Table 1. Analysis of single variables potentially associated with influenza A(H3N2) virus strain infection related deaths, Cambridge, England, 2016/17 (n = 332).
Variable | Category or measure | Expired | Not expired | OR (95% CI) | p value |
---|---|---|---|---|---|
Age at positive specimen (years) | Minimum | 34 | 0 | 1.04 (1.01–1.06) per year | < 0.001 |
25th centile | 71 | 53 | |||
Median | 84 | 74 | |||
75th centile | 88 | 85 | |||
Maximum | 102 | 101 | |||
Sex | Female | 13 | 162 | Reference | 0.15 |
Male | 19 | 138 | 1.72 (0.82–3.60) | ||
Body mass index (BMI) ≥ 40 Kg/m2 | Yes | 1 | 5 | Reference | 0.6 |
No | 31 | 295 | 1.90 (0.22–16.8) | ||
Pregnancy | Pregnant | 0 | 3 | 0.00 (not estimable) | 0.3 |
Not pregnant | 13 | 159 | Reference | ||
Male | 19 | 138 | 1.68 (0.80–3.54) | ||
Oseltamivir course completed | 1. Not given | 7 | 66 | Reference | 0.7 |
2. Non-standard course | 3 | 18 | 1.57 (0.37–6.70) | ||
3. Appropriately modified | 6 | 40 | 1.41 (0.44–4.51) | ||
4. Standard course | 16 | 176 | 0.86 (0.34–2.18) | ||
Days between onset of influenza illness and first dose of oseltamivir | Minimum | 0 | 0 | 0.89 (0.74–1.06) per day delay | 0.4 |
25th centile | 2 | 2 | |||
Median | 3 | 3 | |||
75th centile | 5 | 5 | |||
Maximum | 11 | 18 | |||
Current smoker | Yes | 2 | 29 | 0.60 (0.13–2.68) | 0.5 |
No | 23 | 200 | Reference | ||
Long-term oxygen therapy | Yes | 1 | 2 | 4.69 (0.41–53.6) | 0.3 |
No | 24 | 225 | Reference | ||
Hypertension | Yes | 14 | 111 | 1.32 (0.63–2.77) | 0.5 |
No | 18 | 189 | Reference | ||
Trauma | Yes | 1 | 4 | 2.39 (0.26–22.0) | 0.5 |
No | 31 | 296 | Reference | ||
Excessive alcohol use | Yes | 3 | 5 | 6.10 (1.39–26.8) | 0.03 |
No | 29 | 295 | Reference | ||
Surgery | Yes | 3 | 13 | 2.28 (0.61–8.48) | 0.25 |
No | 29 | 287 | Reference | ||
Immune suppressed | Yes | 3 | 61 | 0.40 (0.12–1.37) | 0.11 |
No | 29 | 238 | Reference | ||
Receipt of 2016/17 influenza vaccine | Yes | 11 | 110 | 0.90 (0.42–1.95) | 0.8 |
No | 21 | 190 | Reference | ||
Steroids | Yes | 0 | 2 | 0.00 (not estimable) | 0.5 |
No | 32 | 298 | Reference | ||
Chemotherapy | Yes | 0 | 21 | 0.00 (not estimable) | 0.04 |
No | 32 | 279 | Reference | ||
Radiotherapy | Yes | 1 | 1 | 9.65 (0.59–158) | 0.14 |
No | 31 | 299 | Reference | ||
Organ transplant | Yes | 0 | 12 | 0.00 (not estimable) | 0.12 |
No | 32 | 288 | Reference | ||
Bone marrow transplant | Yes | 0 | 4 | 0.00 (not estimable) | 0.4 |
No | 32 | 296 | Reference | ||
Immune deficiency syndrome | Yes | 0 | 0 | Not estimable | NA |
No | 32 | 300 | Reference | ||
Other category of immune suppression | Yes | 2 | 21 | 0.89 (0.20–3.96) | 0.9 |
No | 30 | 279 | Reference | ||
Haemoglobin concentration g/L | Minimum | 68 | 45 | 0.98 (0.96–0.99) per g/L | 0.01 |
25th centile | 98.5 | 108 | |||
Median | 112 | 123 | |||
75th centile | 124 | 135 | |||
Maximum | 153 | 175 | |||
Total white cell count × 109/L | Minimum | 2.1 | 0 | QFa | 0.008 |
25th centile | 7.7 | 5.3 | |||
Median | 10.1 | 7.3 | |||
75th centile | 14.3 | 9.6 | |||
Maximum | 48.5 | 53.6 | |||
Lymphocyte count × 109/L | Minimum | 0.2 | 0 | 0.88 (0.57–1.37) per count per × 109/L | 0.4 |
25th centile | 0.5 | 0.5 | |||
Median | 0.8 | 0.8 | |||
75th centile | 1.2 | 1.2 | |||
Maximum | 2.3 | 46.7 | |||
C-reactive protein mg/L | Minimum | 5 | 1 | 1.00 (1.00–1.01) | 0.01 |
25th centile | 26.3 | 19.6 | |||
Median | 64.9 | 39.9 | |||
75th centile | 164 | 76.6 | |||
Maximum | 431 | 479 | |||
Creatinine mmol/L | Minimum | 48 | 8 | QFb | 0.002 |
25th centile | 69 | 64 | |||
Median | 99 | 84 | |||
75th centile | 114 | 111 | |||
Maximum | 187 | 742 | |||
Urea mmol/L | Minimum | 4.5 | 1.6 | QFc | < 0.001 |
25th centile | 7.2 | 4.6 | |||
Median | 9.2 | 6.2 | |||
75th centile | 11 | 8.6 | |||
Maximum | 18.6 | 39.2 | |||
Glucose mmol/L | Minimum | 5.1 | 3.4 | 1.04 (0.95–1.13) per mmol/L | 0.4 |
25th centile | 6.7 | 6 | |||
Median | 7.8 | 6.9 | |||
75th centile | 8.9 | 8.7 | |||
Maximum | 24 | 36.2 | |||
Required oxygen | Yes | 8 | 32 | 2.79 (1.16–6.73) | 0.03 |
No | 24 | 268 | Reference | ||
Continuous positive airways pressure | Yes | 1 | 3 | 3.20 (0.32–31.6) | 0.4 |
No | 31 | 297 | Reference | ||
Non-invasive ventilation | Yes | 3 | 3 | 10.2 (1.98–53.1) | 0.01 |
No | 29 | 297 | Reference | ||
Invasive ventilation | Yes | 5 | 22 | 2.34 (0.82–6.68) | 0.14 |
No | 27 | 278 | Reference | ||
Charlson comorbidity index | Minimum | 0 | 0 | 1.21 (1.03–1.43) | 0.03 |
25th centile | 2 | 1 | |||
Median | 2 | 2 | |||
75th centile | 4 | 3 | |||
Maximum | 8 | 10 | |||
Cycle threshold (CT) value |
Minimum | 19 | 16 | 0.96 (0.88–1.04) | 0.3 |
25th centile | 23 | 27 | |||
Median | 27 | 30 | |||
75th centile | 32 | 32 | |||
Maximum | 38 | 41 | |||
Place of acquisition of infection | Community | 15 | 219 | Reference | 0.003 |
Hospital | 17 | 81 | 3.06 (1.46–6.42) | ||
Admitted from | Own home | 25 | 251 | Reference | 0.5 |
Residential care | 4 | 28 | 1.43 (0.47–4.42) | ||
Another hospital | 3 | 13 | 2.32 (0.62–8.68) | ||
Other | 0 | 4 | 0.00 (not estimable) | ||
Oseltamivir prescribed for post-exposure prophylaxis | Yes | 2 | 8 | 2.43 (0.49–12.0) | 0.3 |
No | 30 | 292 | Reference | ||
Pneumonia | No imaging | 2 | 34 | Reference | 0.005 |
No pneumonia on image | 16 | 214 | 1.27 (0.28–5.78) | ||
Pneumonia on image | 14 | 52 | 4.58 (0.98–21.4) | ||
Myocardial infarction | Yes | 6 | 32 | 1.93 (0.74–5.05) | 0.2 |
No | 26 | 268 | Reference | ||
Congestive heart failure | Yes | 5 | 33 | 1.50 (0.54–4.16) | 0.5 |
No | 27 | 267 | Reference | ||
Peripheral vascular disease | Yes | 3 | 8 | 3.78 (0.95–15.0) | 0.09 |
No | 29 | 292 | Reference | ||
Cerebro vascular disease | Yes | 8 | 47 | 1.79 (0.76–4.23) | 0.2 |
No | 24 | 253 | Reference | ||
Dementia | Yes | 8 | 38 | 2.30 (0.96–5.48) | 0.08 |
No | 24 | 262 | Reference | ||
Chronic lung disease | Yes | 16 | 88 | 2.41 (1.15–5.03) | 0.02 |
No | 16 | 212 | Reference | ||
Connective tissue disease | Yes | 2 | 21 | 0.89 (0.20–3.96) | 0.9 |
No | 30 | 279 | Reference | ||
Peptic ulcer | Yes | 3 | 6 | 5.07 (1.20–21.3) | 0.047 |
No | 29 | 294 | Reference | ||
Mild liver disease | Yes | 1 | 2 | 4.81 (0.42–54.5) | 0.3 |
No | 31 | 298 | Reference | ||
Moderate or severe liver disease | Yes | 3 | 9 | 3.34 (0.86–13.0) | 0.11 |
No | 29 | 291 | Reference | ||
Diabetes without end organ damage | Yes | 5 | 49 | 0.95 (0.35–2.58) | 0.9 |
No | 27 | 251 | Reference | ||
Diabetes with end organ damage | Yes | 2 | 15 | 1.27 (0.28–5.81) | 0.8 |
No | 30 | 285 | Reference | ||
Hemiplegia | Yes | 1 | 13 | 0.71 (0.09–5.63) | 0.7 |
No | 31 | 287 | Reference | ||
Moderate or severe kidney disease | Yes | 5 | 46 | 1.02 (0.37–2.79) | 0.97 |
No | 27 | 254 | Reference | ||
Tumour without metastasis | Yes | 3 | 22 | 1.31 (0.37–4.63) | 0.7 |
No | 29 | 278 | Reference | ||
Tumour with metastasis | Yes | 1 | 6 | 1.58 (0.18–13.6) | 0.7 |
No | 31 | 294 | Reference | ||
Leukaemia | Yes | 0 | 11 | 0.00 (not estimable) | 0.13 |
No | 32 | 289 | Reference | ||
Lymphoma | Yes | 0 | 16 | 0.00 (not estimable) | 0.07 |
No | 32 | 284 | Reference |
OR: odds ratio; CI: confidence interval; QF: quadratic function; NA: not applicable.
a QF: linear part OR: 1.28 (95% CI: 1.11–1.47); quadratic part OR: 1.00 (95% CI: 0.99–1.00).
b QF: linear part OR: 1.05 (95% CI: 1.01–1.09); quadratic part OR: 1.00 (95% CI: 1.00–1.00).
c QF: linear part OR: 2.45 (95% CI: 1.48–4.06); quadratic part OR: 0.97 (95% CI: 0.94–0.99).