Evidence map›Paper›PMID 34991775›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2022

Hospital outcomes of community-acquired COVID-19 versus influenza: Insights from the Swiss hospital-based surveillance of influenza and COVID-19.

Georg Marcus Fröhlich, Marlieke E A De Kraker, Mohamed Abbas, Olivia Keiser, Amaury Thiabaud, Maroussia Roelens, Alexia Cusini, Domenica Flury, Peter W Schreiber, Michael Buettcher and 11 more

Open access · diamondAbstract read
In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.0field-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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  12. Comparison of the Clinical and Laboratory Features of COVID and Influenza in Children.Mediterranean journal of hematology and infectious diseases · 2022
    Review
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

21 authors at 11 institutions in 2 countries.

Georg Marcus FröhlichHeartClinic Lucerne, Lucerne, Switzerland.
Marlieke E A De KrakerInfection Control program, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Mohamed AbbasInfection Control program, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Olivia KeiserInstitute of Global Health of the University of Geneva, Geneva, Switzerland.
Amaury ThiabaudInstitute of Global Health of the University of Geneva, Geneva, Switzerland.
Maroussia RoelensInstitute of Global Health of the University of Geneva, Geneva, Switzerland.
Alexia CusiniKantonsspital Graubünden, Department for General Medicine, Chur, Switzerland.
Domenica FluryKantonsspital St. Gallen, St. Gallen, Switzerland.
Peter W SchreiberUniversity Hospital Zurich, Division of Infectious Diseases and Hospital Epidemiology, and University of Zurich, Zurich, Switzerland.
Michael BuettcherCantonal Hospital Lucerne, Children's Hospital, Pediatric Infectious Diseases, Lucerne, Switzerland.
Natascia CortiDepartment for General Medicine, Klinik Hirslanden, Zürich, Switzerland.
Danielle Vuichard-GysinDepartment for General Medicine, Spital Thurgau, Frauenfeld, Switzerland.
Nicolas TroilletSwissnoso, the National Center for Infection Control, Bern, Switzerland.
Julien SauserInfection Control program, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Roman GaudenzDepartment for General Medicine, Kantonsspital Nidwalden, Stans, Switzerland.
Lauro DamontiDepartment of Infectious Diseases, Bern University Hospital, Bern, Switzerland.
Carlo BalmelliSwissnoso, the National Center for Infection Control, Bern, Switzerland.
Anne ItenInfection Control program, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Andreas WidmerSwissnoso, the National Center for Infection Control, Bern, Switzerland.
Stephan HarbarthSwissnoso, the National Center for Infection Control, Bern, Switzerland.
Rami SommersteinSwissnoso, the National Center for Infection Control, Bern, Switzerland.
University Hospital of Geneva · CHUniversity of Geneva · CHUniversity of Lucerne · CHEnte Ospedaliero Cantonale · CHHôpital du Valais · CHKantonsspital Graubünden · CHKantonsspital St. Gallen · CHKlinik Hirslanden · CHUniversity Hospital of Basel · CHUniversity Hospital of Bern · CHUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundSince the onset of the COVID-19 pandemic, the disease has frequently been compared with seasonal influenza, but this comparison is based on little empirical data.AimThis study compares in-hospital outcomes for patients with community-acquired COVID-19 and patients with community-acquired influenza in Switzerland.MethodsThis retrospective multi-centre cohort study includes patients > 18 years admitted for COVID-19 or influenza A/B infection determined by RT-PCR. Primary and secondary outcomes were in-hospital mortality and intensive care unit (ICU) admission for patients with COVID-19 or influenza. We used Cox regression (cause-specific and Fine-Gray subdistribution hazard models) to account for time-dependency and competing events with inverse probability weighting to adjust for confounders.ResultsIn 2020, 2,843 patients with COVID-19 from 14 centres were included. Between 2018 and 2020, 1,381 patients with influenza from seven centres were included; 1,722 (61%) of the patients with COVID-19 and 666 (48%) of the patients with influenza were male (p < 0.001). The patients with COVID-19 were younger (median 67 years; interquartile range (IQR): 54-78) than the patients with influenza (median 74 years; IQR: 61-84) (p < 0.001). A larger percentage of patients with COVID-19 (12.8%) than patients with influenza (4.4%) died in hospital (p < 0.001). The final adjusted subdistribution hazard ratio for mortality was 3.01 (95% CI: 2.22-4.09; p < 0.001) for COVID-19 compared with influenza and 2.44 (95% CI: 2.00-3.00, p < 0.001) for ICU admission.ConclusionCommunity-acquired COVID-19 was associated with worse outcomes compared with community-acquired influenza, as the hazards of ICU admission and in-hospital death were about two-fold to three-fold higher.

Indexed as

COVID-19Influenza, HumanCohort StudiesHospitalizationHospital MortalityHospitalsHumansIntensive Care UnitsMalePandemicsRetrospective StudiesSARS-CoV-2Switzerlandair-borne infectionsclinicCOVID-19epidemiologyICUinfluenzaInfluenzainfluenza virusmortalitysevere acute respiratory syndrome – SARSsurveillanceSwitzerlandviral infections

Identifiers

PMID34991775
PMCPMC8739338
OpenAlexW4205972594

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.