Ring the pandemic period (September 2009 to 28 February 2010), which were reported through

Ring the pandemic period (September 2009 to 28 February 2010), which were CP21 web reported through the 23388095 same web-based system. To assess the risk of pregnancy and obesity with hospitalization we compared the prevalence of pregnancy among cases with the prevalence of pregnant women in China estimated in the 2008 national census, and compared the prevalence of obesity in cases with that in the latest national nutrition and health survey in 2002. The prevalence of pregnant women was estimated through the 2008 national census data, including the reported number of births, the reported number of induced abortions and estimated number of spontaneous abortions [26], [27]. As this study included data from the National Notifiable Disease Registry system, ethics approval was not required.Statistical AnalysisDescriptive statistics including frequency analysis for categorical variables, medians and interquartile ranges (IQRs) for continuous variables were completed. We calculated agestandardized risk ratio (RR) for hospital admission and death. For each age group we compared the proportion of all cases that fell in that age group with what we would expect if the risk of illness was the same across age groups in the general population. A RR above one indicates an excess risk of death or hospitalization due to 2009 H1N1 infection in that age group. Population data by age group were provided from the National Bureau of Statistics of China. The risk ratios were calculated as follows: Risk ratio of Hospital admission (RRhosp) = (CHospi/gCHospi)/ (Gi/gGi) CHospi: number of hospitalized patients in a given age group gCHospi:sum of hospitalized patients in all age groups Gi: population in a given age group gGi: sum of population in all age groups And risk ratio of death (RRdeath) = (CDeathi/gCDeathi)/(Gi/ gGi) CDeathi: number of fatal patients in a given age group gCDeathi: sum of fatal patients in all age groups. We assessed risk factors associated with severe illness among non-pregnant patients aged 2 years, using univariate analysis and multivariable logistic regression. Univariate analyses with Wilcoxon rank sum test for continuous variables and Chi-square test or Fisher’s exact test for discrete variables were performed with statistical significance defined by an alpha ,0.05. BIBS39 site Before conducting multivariate analysis, two-way interaction terms between independent variables were tested using the test of homogeneity. A multivariable logistic regression model was used to assess risk factors associated with severe illness among nonpregnant patients 2 years of age, including age, gender, chronic medical conditions, obesity and days from symptom onset to hospital admission. To estimate the effectiveness of early antiviral treatment (within 2 days of symptom onset) among non-pregnant patients aged 2 years, only patients who received antiviral treatment and had clinical outcome during study period were involved in this separate analysis, which include antiviral treatment and other same risk factors to the previous model. Odds ratios (ORs) and 95 confidence intervals (CIs) were calculated in the multivariableMaterials and Methods Patient DefinitionA hospitalized case was defined as a patient who was admitted to hospital based on clinical judgment and tested positive for 2009 H1N1 virus by real-time reverse transcription polymerase chain reaction. A severe case was defined as hospitalized patient with laboratory confirmed 2009 H1N1 virus infection who died or who was.Ring the pandemic period (September 2009 to 28 February 2010), which were reported through the 23388095 same web-based system. To assess the risk of pregnancy and obesity with hospitalization we compared the prevalence of pregnancy among cases with the prevalence of pregnant women in China estimated in the 2008 national census, and compared the prevalence of obesity in cases with that in the latest national nutrition and health survey in 2002. The prevalence of pregnant women was estimated through the 2008 national census data, including the reported number of births, the reported number of induced abortions and estimated number of spontaneous abortions [26], [27]. As this study included data from the National Notifiable Disease Registry system, ethics approval was not required.Statistical AnalysisDescriptive statistics including frequency analysis for categorical variables, medians and interquartile ranges (IQRs) for continuous variables were completed. We calculated agestandardized risk ratio (RR) for hospital admission and death. For each age group we compared the proportion of all cases that fell in that age group with what we would expect if the risk of illness was the same across age groups in the general population. A RR above one indicates an excess risk of death or hospitalization due to 2009 H1N1 infection in that age group. Population data by age group were provided from the National Bureau of Statistics of China. The risk ratios were calculated as follows: Risk ratio of Hospital admission (RRhosp) = (CHospi/gCHospi)/ (Gi/gGi) CHospi: number of hospitalized patients in a given age group gCHospi:sum of hospitalized patients in all age groups Gi: population in a given age group gGi: sum of population in all age groups And risk ratio of death (RRdeath) = (CDeathi/gCDeathi)/(Gi/ gGi) CDeathi: number of fatal patients in a given age group gCDeathi: sum of fatal patients in all age groups. We assessed risk factors associated with severe illness among non-pregnant patients aged 2 years, using univariate analysis and multivariable logistic regression. Univariate analyses with Wilcoxon rank sum test for continuous variables and Chi-square test or Fisher’s exact test for discrete variables were performed with statistical significance defined by an alpha ,0.05. Before conducting multivariate analysis, two-way interaction terms between independent variables were tested using the test of homogeneity. A multivariable logistic regression model was used to assess risk factors associated with severe illness among nonpregnant patients 2 years of age, including age, gender, chronic medical conditions, obesity and days from symptom onset to hospital admission. To estimate the effectiveness of early antiviral treatment (within 2 days of symptom onset) among non-pregnant patients aged 2 years, only patients who received antiviral treatment and had clinical outcome during study period were involved in this separate analysis, which include antiviral treatment and other same risk factors to the previous model. Odds ratios (ORs) and 95 confidence intervals (CIs) were calculated in the multivariableMaterials and Methods Patient DefinitionA hospitalized case was defined as a patient who was admitted to hospital based on clinical judgment and tested positive for 2009 H1N1 virus by real-time reverse transcription polymerase chain reaction. A severe case was defined as hospitalized patient with laboratory confirmed 2009 H1N1 virus infection who died or who was.