Evidence map›Paper›PMID 32258201›Full record

ArticleOpen forum infectious diseases2019

Determinants of Fatal Outcome in Patients Admitted to Intensive Care Units With Influenza, European Union 2009-2017.

Cornelia Adlhoch, Joana Gomes Dias, Isabelle Bonmarin, Bruno Hubert, Amparo Larrauri, Jesús A Oliva Domínguez, Concepción Delgado-Sanz, Mia Brytting, Annasara Carnahan, Odette Popovici and 18 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Individual and seasonal determinants of death among influenza patients in intensive care units: a retrospective cohort study, Portugal, 2012 to 2024.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Effect of neuraminidase inhibitor (oseltamivir) treatment on outcome of hospitalised influenza patients, surveillance data from 11 EU countries, 2010 to 2020.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Article
  7. The clinical and economic value of a successful shutdown during the SARS-CoV-2 pandemic in Germany.The Quarterly review of economics and finance : journal of the Midwest Economics Association · 2022
    Article
  8. The New Quadrivalent Adjuvanted Influenza Vaccine for the Italian Elderly: A Health Technology Assessment.International journal of environmental research and public health · 2022
    Article
  9. Observational
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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

28 authors at 14 institutions in 12 countries.

Cornelia AdlhochSurveillance and Response Support, European Centre for Disease Prevention and Control (ECDC), Solna, Sweden.ORCID 0000-0002-8842-0469
Joana Gomes DiasSurveillance and Response Support, European Centre for Disease Prevention and Control (ECDC), Solna, Sweden.
Isabelle BonmarinBruno Hubert, Santé Public France, Saint-Maurice Cedex, France.
Bruno HubertBruno Hubert, Santé Public France, Saint-Maurice Cedex, France.
Amparo LarrauriNational Centre of Epidemiology, CIBER Epidemiología y Salud Pública, Institute of Health Carlos III (ISCIII), Madrid, Spain.
Jesús A Oliva DomínguezNational Centre of Epidemiology, CIBER Epidemiología y Salud Pública, Institute of Health Carlos III (ISCIII), Madrid, Spain.
Concepción Delgado-SanzNational Centre of Epidemiology, CIBER Epidemiología y Salud Pública, Institute of Health Carlos III (ISCIII), Madrid, Spain.
Mia BryttingThe Public Health Agency of Sweden, Solna, Sweden.
Annasara CarnahanThe Public Health Agency of Sweden, Solna, Sweden.
Odette PopoviciNational Institute of Public Health, Romania National Centre for Communicable Diseases Surveillance and Control, Bucuresti, Romania.
Emilia LupulescuNational Institute of Public Health, Romania National Centre for Communicable Diseases Surveillance and Control, Bucuresti, Romania.
Joan O'DonnellHealth Service Executive-Health Protection Surveillance Centre, Dublin, Ireland.
Lisa DomeganHealth Service Executive-Health Protection Surveillance Centre, Dublin, Ireland.
Arianne B Van Gageldonk-LafeberNational Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
Adam MeijerNational Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
Jan KynčlDepartment of Infectious Diseases Epidemiology, National Institute of Public Health, Prague, Czech Republic.
Pavel SlezákDepartment of Infectious Diseases Epidemiology, National Institute of Public Health, Prague, Czech Republic.
Raquel GuiomarInstituto Nacional de Saúde Doutor Ricardo Jorge (National Institute of Health Dr. Ricardo Jorge), Lisboa, Portugal.
Carlos M Orta GomesDepartment of Public Health of Regional Health Administration of Lisbon and Tagus Valley, Lisboa, Portugal.
Theresia Popow-KrauppMedical University of Vienna, Center for Virology, Vienna, Austria.
Ján MikasPublic Health Authority of the Slovak Republic, Bratislava, Slovakia.
Edita StaroňováPublic Health Authority of the Slovak Republic, Bratislava, Slovakia.
Jackie M MelilloInfectious Disease Prevention and Control Unit, Health Regulation, Malta.
Tanya MelilloInfectious Disease Prevention and Control Unit, Health Regulation, Malta.
Niina IkonenDepartment of Health Security, National Institute for Health and Welfare (THL), Helsinki, Finland.
Outi LyytikäinenDepartment of Health Security, National Institute for Health and Welfare (THL), Helsinki, Finland.
René SnackenSurveillance and Response Support, European Centre for Disease Prevention and Control (ECDC), Solna, Sweden.
Pasi PenttinenOffice of the Chief Scientist, European Centre for Disease Prevention and Control (ECDC), Solna, Sweden.
European Centre for Disease Prevention and Control · SEInstituto de Salud Carlos III · ESFinnish Institute for Health and Welfare · FIHealth Service Executive · IEMinistry for Health · MTNational Institute for Public Health and the Environment · NLNational Institute of Public Health · CZNational Institute of Research and Development for Biological Sciences · ROPublic Health Agency of Sweden · SEPublic Health Authority of the Slovak Republic · SKSanté Publique France · FRAdministração Regional de Saúde de Lisboa e Vale do Tejo · PTMedical University of Vienna · ATNational Institute of Health Dr. Ricardo Jorge · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMorbidity, severity, and mortality associated with annual influenza epidemics are of public health concern. We analyzed surveillance data on hospitalized laboratory-confirmed influenza cases admitted to intensive care units to identify common determinants for fatal outcome and inform and target public health prevention strategies, including risk communication.

methodsWe performed a descriptive analysis and used Poisson regression models with robust variance to estimate the association of age, sex, virus (sub)type, and underlying medical condition with fatal outcome using European Union data from 2009 to 2017.

resultsOf 13 368 cases included in the basic dataset, 2806 (21%) were fatal. Age ≥40 years and infection with influenza A virus were associated with fatal outcome. Of 5886 cases with known underlying medical conditions and virus A subtype included in a more detailed analysis, 1349 (23%) were fatal. Influenza virus A(H1N1)pdm09 or A(H3N2) infection, age ≥60 years, cancer, human immunodeficiency virus infection and/or other immune deficiency, and heart, kidney, and liver disease were associated with fatal outcome; the risk of death was lower for patients with chronic lung disease and for pregnant women.

conclusionsThis study re-emphasises the importance of preventing influenza in the elderly and tailoring strategies to risk groups with underlying medical conditions.

Indexed as

ageEUinfluenza virusintensive care unitsunderlying medical conditions

Identifiers

PMID32258201
PMCPMC7105050
OpenAlexW2982512720

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.