Monitoring the impact of influenza by age: Emergency department fever and respiratory complaint surveillance in New York City
2007

Monitoring the Impact of Influenza by Age in New York City

Sample size: 13300000 publication 10 minutes Evidence: moderate

Author Information

Author(s): Donald R. Olson, Richard T. Heffernan, Marc Paladini, Kevin Konty, Don Weiss, Farzad Mostashari

Primary Institution: New York City Department of Health and Mental Hygiene

Hypothesis

How does age affect the impact of influenza on emergency department visits?

Conclusion

Influenza-related morbidity in NYC was highly age- and strain-specific, with school-aged children being the most affected group during certain epidemics.

Supporting Evidence

  • Excess fever and respiratory ED visits were highest among school-aged children during influenza epidemics.
  • Influenza morbidity surveillance using electronic data can provide timely information about age-specific epidemiology.
  • ED visits for fever and respiratory symptoms can serve as an early indicator of influenza outbreaks.

Takeaway

This study looked at how many kids and adults went to the hospital because of the flu in New York City. It found that kids often got sick first when the flu was going around.

Methodology

The study analyzed emergency department visits for fever and respiratory complaints in NYC from 2001 to 2006, correlating these with viral surveillance data.

Potential Biases

Potential bias due to underreporting of cases and reliance on chief complaint data, which may not accurately reflect the underlying illness.

Limitations

The study is limited by the reliance on electronic health data, which may not capture all cases, and the short duration of data collection.

Participant Demographics

The study focused on emergency department visits across various age groups in New York City.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pmed.0040247

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