2026-07-23T17:12:35Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/141702025-05-08T18:49:11Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19608

00925njm 22002777a 4500 dc Adlhoch, Cornelia author Gomes Dias, Joana author Bonmarin, Isabelle author Hubert, Bruno author Larrauri, Amparo author Oliva Dominguez, Jesus Angel author Delgado-Sanz, Concepcion author Brytting, Mia author Carnahan, AnnaSara author Popovici, Odette author Lupulescu, Emilia author O'Donnell, Joan author Domegan, Lisa author van Gageldonk-Lafeber, Arianne B author Meijer, Adam author Kynčl, Jan author Slezák, Pavel author Guiomar, Raquel author Orta Gomes, Carlos M author Popow-Kraupp, Theresia author Mikas, Ján author Staroňová, Edita author Melillo, Jackie M author Melillo, Tanya author Ikonen, Niina author Lyytikäinen, Outi author Snacken, René author Penttinen, Pasi author 2019-11 Background: Morbidity, severity, and mortality associated with annual influenza epidemics are of public health concern. We analyzed surveillance data on hospitalized laboratory-confirmed influenza cases admitted to intensive care units to identify common determinants for fatal outcome and inform and target public health prevention strategies, including risk communication. Methods: We performed a descriptive analysis and used Poisson regression models with robust variance to estimate the association of age, sex, virus (sub)type, and underlying medical condition with fatal outcome using European Union data from 2009 to 2017. Results: Of 13 368 cases included in the basic dataset, 2806 (21%) were fatal. Age ≥40 years and infection with influenza A virus were associated with fatal outcome. Of 5886 cases with known underlying medical conditions and virus A subtype included in a more detailed analysis, 1349 (23%) were fatal. Influenza virus A(H1N1)pdm09 or A(H3N2) infection, age ≥60 years, cancer, human immunodeficiency virus infection and/or other immune deficiency, and heart, kidney, and liver disease were associated with fatal outcome; the risk of death was lower for patients with chronic lung disease and for pregnant women. Conclusions: This study re-emphasises the importance of preventing influenza in the elderly and tailoring strategies to risk groups with underlying medical conditions. Open Forum Infect Dis. 2019;6(11):ofz462. 10.1093/ofid/ofz462 2328-8957 Open Forum Infectious Diseases 32258201 http://hdl.handle.net/20.500.12105/14170 EU Age Influenza virus Intensive care units Underlying medical conditions Determinants of Fatal Outcome in Patients Admitted to Intensive Care Units With Influenza, European Union 2009-2017