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流感是导致患者死亡风险增加、发病率过高和住院时间延长的一个重要因素。

Influenza as an important factor causing increased risk of patients' deaths, excessive morbidity and prolonged hospital stays.

作者信息

Drobnik Jarosław, Pobrotyn Piotr, Witczak Izabela T, Antczak Adam, Susło Robert

机构信息

Epidemiology and Health Education Division, Population Health Department, Health Sciences Faculty, Wrocław Medical University, Wroclaw, Poland.

Management, University Clinical Hospital, Wroclaw, Poland.

出版信息

Arch Med Sci. 2021 Jun 4;19(4):941-951. doi: 10.5114/aoms/138145. eCollection 2023.

Abstract

INTRODUCTION

Influenza infection is associated with potential serious complications, increased hospitalization rates and a higher risk of death.

MATERIAL AND METHODS

A retrospective comparative analysis of selected indicators of hospitalization at the University Hospital in Wroclaw was conducted on patients with confirmed influenza infection and a control group during the 2018-2019 influenza season. The threshold for statistical significance of differences between the groups was set at < 0.05.

RESULTS

The types of influenza viruses confirmed in the hospital patients were remarkably similar to those occurring in the general population in Poland. The largest numbers of influenza cases were observed at the departments related to internal medicine where patients with cardiac, lung and renal diseases were hospitalized. The risk of death among the patients with confirmed influenza infection was significantly higher than among the other patients. The highest risk of death was observed among the patients with confirmed influenza infection at the departments related to internal medicine. Considering patients from the entire hospital, the mean length of hospital stay for those with confirmed influenza was 2.13-fold longer than for those in the control group. Comparisons of the median, minimum and maximum lengths of hospitalization between the patients with confirmed influenza infection and the control group reveal even more distinct differences.

CONCLUSIONS

Significant differences in the selected indicators of hospitalization were observed between the patients with confirmed influenza infection and the control group; they are associated with serious social costs, such as prolonged hospital stay and a higher risk of death during hospitalization in Poland.

摘要

引言

流感感染与潜在的严重并发症、住院率增加及更高的死亡风险相关。

材料与方法

对弗罗茨瓦夫大学医院确诊流感感染患者及对照组在2018 - 2019流感季的部分住院指标进行回顾性对比分析。组间差异具有统计学意义的阈值设定为<0.05。

结果

医院确诊的流感病毒类型与波兰普通人群中出现的病毒类型显著相似。在内科相关科室,即收治心脏、肺部和肾脏疾病患者的科室,观察到的流感病例数最多。确诊流感感染患者的死亡风险显著高于其他患者。在内科相关科室确诊流感感染患者中观察到最高的死亡风险。从整个医院来看,确诊流感患者的平均住院时间比对照组患者长2.13倍。确诊流感感染患者与对照组之间住院时间中位数、最短和最长住院时间的比较显示出更明显的差异。

结论

确诊流感感染患者与对照组在部分住院指标上存在显著差异;在波兰,这些差异与严重的社会成本相关,如住院时间延长及住院期间更高的死亡风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adbb/10408030/63de53a71f4d/AMS-19-4-138145-g001.jpg

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