Effect of ethnicity on care pathway and outcomes in patients hospitalized with influenza A(H1N1)pdm09 in the UK

Nyland, G.A.; McKenzie, B.C.; Myles, Puja R.; Semple, M.G.; Lim, W.S.; Openshaw, Peter J.M.; Read, R.C.; Taylor, B.L.; Brett, S.J.; Mcmenamin, J.; Enstone, J.E.; Bannister, B.; Nicholson, K.G.; Nguyen-Van-Tam, Jonathan

Abstract

Data were extracted from the case records of UK patients admitted with laboratory-confirmed influenza A(H1N1)pdm09. White and non-White patients were characterized by age, sex, socioeconomic status, pandemic wave and indicators of pre-morbid health status. Logistic regression examined differences by ethnicity in patient characteristics, care pathway and clinical outcomes; multivariable models controlled for potential confounders. Whites (n = 630) and non-Whites (n = 510) differed by age, socioeconomic status, pandemic wave of admission, pregnancy, recorded obesity, previous and current smoking, and presence of chronic obstructive pulmonary disease. After adjustment for a priori confounders non-Whites were less likely to have received pre-admission antibiotics [adjusted odds ratio (aOR) 0·43, 95% confidence interval (CI) 0·28–0·68, P 

Citation

Nyland, G., McKenzie, B., Myles, P. R., Semple, M., Lim, W., Openshaw, P. J., …Nguyen-Van-Tam, J. (in press). Effect of ethnicity on care pathway and outcomes in patients hospitalized with influenza A(H1N1)pdm09 in the UK. Epidemiology and Infection, 143(6), https://doi.org/10.1017/S0950268814001873

• Journal Article Type: Article
• Acceptance Date: Jul 14, 2014
• Online Publication Date: Aug 1, 2014
• Deposit Date: Oct 20, 2016
• Publicly Available Date: Oct 20, 2016
• Journal: Epidemiology & Infection
• Print ISSN: 0950-2688
• Electronic ISSN: 1469-4409
• Publisher: Cambridge University Press
• Peer Reviewed: Peer Reviewed
• Volume: 143
• Issue: 6
• DOI: https://doi.org/10.1017/S0950268814001873
• Keywords: Epidemiology, influenza, influenza A, pandemic
• Public URL: https://nottingham-repository.worktribe.com/output/731457
• Publisher URL: https://www.cambridge.org/core/journals/epidemiology-and-infection/article/effect-of-ethnicity-on-care-pathway-and-outcomes-in-patients-hospitalized-with-influenza-ah1n1pdm09-in-the-uk/5990C205BD084C25FD3D8AA3FD820F69