Evidence map›Paper›PMID 31992207›Full record

Observational studyBMC infectious diseases2020

Hospital-acquired influenza infections detected by a surveillance system over six seasons, from 2010/2011 to 2015/2016.

P Godoy, N Torner, N Soldevila, C Rius, M Jane, A Martínez, J A Caylà, A Domínguez, Working Group on the Surveillance of Severe Influenza Hospitalized Cases in Catalonia

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
6.3field-weighted citation impact, top 3% 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

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  20. Real-Time Investigation of a Large Nosocomial Influenza A Outbreak Informed by Genomic Epidemiology.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
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

9 authors at 3 institutions in 1 country.

P GodoyEpidemiology Service. Agència de Salut Pública de Catalunya, Generalitat de Catalunya, Barcelona, Spain. pere.godoy@gencat.cat.ORCID http://orcid.org/0000-0002-2896-7286
N TornerEpidemiology Service. Agència de Salut Pública de Catalunya, Generalitat de Catalunya, Barcelona, Spain.
N SoldevilaCIBER de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
C RiusCIBER de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
M JaneEpidemiology Service. Agència de Salut Pública de Catalunya, Generalitat de Catalunya, Barcelona, Spain.
A MartínezEpidemiology Service. Agència de Salut Pública de Catalunya, Generalitat de Catalunya, Barcelona, Spain.
J A CaylàCIBER de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
A DomínguezCIBER de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
Working Group on the Surveillance of Severe Influenza Hospitalized Cases in Catalonia
Generalitat de Catalunya · ESAgència de Salut Pública de Catalunya · ESCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ES

Funding

Catalan Agency for the Management of Grants for University Research 2017/SGR 1342Instituto de Salud Carlos III (ES) Program of Surveillance, Prevention and Control of Transmissible Diseases (PREVICET) of CIBER de Epidemiología y Salud Pública (CIBERESP)
6 · The paper itself

Abstract

backgroundIn addition to outbreaks of nosocomial influenza, sporadic nosocomial influenza infections also occur but are generally not reported in the literature. This study aimed to determine the epidemiologic characteristics of cases of nosocomial influenza compared with the remaining severe cases of severe influenza in acute hospitals in Catalonia (Spain) which were identified by surveillance.

methodsAn observational case-case epidemiological study was carried out in patients aged ≥18 years from Catalan 12 hospitals between 2010 and 2016. For each laboratory-confirmed influenza case (nosocomial or not) we collected demographic, virological and clinical characteristics. We defined patients with nosocomial influenza as those admitted to a hospital for a reason other than acute respiratory infection in whom ILI symptoms developed ≥48 h after admission and influenza virus infection was confirmed using RT-PCR. Mixed-effects regression was used to estimate the crude and adjusted OR.

resultsOne thousand seven hundred twenty-two hospitalized patients with severe laboratory-confirmed influenza virus infection were included: 96 (5.6%) were classified as nosocomial influenza and more frequently had > 14 days of hospital stay (42.7% vs. 27.7%, P < .001) and higher mortality (18.8% vs. 12.6%, P < .02). The variables associated with nosocomial influenza cases in acute-care hospital settings were chronic renal disease (aOR 2.44 95% CI 1.44-4.15) and immunodeficiency (aOR 1.79 95% CI 1.04-3.06).

conclusionsNosocomial infections are a recurring problem associated with high rates of chronic diseases and death. These findings underline the need for adherence to infection control guidelines.

Indexed as

AdolescentAdultAgedCross InfectionFemaleHospitalizationHumansImmunologic Deficiency SyndromesInfection ControlInfluenza, HumanLength of StayMaleMiddle AgedSeasonsSpainYoung AdultHealthcare-associated infectionHospitalized patientsInfluenzaNosocomial infection

Identifiers

PMID31992207
PMCPMC6988218
OpenAlexW3008327203

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.