Comparison of clinical characteristics and outcomes between COVID-19 pneumonia and H1N1 influenza

被引:6
作者
Nasir, Nosheen [1 ]
Khanum, Iffat [1 ]
Habib, Kiren [1 ]
Ahmed, Rimsha [2 ]
Hussain, Mujahid [3 ]
Hasan, Zahra [4 ]
Irfan, Muhammad [3 ]
机构
[1] Aga Khan Univ, Dept Med, Sect Adult Infect Dis, Karachi, Pakistan
[2] Aga Khan Univ, Med Coll, Karachi, Pakistan
[3] Aga Khan Univ, Dept Med, Sect Pulmonol, Karachi, Pakistan
[4] Aga Khan Univ, Dept Pathol & Lab Med, Karachi, Pakistan
关键词
COVID-19; influenza A subtype H1N1; pneumonia; VIRUS-INFECTION;
D O I
10.5603/ARM.a2021.0049
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Introduction: The COVID-19 pandemic has been likened to the 2009 H1N1 influenza pandemic. We aim to study the similarities and differences between patients hospitalized with COVID-19 and H1N1 influenza in order to provide better care to patients, particularly during the co-circulation of Influenza A Subtype H1N1 and SARS-CoV-2. Material and methods: A retrospective cohort study was conducted in order to compare clinical characteristics, complications, and outcomes of hospitalized patients with PCR-confirmed H1N1 influenza pneumonia and COVID-19 at a tertiary care center in Karachi, Pakistan. Results: A total of 115 patients hospitalized with COVID-19 were compared with 55 patients with H1N1 Influenza A pneumonia. Median age was similar in both COVID-19 patients (54 years) and in patients with H1N1 influenza (59 years), but there was male predominance in COVID-19 patients (OR = 2.95; 95% CI: 1.12-7.79). Patients with COVID-19 pneumonia were 1.34 (95% CI: 1.14-1.62) times more likely to have a greater duration of illness prior to presentation compared to H1N1 influenza patients. COVID-19 patients were 4.59 times (95% CI: 1.32-15.94) more likely to be admitted to a general ward compared to H1N1 pneumonia patients. Moreover, patients with COVID-19 were 7.62 times (95% CI: 2.42-24.00) more likely to be treated with systemic steroids compared to patients with H1N1 pneumonia. The rate of nosocomial infections as well as mortality was similar in both H1N1 and COVID-19 pneumonia. Conclusion: Our study found a male predominance and longer duration of illness in hospitalized patients with COVID-19 compared to H1N1 influenza patients but no difference in outcomes with either infection.
引用
收藏
页码:254 / 261
页数:8
相关论文
共 50 条
[21]   Classification of influenza H1N1 and COVID-19 patient data using machine learning [J].
Elbasi, Ersin ;
Zreikat, Aymen ;
Mathew, Shinu ;
Topcu, Ahmet E. .
2021 44TH INTERNATIONAL CONFERENCE ON TELECOMMUNICATIONS AND SIGNAL PROCESSING (TSP), 2021, :278-282
[22]   Influenza A/H1N1 2009 pneumonia in kidney transplant recipients: characteristics and outcomes following high-dose oseltamivir exposure [J].
Watcharananan, S. P. ;
Suwatanapongched, T. ;
Wacharawanichkul, P. ;
Chantratitaya, W. ;
Mavichak, V. ;
Mossad, S. B. .
TRANSPLANT INFECTIOUS DISEASE, 2010, 12 (02) :127-131
[23]   Comparative analysis of elderly hospitalized patients with COVID-19 or influenza A H1N1 virus infections [J].
Lv, Yan ;
Yu, Guodong ;
Zhang, Xiaoli ;
Gu, Jueqing ;
Ye, Chanyuan ;
Lian, Jiangshan ;
Lu, Xiaoqing ;
Lu, Yingfeng ;
Yang, Yida .
INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES, 2022, 125 :278-284
[24]   Characteristics and Outcomes of Pandemic 2009/H1N1 Versus Seasonal Influenza in Children With Cancer [J].
Shah, Dimpy P. ;
El Taoum, Katia K. ;
Shah, Jharna N. ;
Vigil, Karen J. ;
Adachi, Javier A. ;
Granwehr, Bruno P. ;
Tarrand, Jeffrey J. ;
Raad, Issam I. ;
Chemaly, Roy F. .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2012, 31 (04) :373-378
[25]   Prevalence and risk factors for pneumonia in a cohort with clinical suspicion of influenza A (H1N1) [J].
Serra, Mireia ;
Capilla, Silvia ;
Navarro, Gema ;
Monso, Eduard ;
Grimau, Carles ;
Gallego, Miguel .
EUROPEAN RESPIRATORY JOURNAL, 2012, 40
[26]   Comparative study of hematological and radiological feature of severe/critically ill patients with COVID-19, influenza A H7N9, and H1N1 pneumonia [J].
Kong, Jindan ;
Hao, Yan ;
Wan, Shan ;
Li, Zheng ;
Zou, Di ;
Zhang, Leisi ;
Lu, Yin ;
Wang, Jun ;
Chen, Xiaochen ;
Fu, Jianhong .
JOURNAL OF CLINICAL LABORATORY ANALYSIS, 2021, 35 (12)
[27]   Analysis of the risk factors for influenza A (H1N1) pneumonia [J].
Zhang, Qing ;
Zhao, Zhi-Wei ;
Xing, Zhi-Li ;
Zhang, Bo ;
Zheng, Hong-Fei ;
Sun, Li-Xin .
BIOMEDICAL REPORTS, 2013, 1 (05) :723-726
[28]   Chest radiological findings of influenza A H1N1 pneumonia [J].
Nicolini, A. ;
Ferrera, L. ;
Rao, F. ;
Senarega, R. ;
Ferrari-Bravo, M. .
REVISTA PORTUGUESA DE PNEUMOLOGIA, 2012, 18 (03) :120-127
[29]   Inhaled corticosteroids and influenza A (H1N1) viral pneumonia [J].
Malo de Molina, Rosa ;
Aguilar, Myrian ;
Trisan, Andrea ;
Valle, Manuel ;
Minguez, Patricia ;
Lopez, Antolin ;
Ussetti, Piedad .
EUROPEAN RESPIRATORY JOURNAL, 2012, 40
[30]   CLINICAL FEATURES AND OUTCOMES OF H1N1 PNEUMONIA IN A TERTIARY CARE HOSPITAL [J].
Dhanasekar, T. ;
Kalaiselvan ;
Verghese, Yeldho Eason ;
Renuka, M. K. ;
Arunkumar, A. S. .
JOURNAL OF EVOLUTION OF MEDICAL AND DENTAL SCIENCES-JEMDS, 2016, 5 (40) :2581-2584