title: [Characteristics of cases hospitalized for severe pandemic (H1N1) 2009 in Catalonia].
abstract: BACKGROUND
  Influenza pandemics may cause more severe cases. The objective was to determine the characteristics of hospitalized severe cases of pandemic influenza in Catalonia and to study risk factors for admission to intensive care unit (ICU).
  
  
  METHODS
  A prospective epidemiologic study of new cases of pandemic influenza hospitalized by their severity between June 2009 and May 2010. Hospitals were asked to declare laboratory confirmed pandemic influenza cases that met the case specific case definition for severe case. A standardized epidemiological survey was conducted to collect information on demographics, clinical characteristics, risk factors, treatment and outcome. Differences between the cases in ICU compared to other severe cases were studied with the odds ratio (OR), which were adjusted using a logistic regression model.
  
  
  RESULTS
  We detected total of 773 pandemic influenza (H1N1) 2009 severe cases; 465 (60.2%) of them had at least one risk factor and the most prevalent were: pregnancy 19 (13%), asthma 87 (12%), chronic obstructive pulmonary disease 87 (11.4%) and heart disease 80 (10.5%). Required admission to ICU 293 patients (37.9%). Factors associated with ICU admission were obesity BMI>40 (adjusted OR = 2.5, 95% CI 1.4-4.5) and chronic liver disease (adjusted OR = 2.3, 95% CI 1.1-4.8).
  
  
  CONCLUSIONS
  This study confirms the high prevalence of pregnancy, chronic respiratory diseases, diabetes and obesity among pandemic influenza severe cases. Obesity acts as a risk factor for ICU admission and should therefore be considered as an indicator for influenza vaccination.
authors.affiliation: Departamento de Salud, Generalidad de Cataluña, C/Alcalde Rovira Roure 2, Lleida. pere.godoy@gencat.cat
authors.forename: Pere
authors.initials: P
authors.lastname: Godoy
authors.forename: Anna
authors.initials: A
authors.lastname: Rodés
authors.forename: Josep
authors.initials: J
authors.lastname: Alvarez
authors.forename: Neus
authors.initials: N
authors.lastname: Camps
authors.forename: Irene
authors.initials: I
authors.lastname: Barrabeig
authors.forename: María Rosa
authors.initials: MR
authors.lastname: Sala
authors.forename: Sofía
authors.initials: S
authors.lastname: Minguell
authors.forename: Sarah
authors.initials: S
authors.lastname: Lafuente
authors.forename: Tomás
authors.initials: T
authors.lastname: Pumarola
authors.forename: Angela
authors.initials: A
authors.lastname: Domínguez
authors.forename: Antoni
authors.initials: A
authors.lastname: Plasència
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006760:Hospitalization; D006801:Humans; D007223:Infant; D053118:Influenza A Virus, H1N1 Subtype; D007251:Influenza, Human / Q000453:epidemiology* / Q000628:therapy; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D058873:Pandemics; D011446:Prospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D055815:Young Adult