Performance of established disease severity scores in predicting severe outcomes among adults hospitalized with influenza—FluSurv‐NET, 2017–2018 Article Swipe
Joshua Doyle
,
Shikha Garg
,
Alissa O’Halloran
,
Lauren Grant
,
Evan J. Anderson
,
Kyle P. Openo
,
Nisha B. Alden
,
Rachel Herlihy
,
James Meek
,
Kimberly Yousey‐Hindes
,
Maya Monroe
,
Sue Kim
,
Ruth Lynfield
,
Melissa McMahon
,
Alison Muse
,
Nancy Spina
,
Lourdes Irizarry
,
Salina Torres
,
Nancy M. Bennett
,
Maria A. Gaitan
,
Mary Hill
,
Charisse N Cummings
,
Carrie Reed
,
William Schaffner
,
H. Keipp Talbot
,
Wesley H. Self
,
Derek J. Williams
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1111/irv.13228
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1111/irv.13228
Background Influenza is a substantial cause of annual morbidity and mortality; however, correctly identifying those patients at increased risk for severe disease is often challenging. Several severity indices have been developed; however, these scores have not been validated for use in patients with influenza. We evaluated the discrimination of three clinical disease severity scores in predicting severe influenza‐associated outcomes. Methods We used data from the Influenza Hospitalization Surveillance Network to assess outcomes of patients hospitalized with influenza in the United States during the 2017–2018 influenza season. We computed patient scores at admission for three widely used disease severity scores: CURB‐65, Quick Sepsis‐Related Organ Failure Assessment (qSOFA), and the Pneumonia Severity Index (PSI). We then grouped patients with severe outcomes into four severity tiers, ranging from ICU admission to death, and calculated receiver operating characteristic (ROC) curves for each severity index in predicting these tiers of severe outcomes. Results Among 8252 patients included in this study, we found that all tested severity scores had higher discrimination for more severe outcomes, including death, and poorer discrimination for less severe outcomes, such as ICU admission. We observed the highest discrimination for PSI against in‐hospital mortality, at 0.78. Conclusions We observed low to moderate discrimination of all three scores in predicting severe outcomes among adults hospitalized with influenza. Given the substantial annual burden of influenza disease in the United States, identifying a prediction index for severe outcomes in adults requiring hospitalization with influenza would be beneficial for patient triage and clinical decision‐making.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/irv.13228
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/irv.13228
- OA Status
- gold
- Cited By
- 3
- References
- 21
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4389869056
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4389869056Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/irv.13228Digital Object Identifier
- Title
-
Performance of established disease severity scores in predicting severe outcomes among adults hospitalized with influenza—FluSurv‐NET, 2017–2018Work title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-12-01Full publication date if available
- Authors
-
Joshua Doyle, Shikha Garg, Alissa O’Halloran, Lauren Grant, Evan J. Anderson, Kyle P. Openo, Nisha B. Alden, Rachel Herlihy, James Meek, Kimberly Yousey‐Hindes, Maya Monroe, Sue Kim, Ruth Lynfield, Melissa McMahon, Alison Muse, Nancy Spina, Lourdes Irizarry, Salina Torres, Nancy M. Bennett, Maria A. Gaitan, Mary Hill, Charisse N Cummings, Carrie Reed, William Schaffner, H. Keipp Talbot, Wesley H. Self, Derek J. WilliamsList of authors in order
- Landing page
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https://doi.org/10.1111/irv.13228Publisher landing page
- PDF URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/irv.13228Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/irv.13228Direct OA link when available
- Concepts
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Medicine, Triage, Pneumonia severity index, Severity of illness, Pneumonia, Disease, Receiver operating characteristic, Sepsis, Internal medicine, Emergency medicine, Intensive care medicine, Community-acquired pneumoniaTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
3Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2023: 1Per-year citation counts (last 5 years)
- References (count)
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21Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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