia. 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Multivariate logistic regression analysis revealed that diabetes (odds ratio [OR] 3.63, 95% confidence interval [CI] 1.15–11.51, P  = 0.02) was an independent risk factor for complicated seasonal influenza. C-reactive protein (CRP) was discriminative between complicated and uncomplicated influenza (cutoff value 13 mg/L, sensitivity 70%, specificity 74%). Complicated patients received antibiotics more frequently ( P  &lt; 0.01) with longer hospital stays ( P  = 0.01). In conclusion, diabetic patients are at great risk for complicated influenza, and CRP would be useful to predicting complication. Therefore, early interventions such as antiviral therapy should be considered for high risk patients with diabetes, especially those with increased serum CRP level.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>24462445</pmid><doi>10.1016/j.jiac.2013.07.001</doi><tpages>6</tpages></addata></record>
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subjects Adult
Aged
Aged, 80 and over
C-Reactive Protein - metabolism
Case-Control Studies
Complications
Female
Hematology, Oncology and Palliative Medicine
Hospital Mortality
Hospitalization - statistics & numerical data
Hospitalized
Hospitals
Humans
Influenza
Influenza A Virus, H1N1 Subtype
Influenza, Human - drug therapy
Influenza, Human - metabolism
Influenza, Human - mortality
Influenza, Human - virology
Male
Middle Aged
Prospective Studies
Republic of Korea - epidemiology
Risk Factors
Seasons
title Clinical courses and outcomes of hospitalized adult patients with seasonal influenza in Korea, 2011–2012: Hospital-based Influenza Morbidity & Mortality (HIMM) surveillance
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