Poor outcomes among elderly patients hospitalized for influenza-like illness
| Autor: | Serhat Ünal, Özge Özgen, Kubra Aykac, Mine Durusu Tanriover, Sevgen Tanır Basaranoglu, Necla Tulek, Tuğba Bedir Demirdağ, Lale Ozisik, Özlem Güzel Tunçcan, Metin Özsoy, Aslinur Ozkaya-Parlakay, Emre Bilgin, Ateş Kara, Tülay Bağcı Bosi, Hasan Tezer, Belgin Gülhan |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Male medicine.medical_specialty Referral Turkey 030106 microbiology Population Influenza season Tertiary care Viral infection 03 medical and health sciences Admitting Department Hospital 0302 clinical medicine Chart review Influenza Human medicine Humans 030212 general & internal medicine Hospital Mortality Registries education Aged Influenza-like illness education.field_of_study business.industry Vaccination virus diseases General Medicine Hospitalization Influenza Vaccines Population Surveillance Hospital admission Emergency medicine Chronic Disease Female Seasons business Needs Assessment |
| Popis: | Global Influenza Hospital Surveillance Network is a worldwide initiative that aims to document the burden of influenza infections among acute admissions and vaccine effectiveness in particular countries. As a partner of this platform, we aimed to determine the frequency of influenza infections among acute admissions with influenza-like illness and the outcomes of enrolled patients during the 2015-2016 influenza season in selected hospitals in Turkey.The investigators screened the hospital admission registries, chart review or available records, and screened all patients hospitalized in the previous 24-48 hours or overnight in the predefined wards or emergency room. A total of 1351 patients were screened for enrollment in five tertiary care referral hospitals in Ankara and 774 patients (57.3% of the initial screened population) were eligible for swabbing. All of the eligible patients who consented were swabbed and tested for influenza with real-time polymerase chain reaction (PCR) based methods.Overall, influenza positivity was detected in 142 patients (18.4%). The predominant influenza strain was A H1N1pdm09. Outcomes were worse among elderly patients, regardless of the presence of the influenza virus. Half of the patients over 65 years of age were admitted to the intensive care unit, while one third required any mode of mechanical ventilation and one fourth died in the hospital in that particular episode.These findings can guide hospitals to plan and prepare for the influenza season. Effective influenza vaccination strategies, particularly aimed at the elderly and adults with chronic diseases, can provide an opportunity for prevention of deaths due to influenza-like illness. |
| Databáze: | OpenAIRE |
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