From: Pandemic and post-pandemic Influenza A (H1N1) infection in critically ill patients
Variables | Pandemic period N = 648 | Post-pandemic period N = 349 | P-value |
---|---|---|---|
APACHE II score. Mean (SD) | 13.9 +/- 7.2 | 16.3 +/- 7.7 | <0.001 |
SOFA score. Mean (SD) | 5.6 +/- 3.6 | 6.2 +/- 4.1 | 0.04 |
Clinical presentation | |||
Primary viral pneumonia | 451 (69.6) | 237 (67.9) | 0.5 |
COPD exacerbation | 36 (5.6) | 24 (6.9) | 0.4 |
Community acquired respiratory co-infection | 107 (16.5) | 69 (19.8) | 0.2 |
Secondary respiratory infections | 57 (9.3) | 16 (4.7) | 0.006 |
Days from symptoms onset to hospital admission, Mean (SD) | 4.2 +/- 2.6 | 4.8 +/- 3.4 | 0.004 |
Days from hospitalization to diagnosis, Mean (SD) | 2.3 +/- 2.1 | 6.5 +/- 3.8 | <0.001 |
Clinical failure | |||
Septic shock | 294 (45.4) | 190 (54.4) | 0.006 |
MODS | 405 (62.5) | 199 (57) | 0.09 |
Mechanical ventilation | 465 (71.8) | 282 (80.8) | <0.001 |
Invasive mechanical ventilation | 398 (61.4) | 233 (66.8) | 0.09 |
Non-invasive mechanical ventilation | 163 (25.2) | 115 (33) | <0.001 |
Prone positioning | 95 (14.7) | 67 (19.2) | 0.06 |
Septic shock | 294 (45.4) | 190 (54.4) | 0.007 |
Acute kidney Injury | 130 (20.1) | 95 (27.2) | <0.001 |
Continuous renal replacement therapy | 53 (8.2) | 45 (12.9) | <0.001 |
Therapy administered | |||
Empirical oseltamivir | 631 (99.1) | 339 (97.4) | 0.04 |
Days from symptoms onset to oseltamivir administration | 4.7 (2.9) | 5.6 (3.5) | <0.001 |
Zanamivir | 4 (0.6) | 25 (7.2) | <0.001 |
ICU mortality | 141 (21.8) | 105 (30.1) | 0.004 |