The impact of influenza-associated respiratory illnesses on hospitalizations, physician visits, emergency room visits, and mortality


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Publication Topics

The impact of influenza-associated respiratory illnesses on hospitalizations, physician visits, emergency room visits, and mortality

Publication TypeJournal Article
Year of Publication2003
AuthorsMenec VH, Black CD, MacWilliam L, Aoki FY
JournalCanadian journal of public health.Revue canadienne de sante publiqueCan.J.Public Health
Pages59 - 63
Date Published2003
KeywordsAdolescent, Adult, Aged, Canada/epidemiology, Child, Child, Preschool, Emergency Service, Hospital/utilization, Female, Health Services Research, Humans, Infant, Infant, Newborn, Influenza, Human/complications/epidemiology/mortality/therapy, Male, Middle Aged, Office Visits/utilization, Patient Admission/statistics & numerical data, Respiratory Tract Infections/complications/epidemiology/mortality/therapy, Utilization Review
AbstractOBJECTIVES: Although the increased risk of hospitalization and mortality during influenza seasons has been documented extensively, there is a relative paucity of research on the impact of influenza-related illnesses on other health care use indicators, such as physician use. The purpose of this study was to examine the impact of influenza-associated respiratory illnesses on the Winnipeg health care system, including hospitalizations, physician visits and emergency room visits. Their impact on mortality was also examined. METHODS: Administrative data were used to track health care use and mortality over four influenza seasons (1995-96 to 1998-99). Excess health care use and deaths were calculated by subtracting rates during influenza seasons from those during weeks when influenza viruses were not circulating. RESULTS: Significant excess hospitalization, physician visit, and emergency room visit rates emerged for influenza and pneumonia, acute respiratory diseases, and chronic lung disease, especially among children and adults aged 65 and over. Considerable excess mortality due to influenza and pneumonia and chronic lung disease among individuals aged 65 and over also emerged, particularly among nursing home residents. DISCUSSION: Influenza-associated respiratory illnesses have a substantial impact on the health care system. Given the burden of illness among children during influenza seasons, the study further suggests that influenza vaccination might be considered for this age group.
Citation Key412