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Medicine (Baltimore) . Adult influenza epidemic is associated with out-of-hospital cardiac arrest: From the All-Japan Utstein Registry, a prospecti

tetano

Editor, Senior Moderator
Medicine (Baltimore)


. 2022 Jun 17;101(24):e29535.
doi: 10.1097/MD.0000000000029535.
Adult influenza epidemic is associated with out-of-hospital cardiac arrest: From the All-Japan Utstein Registry, a prospective, nationwide, population-based, observational registry


Yasunori Suematsu[SUP] 1 [/SUP], Takashi Kuwano[SUP] 1 [/SUP], Motoki Yamashita[SUP] 1 [/SUP], Hiroyuki Tsutsui[SUP] 2 [/SUP], Naoki Sato[SUP] 3 [/SUP], Takanori Ikeda[SUP] 4 [/SUP], Ken Nagao[SUP] 5 [/SUP], Naohiro Yonemoto[SUP] 6 [/SUP], Yoshio Tahara[SUP] 7 [/SUP], Keijiro Saku[SUP] 1 [/SUP], Shin-Ichiro Miura[SUP] 1 8 [/SUP], Japanese Circulation Society with Resuscitation Science Study (JCS-ReSS) Group



Affiliations

Abstract

It has been reported that influenza infection is associated with out-of-hospital cardiac arrest of cardiac origin (OHCA-CA). However, the association between OHCA-CA and influenza epidemics in adults has not been well investigated.We analyzed data from the All-Japan Utstein Registry, a prospective, nationwide, population-based, observational study, regarding OHCA-CA cases and the Infectious Diseases Weekly Report for influenza cases: 17,710 OHCA-CA cases and 764,808 influenza cases were recorded between 2005 and 2015 in Fukuoka, Japan. The weekly average number of OHCA-CA cases was positively associated with the number of patients with influenza infection (r = 0.70, P < .0001). To eliminate the effects of season and age, we investigated only adults in winter. The weekly number of OHCA-CA cases was positively associated with the number of patients with influenza infection in weeks when there was a high frequency of influenza infection in adults (r = 0.36, P = .006), but not in weeks with a medium (r = 0.26, P = .05) or low frequency of influenza infection (r = 0.003, P = 1.0). In weeks during which there was a high frequency of influenza infection, the weekly number of OHCA-CA cases was positively associated with the number of influenza infections in males (r = 0.37, P = .006), but not females (r = 0.18, P = .2).The number of OHCA-CA cases was positively associated with the number of influenza infections in adult males during weeks in which there was a high frequency of influenza infections. To help prevent OHCA-CA in males, it might be beneficial to announce influenza epidemics specifically in adults, in addition to all ages.
 
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