Estimating the clinical and economic burden of medically attended influenza in South Korea, stratified by age and comorbidity: A five-season hospital-based surveillance data, 2014/15–2018/19
This study aims to estimate the clinical and economic burden of influenza in South Korea across five seasons (2014/15-2018/19), stratified by age and comorbidity, using data from the Hospital-based Influenza Morbidity and Mortality (HIMM) network. Data were gathered from eight university hospitals a...
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| Vydané v: | PloS one Ročník 20; číslo 9; s. e0317643 |
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| Hlavní autori: | , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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United States
Public Library of Science
17.09.2025
Public Library of Science (PLoS) |
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| ISSN: | 1932-6203, 1932-6203 |
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| Abstract | This study aims to estimate the clinical and economic burden of influenza in South Korea across five seasons (2014/15-2018/19), stratified by age and comorbidity, using data from the Hospital-based Influenza Morbidity and Mortality (HIMM) network.
Data were gathered from eight university hospitals and included adults (≥ 20 years) with laboratory-confirmed influenza. The catchment population was estimated using hospital and national statistical data. Economic costs were evaluated from a societal perspective.
The incidence of medically attended influenza ranged from 113.1 to 220.7 per 100,000 adults, with hospitalization rate of 35.5 to 76.8, intensive care unit admission at 4.2 to 9.2, and deaths at 1.4 to 3.6. Annual socioeconomic costs ranged from $156 to $316 million, primarily driven by indirect costs associated with early mortality. The highest cost was recorded in 2017/18, following the largest outbreak, particularly among older adults. Per capita socioeconomic costs ranged from $2,747 to $4,072 across the seasons, with peak values observed in 2018/19 and 2015/16. Among at-risk groups, per capita costs were 1.5-2.3 times higher than those of the general adult population.
Influenza imposes a significant clinical and economic burden on South Korea. Tailored strategies are essential to mitigate this burden, particularly among older adults and at-risk individuals not covered by the National Immunization Program. |
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| AbstractList | Objectives
This study aims to estimate the clinical and economic burden of influenza in South Korea across five seasons (2014/15–2018/19), stratified by age and comorbidity, using data from the Hospital-based Influenza Morbidity and Mortality (HIMM) network.
Methods
Data were gathered from eight university hospitals and included adults (≥ 20 years) with laboratory-confirmed influenza. The catchment population was estimated using hospital and national statistical data. Economic costs were evaluated from a societal perspective.
Results
The incidence of medically attended influenza ranged from 113.1 to 220.7 per 100,000 adults, with hospitalization rate of 35.5 to 76.8, intensive care unit admission at 4.2 to 9.2, and deaths at 1.4 to 3.6. Annual socioeconomic costs ranged from $156 to $316 million, primarily driven by indirect costs associated with early mortality. The highest cost was recorded in 2017/18, following the largest outbreak, particularly among older adults. Per capita socioeconomic costs ranged from $2,747 to $4,072 across the seasons, with peak values observed in 2018/19 and 2015/16. Among at-risk groups, per capita costs were 1.5–2.3 times higher than those of the general adult population.
Conclusions
Influenza imposes a significant clinical and economic burden on South Korea. Tailored strategies are essential to mitigate this burden, particularly among older adults and at-risk individuals not covered by the National Immunization Program. This study aims to estimate the clinical and economic burden of influenza in South Korea across five seasons (2014/15-2018/19), stratified by age and comorbidity, using data from the Hospital-based Influenza Morbidity and Mortality (HIMM) network. Data were gathered from eight university hospitals and included adults (≥ 20 years) with laboratory-confirmed influenza. The catchment population was estimated using hospital and national statistical data. Economic costs were evaluated from a societal perspective. The incidence of medically attended influenza ranged from 113.1 to 220.7 per 100,000 adults, with hospitalization rate of 35.5 to 76.8, intensive care unit admission at 4.2 to 9.2, and deaths at 1.4 to 3.6. Annual socioeconomic costs ranged from $156 to $316 million, primarily driven by indirect costs associated with early mortality. The highest cost was recorded in 2017/18, following the largest outbreak, particularly among older adults. Per capita socioeconomic costs ranged from $2,747 to $4,072 across the seasons, with peak values observed in 2018/19 and 2015/16. Among at-risk groups, per capita costs were 1.5-2.3 times higher than those of the general adult population. Influenza imposes a significant clinical and economic burden on South Korea. Tailored strategies are essential to mitigate this burden, particularly among older adults and at-risk individuals not covered by the National Immunization Program. Objectives This study aims to estimate the clinical and economic burden of influenza in South Korea across five seasons (2014/15-2018/19), stratified by age and comorbidity, using data from the Hospital-based Influenza Morbidity and Mortality (HIMM) network. Methods Data were gathered from eight university hospitals and included adults ([greater than or equal to] 20 years) with laboratory-confirmed influenza. The catchment population was estimated using hospital and national statistical data. Economic costs were evaluated from a societal perspective. Results The incidence of medically attended influenza ranged from 113.1 to 220.7 per 100,000 adults, with hospitalization rate of 35.5 to 76.8, intensive care unit admission at 4.2 to 9.2, and deaths at 1.4 to 3.6. Annual socioeconomic costs ranged from$156 to $ 316 million, primarily driven by indirect costs associated with early mortality. The highest cost was recorded in 2017/18, following the largest outbreak, particularly among older adults. Per capita socioeconomic costs ranged from$2,747 to $ 4,072 across the seasons, with peak values observed in 2018/19 and 2015/16. Among at-risk groups, per capita costs were 1.5-2.3 times higher than those of the general adult population. Conclusions Influenza imposes a significant clinical and economic burden on South Korea. Tailored strategies are essential to mitigate this burden, particularly among older adults and at-risk individuals not covered by the National Immunization Program. This study aims to estimate the clinical and economic burden of influenza in South Korea across five seasons (2014/15-2018/19), stratified by age and comorbidity, using data from the Hospital-based Influenza Morbidity and Mortality (HIMM) network. Data were gathered from eight university hospitals and included adults ([greater than or equal to] 20 years) with laboratory-confirmed influenza. The catchment population was estimated using hospital and national statistical data. Economic costs were evaluated from a societal perspective. The incidence of medically attended influenza ranged from 113.1 to 220.7 per 100,000 adults, with hospitalization rate of 35.5 to 76.8, intensive care unit admission at 4.2 to 9.2, and deaths at 1.4 to 3.6. Annual socioeconomic costs ranged from$156 to $ 316 million, primarily driven by indirect costs associated with early mortality. The highest cost was recorded in 2017/18, following the largest outbreak, particularly among older adults. Per capita socioeconomic costs ranged from$2,747 to $ 4,072 across the seasons, with peak values observed in 2018/19 and 2015/16. Among at-risk groups, per capita costs were 1.5-2.3 times higher than those of the general adult population. Influenza imposes a significant clinical and economic burden on South Korea. Tailored strategies are essential to mitigate this burden, particularly among older adults and at-risk individuals not covered by the National Immunization Program. ObjectivesThis study aims to estimate the clinical and economic burden of influenza in South Korea across five seasons (2014/15–2018/19), stratified by age and comorbidity, using data from the Hospital-based Influenza Morbidity and Mortality (HIMM) network.MethodsData were gathered from eight university hospitals and included adults (≥ 20 years) with laboratory-confirmed influenza. The catchment population was estimated using hospital and national statistical data. Economic costs were evaluated from a societal perspective.ResultsThe incidence of medically attended influenza ranged from 113.1 to 220.7 per 100,000 adults, with hospitalization rate of 35.5 to 76.8, intensive care unit admission at 4.2 to 9.2, and deaths at 1.4 to 3.6. Annual socioeconomic costs ranged from $156 to $316 million, primarily driven by indirect costs associated with early mortality. The highest cost was recorded in 2017/18, following the largest outbreak, particularly among older adults. Per capita socioeconomic costs ranged from $2,747 to $4,072 across the seasons, with peak values observed in 2018/19 and 2015/16. Among at-risk groups, per capita costs were 1.5–2.3 times higher than those of the general adult population.ConclusionsInfluenza imposes a significant clinical and economic burden on South Korea. Tailored strategies are essential to mitigate this burden, particularly among older adults and at-risk individuals not covered by the National Immunization Program. This study aims to estimate the clinical and economic burden of influenza in South Korea across five seasons (2014/15-2018/19), stratified by age and comorbidity, using data from the Hospital-based Influenza Morbidity and Mortality (HIMM) network.OBJECTIVESThis study aims to estimate the clinical and economic burden of influenza in South Korea across five seasons (2014/15-2018/19), stratified by age and comorbidity, using data from the Hospital-based Influenza Morbidity and Mortality (HIMM) network.Data were gathered from eight university hospitals and included adults (≥ 20 years) with laboratory-confirmed influenza. The catchment population was estimated using hospital and national statistical data. Economic costs were evaluated from a societal perspective.METHODSData were gathered from eight university hospitals and included adults (≥ 20 years) with laboratory-confirmed influenza. The catchment population was estimated using hospital and national statistical data. Economic costs were evaluated from a societal perspective.The incidence of medically attended influenza ranged from 113.1 to 220.7 per 100,000 adults, with hospitalization rate of 35.5 to 76.8, intensive care unit admission at 4.2 to 9.2, and deaths at 1.4 to 3.6. Annual socioeconomic costs ranged from $156 to $316 million, primarily driven by indirect costs associated with early mortality. The highest cost was recorded in 2017/18, following the largest outbreak, particularly among older adults. Per capita socioeconomic costs ranged from $2,747 to $4,072 across the seasons, with peak values observed in 2018/19 and 2015/16. Among at-risk groups, per capita costs were 1.5-2.3 times higher than those of the general adult population.RESULTSThe incidence of medically attended influenza ranged from 113.1 to 220.7 per 100,000 adults, with hospitalization rate of 35.5 to 76.8, intensive care unit admission at 4.2 to 9.2, and deaths at 1.4 to 3.6. Annual socioeconomic costs ranged from $156 to $316 million, primarily driven by indirect costs associated with early mortality. The highest cost was recorded in 2017/18, following the largest outbreak, particularly among older adults. Per capita socioeconomic costs ranged from $2,747 to $4,072 across the seasons, with peak values observed in 2018/19 and 2015/16. Among at-risk groups, per capita costs were 1.5-2.3 times higher than those of the general adult population.Influenza imposes a significant clinical and economic burden on South Korea. Tailored strategies are essential to mitigate this burden, particularly among older adults and at-risk individuals not covered by the National Immunization Program.CONCLUSIONSInfluenza imposes a significant clinical and economic burden on South Korea. Tailored strategies are essential to mitigate this burden, particularly among older adults and at-risk individuals not covered by the National Immunization Program. |
| Audience | Academic |
| Author | Noh, Ji Yun Kim, Shin-Woo Choi, Won Suk Wie, Seong-Heon Lee, Jin Soo Park, Kyong-Hwa Kim, Woo Joo Choi, Min Joo Song, Joon Young Kim, Hyo Youl Cheong, Hee Jin Lee, Jacob |
| Author_xml | – sequence: 1 givenname: Min Joo surname: Choi fullname: Choi, Min Joo – sequence: 2 givenname: Won Suk surname: Choi fullname: Choi, Won Suk – sequence: 3 givenname: Joon Young surname: Song fullname: Song, Joon Young – sequence: 4 givenname: Hee Jin surname: Cheong fullname: Cheong, Hee Jin – sequence: 5 givenname: Ji Yun surname: Noh fullname: Noh, Ji Yun – sequence: 6 givenname: Seong-Heon surname: Wie fullname: Wie, Seong-Heon – sequence: 7 givenname: Jin Soo orcidid: 0000-0001-7862-5519 surname: Lee fullname: Lee, Jin Soo – sequence: 8 givenname: Jacob surname: Lee fullname: Lee, Jacob – sequence: 9 givenname: Hyo Youl surname: Kim fullname: Kim, Hyo Youl – sequence: 10 givenname: Shin-Woo surname: Kim fullname: Kim, Shin-Woo – sequence: 11 givenname: Kyong-Hwa surname: Park fullname: Park, Kyong-Hwa – sequence: 12 givenname: Woo Joo orcidid: 0000-0002-4546-3880 surname: Kim fullname: Kim, Woo Joo |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40961172$$D View this record in MEDLINE/PubMed |
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| Copyright | Copyright: © 2025 Choi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. COPYRIGHT 2025 Public Library of Science 2025 Choi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2025 Choi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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| Title | Estimating the clinical and economic burden of medically attended influenza in South Korea, stratified by age and comorbidity: A five-season hospital-based surveillance data, 2014/15–2018/19 |
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