A Prediction Rule to Identify Severe Cases among Adult Patients Hospitalized with Pandemic Influenza A (H1N1) 2009
Journal of Korean Medical Science
; : 499-506, 2011.
Article
Dans En
| WPRIM
| ID: wpr-173914
Responsable en Bibliothèque :
WPRO
ABSTRACT
The purpose of this study was to establish a prediction rule for severe illness in adult patients hospitalized with pandemic influenza A (H1N1) 2009. At the time of initial presentation, the baseline characteristics of those with severe illness (i.e., admission to intensive care unit, mechanical ventilation, or death) were compared to those of patients with non-severe illnesses. A total of 709 adults hospitalized with pandemic influenza A (H1N1) 2009 were included: 75 severe and 634 non-severe cases. The multivariate analysis demonstrated that altered mental status, hypoxia (PaO2/FiO2 or = 65 yr) were independent risk factors for severe cases (all P or = 2 risk factors had a higher sensitivity, specificity, positive predictive value and negative predictive value than an APACHE II score of > or = 13. As a prediction rule, the presence of > or = 2 these risk factors is a powerful and easy-to-use predictor of the severity in adult patients hospitalized with pandemic influenza A (H1N1) 2009.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Antiviraux
/
Ventilation artificielle
/
Indice de gravité de la maladie
/
Valeur prédictive des tests
/
Facteurs de risque
/
Courbe ROC
/
Indice APACHE
/
Grippe humaine
/
Sous-type H1N1 du virus de la grippe A
/
Pandémies
Type d'étude:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limites du sujet:
Adult
/
Aged
/
Female
/
Humans
/
Male
langue:
En
Texte intégral:
Journal of Korean Medical Science
Année:
2011
Type:
Article