Complications of influenza in 272 adult and pediatric patients in a German university hospital during the seasonal epidemic 2017–2018
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| Názov: | Complications of influenza in 272 adult and pediatric patients in a German university hospital during the seasonal epidemic 2017–2018 |
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| Autori: | Hilte F. Geerdes-Fenge, Saskia Klein, Hans-Martin Schuldt, Micha Löbermann, Kerstin Köller, Jan Däbritz, Emil Christian Reisinger |
| Zdroj: | Wien Med Wochenschr |
| Informácie o vydavateľovi: | Springer Science and Business Media LLC, 2021. |
| Rok vydania: | 2021 |
| Predmety: | Adult, Heart Failure, Myocardial Infarction, Pneumonia, 3. Good health, Hospitalization, Hospitals, University, Hospitalization [MeSH], Seasons [MeSH], Adult [MeSH], Humans [MeSH], Cardiac insufficiency, Vaccination, Retrospective Studies [MeSH], Heart Failure [MeSH], Influenza, Human/prevention, Influenza, Human/complications [MeSH], Original Article, Myocardial Infarction/epidemiology [MeSH], Pneumonia/complications [MeSH], Myocardial Infarction/complications [MeSH], Perimyocarditis, Hospitals, University [MeSH], Influenza, Human/epidemiology [MeSH], Child [MeSH], Myocardial infarction, Pneumonia/epidemiology [MeSH], 03 medical and health sciences, 0302 clinical medicine, Influenza, Human, Humans, Seasons, Child, Retrospective Studies |
| Popis: | Summary Background The influenza season 2017–2018 of the northern hemisphere was the highest since 2001 and was caused predominantly by influenza B virus. Methods We performed a retrospective analysis of all patients in a university hospital in northern Germany with laboratory-confirmed influenza during the winter season 2017–2018 and analyzed underlying conditions, complications, and outcome. Results A total of 272 cases of influenza were diagnosed: 70 influenza A (25.7%), 201 influenza B (73.9%), and 1 co-infection. Of 182 adults, 145 were hospitalized, 73 developed pneumonia, 11 developed myocardial infarction, two a transient ischemic attack, one a stroke, and one perimyocarditis. Eleven of the 145 hospitalized adult patients (7.6%) died, ten of them because of pneumonia. All of them had preexisting diseases. Pneumonia was associated with a mortality of 13.7%. Underlying cardiac insufficiency was correlated with higher mortality (7/51 with versus 4/126 patients without cardiac insufficiency; p p Conclusion Patients with influenza should be monitored for secondary pneumonia and myocardial infarction, and vaccination should be enforced especially in patients with coronary heart disease and cardiac insufficiency. |
| Druh dokumentu: | Article Other literature type |
| Jazyk: | English |
| ISSN: | 1563-258X 0043-5341 |
| DOI: | 10.1007/s10354-021-00884-0 |
| Prístupová URL adresa: | https://link.springer.com/content/pdf/10.1007/s10354-021-00884-0.pdf https://pubmed.ncbi.nlm.nih.gov/34581968 https://paperity.org/p/272664605/complications-of-influenza-in-272-adult-and-pediatric-patients-in-a-german-university https://link.springer.com/article/10.1007/s10354-021-00884-0 https://link.springer.com/content/pdf/10.1007/s10354-021-00884-0.pdf https://repository.publisso.de/resource/frl:6448767 |
| Rights: | CC BY |
| Prístupové číslo: | edsair.doi.dedup.....e95da0e95ba1a34d823c94d254cdd5d2 |
| Databáza: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Summary Background The influenza season 2017–2018 of the northern hemisphere was the highest since 2001 and was caused predominantly by influenza B virus. Methods We performed a retrospective analysis of all patients in a university hospital in northern Germany with laboratory-confirmed influenza during the winter season 2017–2018 and analyzed underlying conditions, complications, and outcome. Results A total of 272 cases of influenza were diagnosed: 70 influenza A (25.7%), 201 influenza B (73.9%), and 1 co-infection. Of 182 adults, 145 were hospitalized, 73 developed pneumonia, 11 developed myocardial infarction, two a transient ischemic attack, one a stroke, and one perimyocarditis. Eleven of the 145 hospitalized adult patients (7.6%) died, ten of them because of pneumonia. All of them had preexisting diseases. Pneumonia was associated with a mortality of 13.7%. Underlying cardiac insufficiency was correlated with higher mortality (7/51 with versus 4/126 patients without cardiac insufficiency; p p Conclusion Patients with influenza should be monitored for secondary pneumonia and myocardial infarction, and vaccination should be enforced especially in patients with coronary heart disease and cardiac insufficiency. |
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| ISSN: | 1563258X 00435341 |
| DOI: | 10.1007/s10354-021-00884-0 |