» Articles » PMID: 26384310

Epidemiological Features of Influenza in Canadian Adult Intensive Care Unit Patients

Overview
Date 2015 Sep 19
PMID 26384310
Citations 12
Authors
Affiliations
Soon will be listed here.
Abstract

To identify predictive factors and mortality of patients with influenza admitted to intensive care units (ICU) we carried out a prospective cohort study of patients hospitalized with laboratory-confirmed influenza in adult ICUs in a network of Canadian hospitals between 2006 and 2012. There were 626 influenza-positive patients admitted to ICUs over the six influenza seasons, representing 17·9% of hospitalized influenza patients, 3·1/10,000 hospital admissions. Variability occurred in admission rate and proportion of hospital influenza patients who were admitted to ICUs (proportion range by year: 11·7-29·4%; 21·3% in the 2009-2010 pandemic). In logistic regression models ICU patients were younger during the pandemic and post-pandemic period, and more likely to be obese than hospital non-ICU patients. Influenza B accounted for 14·2% of all ICU cases and had a similar ICU admission rate as influenza A. Influenza-related mortality was 17·8% in ICU patients compared to 2·0% in non-ICU patients.

Citing Articles

Patients with influenza admitted to a tertiary-care hospital in Riyadh between 2018 and 2022: characteristics, outcomes and factors associated with ICU admission and mortality.

Al-Dorzi H, Alsafwani Z, Alsalahi E, Aljulayfi A, Alshaer R, Alanazi S BMC Pulm Med. 2024; 24(1):464.

PMID: 39300448 PMC: 11414087. DOI: 10.1186/s12890-024-03281-6.


Comparative Clinical Assessment and Risk Stratification of COVID-19 and Influenza Infections in Adults and Children: A Comprehensive Systematic Review and Meta-Analysis.

Shaban E, Yigit Y, Elgassim M, Shaban A, Shaban A, Ameen A Bull Emerg Trauma. 2024; 12(2):47-57.

PMID: 39224473 PMC: 11366268. DOI: 10.30476/BEAT.2024.102205.1504.


Hospital admissions with influenza and impact of age and comorbidities on severe clinical outcomes in Brazil and Mexico.

El Guerche-Seblain C, Etcheto A, Parmentier F, Afshar M, Macias A, Puentes E PLoS One. 2022; 17(11):e0273837.

PMID: 36355793 PMC: 9648751. DOI: 10.1371/journal.pone.0273837.


Outcomes among critically ill adults with influenza infection.

Aziza E, Slemko J, Zapernick L, Smith S, Lee N, Sligl W J Assoc Med Microbiol Infect Dis Can. 2022; 6(4):269-277.

PMID: 36338460 PMC: 9629264. DOI: 10.3138/jammi-2021-0011.


A systematic review and meta-analysis of host genetic factors associated with influenza severity.

Van Goethem N, Danwang C, Bossuyt N, Van Oyen H, Roosens N, Robert A BMC Genomics. 2021; 22(1):912.

PMID: 34930124 PMC: 8686082. DOI: 10.1186/s12864-021-08240-7.


References
1.
Catania J, Que L, Govert J, Hollingsworth J, Wolfe C . High intensive care unit admission rate for 2013-2014 influenza is associated with a low rate of vaccination. Am J Respir Crit Care Med. 2014; 189(4):485-7. PMC: 3977724. DOI: 10.1164/rccm.201401-0066LE. View

2.
Bagshaw S, Sood M, Long J, Fowler R, Adhikari N . Acute kidney injury among critically ill patients with pandemic H1N1 influenza A in Canada: cohort study. BMC Nephrol. 2013; 14:123. PMC: 3694036. DOI: 10.1186/1471-2369-14-123. View

3.
Louie J, Salibay C, Kang M, Glenn-Finer R, Murray E, Jamieson D . Pregnancy and severe influenza infection in the 2013-2014 influenza season. Obstet Gynecol. 2015; 125(1):184-192. DOI: 10.1097/AOG.0000000000000593. View

4.
Ayscue P, Murray E, Uyeki T, Zipprich J, Harriman K, Salibay C . Influenza-associated intensive-care unit admissions and deaths - California, September 29, 2013-January 18, 2014. MMWR Morb Mortal Wkly Rep. 2014; 63(7):143-7. PMC: 4584758. View

5.
Osterholm M, Kelley N, Sommer A, Belongia E . Efficacy and effectiveness of influenza vaccines: a systematic review and meta-analysis. Lancet Infect Dis. 2011; 12(1):36-44. DOI: 10.1016/S1473-3099(11)70295-X. View