You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


Advertisement

ABOUT ARCHIVES
Advanced Search

Welcome   | My Account | E-mail Alerts | RSS | Access Rights | Sign In


  Vol. 142 No. 1, January 1982 TABLE OF CONTENTS
  Online Only
 •  Online First Table of
Contents
  ORIGINAL INVESTIGATIONS
 •Online Features
 This Article
 •References
 •Full text PDF
 •Correction
 • Reply to article
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citation map
 •Citing articles on HighWire
 •Citing articles on Web of Science (217)
 •Contact me when this article is cited
 Related Content
 •Similar articles in this journal
 Social Bookmarking
  Add to CiteULike Add to Connotea Add to Delicious Add to Digg Add to Facebook Add to Reddit Add to Technorati Add to Twitter What's this?

Pneumonia and Influenza Deaths During Epidemics

Implications for Prevention

William H. Barker, MD; John P. Mullooly, PhD

Arch Intern Med. 1982;142(1):85-89.


Abstract



Pneumonia and influenza (P&I) deaths among adults during epidemics of influenza A (H3N2) virus are reviewed and risks of such deaths according to age and presence of chronic disease are estimated from medical records of a large group practice. Thirty-eight deaths occurred among 310 persons hospitalized with P&I. Flu-like symptoms occurred in 30 patients (79%), 26 patients (68%) were older than 65 years, 36 patients (95%) had chronic disease, and approximately half were medically stable before the terminal episode. These values were similar to those of P&I deaths during nonepidemic periods. Pneumonia and influenza death rates ranged from fewer than ten to more than 600 per 100,000 among healthy vs chronically ill adults. Highest rates (870 per 100,000) occurred in persons with both cardiovascular and pulmonary disease. Application of these findings to influenza vaccination strategies in clinical practice is discussed.

(Arch Intern Med 1982;142:85-89)



Author Affiliations



From the Departments of Preventive Medicine and Internal Medicine, University of Rochester (NY) School of Medicine and Dentistry (Dr Barker); and the Kaiser-Permanente Medical Care Program, Health Services Research Center, Portland, Ore (Dr Mullooly).


Footnotes



Accepted for publication March 23, 1981.

Reprint requests to the University of Rochester Medical Center, Box 644, 601 Elmwood Ave, Rochester, NY 14642 (Dr Barker).



Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Delicious Delicious   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter     What's this?


THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Utility of Influenza Vaccination for Oncology Patients
Pollyea et al.
JCO 2010;28:2481-2490.
ABSTRACT | FULL TEXT  

Innate immune control and regulation of influenza virus infections
McGill et al.
J. Leukoc. Biol. 2009;86:803-812.
ABSTRACT | FULL TEXT  

Influenza Virus Infection and the Risk of Serious Bacterial Infections in Young Febrile Infants
Krief et al.
Pediatrics 2009;124:30-39.
ABSTRACT | FULL TEXT  

The multifunctional NS1 protein of influenza A viruses
Hale et al.
J. Gen. Virol. 2008;89:2359-2376.
ABSTRACT | FULL TEXT  

Influenza Vaccination: An Unmet Need in Patients With Diabetes
Schaffner et al.
Clin. Diabetes 2007;25:145-149.
ABSTRACT | FULL TEXT  

Influenza Vaccination as Secondary Prevention for Cardiovascular Disease: A Science Advisory From the American Heart Association/American College of Cardiology
Davis et al.
J Am Coll Cardiol 2006;48:1498-1502.
ABSTRACT | FULL TEXT  

Influenza Vaccination as Secondary Prevention for Cardiovascular Disease: A Science Advisory From the American Heart Association/American College of Cardiology: Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Association of Critical Care Nurses, the American Association of Heart Failure Nurses, the American Diabetes Association, the Association of Black Cardiologists, Inc., the Heart Failure Society of America, and the Preventive Cardiovascular Nurses Association.: The American Academy of Nurse Practitioners supports the recommendations of this scientific advisory.: This science advisory is consistent with the recommendations of the Centers for Disease Control and Prevention and the Advisory Committee on Immunization Practices.
Davis et al.
Circulation 2006;114:1549-1553.
ABSTRACT | FULL TEXT  

Impact of a Winter Respiratory Virus Season on Patients With COPD and Association With Influenza Vaccination.
Gorse et al.
Chest 2006;130:1109-1116.
ABSTRACT | FULL TEXT  

A Cohort Study of the Effectiveness of Influenza Vaccine in Older People, Performed Using the United Kingdom General Practice Research Database
Mangtani et al.
The Journal of Infectious Disease 2004;190:1-10.
ABSTRACT | FULL TEXT  

Utility of Reverse Transcriptase PCR for Rapid Diagnosis of Influenza A Virus Infection and Detection of Amantadine-Resistant Influenza A Virus Isolates
Pachucki et al.
J. Clin. Microbiol. 2004;42:2796-2798.
ABSTRACT | FULL TEXT  

Additive preventive effect of influenza and pneumococcal vaccines in elderly persons
Christenson et al.
Eur Respir J 2004;23:363-368.
ABSTRACT | FULL TEXT  

Development and Validation of a Clinical Prediction Rule for Hospitalization Due to Pneumonia or Influenza or Death during Influenza Epidemics among Community-Dwelling Elderly Persons
Hak et al.
The Journal of Infectious Disease 2004;189:450-458.
ABSTRACT | FULL TEXT  

Influenza Vaccination in Community-Dwelling Elderly: Impact on Mortality and Influenza-Associated Morbidity
Voordouw et al.
Arch Intern Med 2003;163:1089-1094.
ABSTRACT | FULL TEXT  

Influenza Vaccination in Elderly Patients With Advanced Colorectal Cancer
Earle
JCO 2003;21:1161-1166.
ABSTRACT | FULL TEXT  

Clinical and Economic Evaluation of Rapid Influenza A Virus Testing in Nursing Homes in Calgary, Canada
Church et al.
Clinical Infectious Diseases 2002;34:790-795.
ABSTRACT | FULL TEXT  

The humoral immune response to influenza vaccination in lung transplant patients
Mazzone et al.
Eur Respir J 2001;18:971-976.
ABSTRACT | FULL TEXT  

The incidence, natural history and associated outcomes of influenza-like illness and clinical influenza in Italy
Sessa et al.
Fam Pract 2001;18:629-634.
ABSTRACT | FULL TEXT  

Influenza and Human Immunodeficiency Virus Infection: Absence of HIV Progression after Acute Influenza Infection
Golden et al.
Clinical Infectious Diseases 2001;32:1366-1370.
ABSTRACT | FULL TEXT  

Excess Mortality Due to Pneumonia or Influenza During Influenza Seasons Among Persons With Acquired Immunodeficiency Syndrome
Lin and Nichol
Arch Intern Med 2001;161:441-446.
ABSTRACT | FULL TEXT  

Zanamivir for the Treatment of Influenza A and B Infection in High-Risk Patients: A Pooled Analysis of Randomized Controlled Trials
Lalezari et al.
Arch Intern Med 2001;161:212-217.
ABSTRACT | FULL TEXT  

Uncomplicated Acute Bronchitis
Gonzales and Sande
ANN INTERN MED 2000;133:981-991.
ABSTRACT | FULL TEXT  

Effectiveness and Cost-Benefit of Influenza Vaccination of Healthy Working Adults: A Randomized Controlled Trial
Bridges et al.
JAMA 2000;284:1655-1663.
ABSTRACT | FULL TEXT  

Practice Guideline for Evaluation of Fever and Infection in Long-Term Care Facilities
Bentley et al.
Clinical Infectious Diseases 2000;31:640-653.
FULL TEXT  

Influence of type 2 T cell responses on the severity of encephalitis associated with influenza virus infection
Kaji et al.
J. Leukoc. Biol. 2000;68:180-186.
ABSTRACT | FULL TEXT  

Efficacy and Safety of the Oral Neuraminidase Inhibitor Oseltamivir in Treating Acute Influenza: A Randomized Controlled Trial
Treanor et al.
JAMA 2000;283:1016-1024.
ABSTRACT | FULL TEXT  

Assessment of Markers of the Cell-Mediated Immune Response after Influenza Virus Infection in Frail Older Adults
McElhaney et al.
CVI 1998;5:840-844.
ABSTRACT | FULL TEXT  

Risk Factors for 30-Day Mortality in Elderly Patients With Lower Respiratory Tract Infection: Community-Based Study
Houston et al.
Arch Intern Med 1997;157:2190-2195.
ABSTRACT  

The Efficacy of Influenza Vaccination in Elderly Individuals: A Randomized Double-blind Placebo-Controlled Trial
Govaert et al.
JAMA 1994;272:1661-1665.
ABSTRACT  

Prevention of Respiratory Infections in Adults: Influenza and Pneumococcal Vaccines
Fiebach and Beckett
Arch Intern Med 1994;154:2545-2557.
ABSTRACT  

Clinical Effectiveness of Influenza Vaccination in Manitoba
Fedson et al.
JAMA 1993;270:1956-1961.
ABSTRACT  

The Impact and Cost of Influenza in the Elderly
McBean et al.
Arch Intern Med 1993;153:2105-2111.
ABSTRACT  

Protective Efficacy of Combined Live Intranasal and Inactivated Influenza A Virus Vaccines in the Elderly
Treanor et al.
ANN INTERN MED 1992;117:625-633.
ABSTRACT  

Influenza Vaccination: Are We Doing Better Than We Think?
Gillick and Ditzion
Arch Intern Med 1991;151:1742-1744.
ABSTRACT  

State and Local Influenza Immunization Program Activities
JAMA 1988;260:3408-3410.
 

Immunization Policies and Vaccine Coverage Among Adults: The Risk for Missed Opportunities
WILLIAMS et al.
ANN INTERN MED 1988;108:616-625.
ABSTRACT  

Association of Influenza Immunization With Reduction in Mortality in an Elderly Population: A Prospective Study
Gross et al.
Arch Intern Med 1988;148:562-565.
ABSTRACT  

Prospects for an Emergency Department--Based Adult Immunization Program
Polis et al.
Arch Intern Med 1987;147:1999-2001.
ABSTRACT  

Leads From the MMWR
JAMA 1987;258:593-600.
 

Influenza Vaccine and Pneumonia Mortality in a Nursing Home Population
Saah et al.
Arch Intern Med 1986;146:2353-2357.
ABSTRACT  

Leads from the MMWR
JAMA 1986;256:323-329.
 

Comprehensive Immunization Delivery in Conjunction With Influenza Vaccination
Grabenstein et al.
Arch Intern Med 1986;146:1189-1192.
ABSTRACT  

Prevention and Control of Influenza: Recommendation of the Immunization Practices Advisory Committee
ANN INTERN MED 1985;103:560-565.
ABSTRACT  

Leads from the MMWR
JAMA 1985;253:3521-3535.
 

Prevention and Control of Influenza: Recommendation of the Immunization Practices Advisory Committee
ANN INTERN MED 1984;101:218-222.
ABSTRACT  

Influenza and Pneumococcal Immunization in Medical Clinics, 1978-1980
Ratner and Fedson
Arch Intern Med 1983;143:2066-2069.
ABSTRACT  

Previous Hospital Care and Pneumococcal Bacteremia: Importance for Pneumococcal Immunization
Fedson and Chiarello
Arch Intern Med 1983;143:885-889.
ABSTRACT  

Previous Hospital Care as a Risk Factor for Pneumonia: Implications for Immunization With Pneumococcal Vaccine
Fedson and Baldwin
JAMA 1982;248:1989-1995.
ABSTRACT  

Influenza-Related Morbidity and Mortality
Jefferies
Arch Intern Med 1982;142:1240-1240.
ABSTRACT  





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 1982 American Medical Association. All Rights Reserved.