Impact of Influenza Infection and Environmental Factors on Sepsis Article Swipe
Guozhang Lin
,
Conglu Li
,
Xiaoting Jiang
,
Yuchen Wei
,
Ka Chun Chong
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1289/isee.2023.ep-160
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1289/isee.2023.ep-160
BACKGROUND AND AIM: The influences of influenza infections and environmental factors on sepsis have been examined. However, no previous studies have attempted to simultaneously quantify their impact on sepsis. In this study, we aimed to evaluate the time-varying relationships between influenza infection, meteorological factors, air pollutants, and sepsis using Hong Kong's surveillance data over 14 years. METHOD: Weekly total numbers of hospitalizations due to sepsis were obtained from all public hospitals in Hong Kong during 1998-2011. The numbers were matched with local meteorological records and outdoor air pollutant concentrations. To describe influenza activity, type-specific and all-type influenza-like illness positive (ILI+) rates were used as proxies. Quasi-Poisson generalized additive models were used in conjunction with distributed lag non-linear models to estimate the associations of interest. RESULTS: A total of 169,830 hospital admissions due to sepsis were notified in public settings during 1998-2011 in Hong Kong. The cumulative adjusted relative risk (ARR) of hospital admission due to sepsis reached 1.10 (95% CI, 1.06-1.15) when the ILI+ total rate increased from zero to 21.68 per 1000 consultations, the 95th percentile. The cumulative ARR of sepsis admission was elevated to 1.19 (95% CI, 1.07-1.32) when the mean ambient temperature decreased from 24.4 °C (median) to 14.9 °C (the 5th percentile). The relationship between short-term exposure to air pollutants and sepsis hospitalization was not found to be statistically significant. CONCLUSIONS: Influenza activity and cold weather are risk factors of sepsis. This implies that climate change may exacerbate the sepsis burden. Promotion of influenza vaccination may lower the risk of sepsis, especially before the winter season.
Related Topics
Concepts
Sepsis
Medicine
Percentile
Poisson regression
Relative risk
Environmental health
Air pollutants
Names of the days of the week
Rate ratio
Emergency medicine
Confidence interval
Demography
Internal medicine
Air pollution
Statistics
Population
Mathematics
Philosophy
Linguistics
Sociology
Organic chemistry
Chemistry
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1289/isee.2023.ep-160
- OA Status
- diamond
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4390994065
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4390994065Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1289/isee.2023.ep-160Digital Object Identifier
- Title
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Impact of Influenza Infection and Environmental Factors on SepsisWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-09-17Full publication date if available
- Authors
-
Guozhang Lin, Conglu Li, Xiaoting Jiang, Yuchen Wei, Ka Chun ChongList of authors in order
- Landing page
-
https://doi.org/10.1289/isee.2023.ep-160Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1289/isee.2023.ep-160Direct OA link when available
- Concepts
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Sepsis, Medicine, Percentile, Poisson regression, Relative risk, Environmental health, Air pollutants, Names of the days of the week, Rate ratio, Emergency medicine, Confidence interval, Demography, Internal medicine, Air pollution, Statistics, Population, Mathematics, Philosophy, Linguistics, Sociology, Organic chemistry, ChemistryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- Related works (count)
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10Other works algorithmically related by OpenAlex
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