About: Severity and outcomes of influenza-related pneumonia in type A and B strains in China, 2013

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Severity and outcomes of influenza-related pneumonia in type A and B strains in China, 2013–2019
Creator	Chen, Liang Li, Yan-Li Han, Xiu-Di Xing, Xi-Qian Zhang, Chun-Xiao
source	PMC
abstract	BACKGROUND: Inconsistencies exist regarding the severity of illness caused by different influenza strains. The aim of this study was to compare the clinical outcomes of hospitalized adults and adolescents with influenza-related pneumonia (Flu-p) from type A and type B strains in China. METHODS: We retrospectively reviewed data from Flu-p patients in five hospitals in China from January 2013 to May 2019. Multivariate logistic and Cox regression models were used to assess the effects of influenza virus subtypes on clinical outcomes, and to explore the risk factors of 30-day mortality for Flu-p patients. RESULTS: In total, 963 laboratory-confirmed influenza A-related pneumonia (FluA-p) and 386 influenza B-related pneumonia (FluB-p) patients were included. Upon adjustment for confounders, multivariate logistic regression models showed that FluA-p was associated with an increased risk of invasive ventilation (adjusted odds ratio [aOR]: 3.824, 95% confidence interval [CI]: 2.279–6.414; P < 0.001), admittance to intensive care unit (aOR: 1.630, 95% CI: 1.074–2.473, P = 0.022) and 30-day mortality (aOR: 2.427, 95% CI: 1.568–3.756, P < 0.001) compared to FluB-p. Multivariate Cox regression models confirmed that influenza A virus infection (hazard ratio: 2.637, 95% CI: 1.134–6.131, P = 0.024) was an independent predictor for 30-day mortality in Flu-p patients. CONCLUSIONS: The severity of illness and clinical outcomes of FluA-p patients are more severe than FluB-p. This highlights the importance of identifying the virus strain during the management of severe influenza.
has issue date	2020-04-22(xsd:dateTime)
bibo:doi	10.1186/s40249-020-00655-w
bibo:pmid	32321576
has license	cc-by
sha1sum (hex)	82d13cb1646ce7ae0e6cdef52968b32751d0cdac
schema:url	https://doi.org/10.1186/s40249-020-00655-w
resource representing a document's title	Severity and outcomes of influenza-related pneumonia in type A and B strains in China, 2013–2019
has PubMed Central identifier	PMC7175558
has PubMed identifier	32321576
schema:publication	Infect Dis Poverty
resource representing a document's body	covid:82d13cb1646ce7ae0e6cdef52968b32751d0cdac#body_text
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