Evidence map›Paper›PMID 23045622›Full record

ArticleThe Journal of infectious diseases2012

Excess mortality associated with influenza A and B virus in Hong Kong, 1998-2009.

Peng Wu, Edward Goldstein, Lai Ming Ho, Lin Yang, Hiroshi Nishiura, Joseph T Wu, Dennis K M Ip, Shuk-Kwan Chuang, Thomas Tsang, Benjamin J Cowling

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in The Journal of infectious diseases, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 5 pooled it
8.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 5 syntheses or guidelines pooled it, 129 citations in OpenAlex.

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  10. A Bayesian spatial-temporal varying coefficients model for estimating excess deaths associated with respiratory infections.Journal of the Royal Statistical Society. Series A, (Statistics in Society) · 2025
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  15. Myocardial infarction and viral triggers: what do we know by now?European heart journal supplements : journal of the European Society of Cardiology · 2023
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29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 4 countries.

Peng WuSchool of Public Health, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong Special Administrative Region, China.
Edward Goldstein
Lai Ming Ho
Lin Yang
Hiroshi Nishiura
Joseph T Wu
Dennis K M Ip
Shuk-Kwan Chuang
Thomas Tsang
Benjamin J Cowling
University of Hong Kong · HKDepartment of Health · CNCenter for Disease Dynamics, Economics & Policy · USJapan Science and Technology Agency · JP

Funding

Understanding and controlling antibiotic resistanceU54GM088558 · NIGMS · HARVARD SCHOOL OF PUBLIC HEALTH · PI LIPSITCH, MARC · 2009 to 2018
$26.4M
Epidemiology and modeling of the population dynamics of influenza and antimicrobiK01AI101010 · NIAID · HARVARD SCHOOL OF PUBLIC HEALTH · PI GOLDSTEIN, EDWARD · 2012 to 2014
$379k
NIAID NIH HHS 1K01 AI101010-01NIAID NIH HHS K01 AI101010NIGMS NIH HHS U54 GM088558
6 · The paper itself

Abstract

backgroundAlthough deaths associated with laboratory-confirmed influenza virus infections are rare, the excess mortality burden of influenza estimated from statistical models may more reliably quantify the impact of influenza in a population.

methodsWe applied age-specific multiple linear regression models to all-cause and cause-specific mortality rates in Hong Kong from 1998 through 2009. The differences between estimated mortality rates in the presence or absence of recorded influenza activity were used to estimate influenza-associated excess mortality.

resultsThe annual influenza-associated all-cause excess mortality rate was 11.1 (95% confidence interval [CI], 7.2-14.6) per 100,000 person-years. We estimated an average of 751 (95% CI, 488-990) excess deaths associated with influenza annually from 1998 through 2009, with 95% of the excess deaths occurring in persons aged ≥65 years. Most of the influenza-associated excess deaths were from respiratory (53%) and cardiovascular (18%) causes. Influenza A(H3N2) epidemics were associated with more excess deaths than influenza A(H1N1) or B during the study period.

conclusionsInfluenza was associated with a substantial number of excess deaths each year, mainly among the elderly, in Hong Kong in the past decade. The influenza-associated excess mortality rates were generally similar in Hong Kong and the United States.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsChildChild, PreschoolFemaleHong KongHumansInfantInfant, NewbornInfluenza A virusInfluenza B virusInfluenza, HumanMale

Identifiers

PMID23045622
PMCPMC3502382
OpenAlexW2131125869

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.