Clinical Features of Influenza and Acute Respiratory Illness in Older Adults at Least 50 Years of Age in an Outpatient Setting in the Republic of Korea: a Prospective, Observational, Cohort Study

J Korean Med Sci. 2017 Mar;32(3):407-414. doi: 10.3346/jkms.2017.32.3.407.

Abstract

Two prospective, multi-centre, observational studies (GlaxoSmithKline [GSK] identifier No. 110938 and 112519) were performed over 2 influenza seasons (2007-2008 and 2008-2009) in the Republic of Korea (ROK) with the aim to evaluate the burden of laboratory-confirmed influenza (LCI) in patients ≥ 50 years of age seeking medical attention for acute respiratory illness (ARI). The median participant age was 58 years in the 2007-2008 season and 60 years in the 2008-2009 season. LCI was observed in 101/346 (29.2%) of ARI patients in the 2007-2008 season and in 166/443 (37.5%) of ARI patients in the 2008-2009 season. Compared to patients with non-influenza ARI, those with LCI had higher rates of decreased daily activities (60.4% vs. 32.9% in 2007-2008 and 46.4% vs. 25.8% in 2008-2009), work absenteeism (51.1% vs. 25.6% and 14.4% vs. 7.7%), and longer duration of illness. These results indicated that influenza is an important cause of ARI in adults aged 50 and older causing more severe illness than non-influenza related ARI.

Keywords: Acute Respiratory Illness; Adult; Epidemiology; Influenza; Republic of Korea.

Publication types

  • Multicenter Study
  • Observational Study

MeSH terms

  • Activities of Daily Living
  • Acute Disease
  • Aged
  • Aged, 80 and over
  • Cohort Studies
  • Female
  • Humans
  • Influenza, Human / diagnosis*
  • Influenza, Human / epidemiology
  • Influenza, Human / pathology
  • Male
  • Middle Aged
  • Outpatients
  • Prospective Studies
  • Republic of Korea / epidemiology
  • Respiratory Tract Infections / diagnosis*
  • Respiratory Tract Infections / epidemiology
  • Respiratory Tract Infections / pathology
  • Seasons
  • Severity of Illness Index