Age-Matched Comparison of Children Hospitalized for 2009 Pandemic H1N1 Influenza with Those Hospitalized for Seasonal H1N1 and H3N2 Pandemic Influenza Hospitalization in Children
2011

Comparison of Children Hospitalized for 2009 Pandemic H1N1 Influenza with Those Hospitalized for Seasonal Influenza

Sample size: 99 publication Evidence: moderate

Author Information

Author(s): Chiu Susan S., Chan Kwok-Hung, Wong Wilfred H. S., Chan Eunice L. Y., Peiris J. S. M.

Primary Institution: The University of Hong Kong

Hypothesis

How do children hospitalized for pandemic H1N1 influenza compare to those hospitalized for seasonal influenza in terms of clinical manifestations and outcomes?

Conclusion

Disease manifestation of children hospitalized for pH1N1 infection was mild in our patient population.

Supporting Evidence

  • Children with pH1N1 were more likely to have at least one risk condition for influenza.
  • There was no death or intensive care admission in any child in this study.
  • Children with pH1N1 had a lower maximum temperature recorded compared to those with seasonal influenza.
  • Almost half of the patients admitted for pH1N1 were treated with a full course of oseltamivir.

Takeaway

The study looked at kids with a specific flu and found that they didn't get very sick compared to kids with other types of flu.

Methodology

An age-matched control study comparing children hospitalized for pH1N1 with historic controls infected with seasonal H1N1 and H3N2 influenza.

Potential Biases

There may be bias in the admission of less severely affected children during the pandemic.

Limitations

Potential bias from using historical controls and differences in admission thresholds during pandemic and inter-pandemic periods.

Participant Demographics

Median age of children with pH1N1 was 5.7 years, with a male to female ratio of 1.25:1.

Statistical Information

P-Value

0.0005

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0021837

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication