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Table 7 Summary of key variables from studies of PICU-associated influenza in Germany, 2005–2013. Data were collected in Germany during the pre-pandemic period 2005/06–2007/08 [18], in Germany during the pandemic season 2009/10 [19], and in Bavaria (Southern Germany) during the post-pandemic period 2010/11–2012/13 (this study)

From: Continued high incidence of children with severe influenza A(H1N1)pdm09 admitted to paediatric intensive care units in Germany during the first three post-pandemic influenza seasons, 2010/11–2012/13

Key variables of PICU patients

Pre-pandemic (2005/06–2007/08)

Pandemic (2009/10)

Post-pandemic (2010/11–2012/13)

Pre-pandemic vs. post-pandemicb

N = 20

N = 89a

N = 47

p-value

Male sex; n (%)

12 (60)

56 (60)

28 (60)

1.000

Age at ICU admission, in years (median, IQR)

7.5 (0.5–12.75)

4.5 (1.3–9.3)

4.8 (1.6–11.0)

0.727

Duration of ICU stay, in days (median, IQR)

19 (12–38)

8 (3–17)

3 (1–11)

0.006

Chronic underlying conditions; n (%)

11 (55)

63 (74)

36 (77)

0.089

Complications/diagnoses

    

 Influenza-associated pneumonia; n (%)

12 (60)

66 (74)

29 (62)

1.000

 Bronchitis/bronchiolitis; n (%)

6 (30)

11 (12)

15 (32)

1.000

 Secondary bacterial pneumonia; n (%)

5 (25)

15 (17)

12 (26)

1.000

 ARDS; n (%)

5 (25)

22 (25)

10 (21)

0.756

 Sepsis; n (%)

3 (15)

5 (6)

6 (13)

1.000

 Encephalitis/encephalopathy; n (%)

5 (25)

6 (7)

1 (2)

0.008

Co-infections; n (%)

13 (65)

n.a.

16 (34)

0.030

Oseltamivir treatment; n (%)

10 (50)

51 (61)

9 (19)

0.017

Mechanical ventilation; n (%)

10 (50)

56 (65)

22 (47)

1.000

Death; n (%)

2 (10)

11 (12)

5 (11)

1.000

Influenza A(H1N1)pdm09; n (%)

0 (0)

89 (100)

32 (68)

<0.001

  1. a89 cases with PICU treatment; proportions may refer to slightly lower patient numbers, see Altmann et al. 2011 [19]
  2. bKey data from this study were pooled with data from Streng et al. 2011 [18] and compared using Fisher’s Exact test or Mann–Whitney U-test, respectively