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Article: Smoking and Influenza-associated Morbidity and Mortality: A Systematic Review and Meta-analysis

TitleSmoking and Influenza-associated Morbidity and Mortality: A Systematic Review and Meta-analysis
Authors
KeywordsBronchiolitis
Respiratory Syncytial Viruses
Palivizumab prophylaxis
Issue Date2019
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.epidem.com
Citation
Epidemiology, 2019, v. 30 n. 3, p. 405-417 How to Cite?
AbstractBACKGROUND: Although smoking has been recognized as a risk factor for many respiratory diseases, its effects of influenza-associated morbidity and mortality remain controversial. We conducted a systematic review and meta-analysis to assess the impact of smoking on influenza-associated hospital admissions, intensive care unit (ICU) admissions, and deaths. METHODS: We searched the databases of PubMed, CINAHL, EMBASE, and the China National Knowledge Infrastructure for all observational studies published between 1 January 2000 and 30 November 2017 on ever-active/secondhand smoking and influenza-associated hospital admissions, ICU admissions, and deaths. We pooled data using random effect models. RESULTS: The initial search retrieved 7495 articles, of which 20 studies were included for systematic review, and 12 studies (eight case-control studies, two cohort studies, and two cross-sectional studies) with 18612 subjects were included in meta-analysis. The overall quality of selected studies was moderate. Ever-active smokers had higher odds of hospital admissions (odds ratio [OR] = 1.5; 95% confidence interval [CI] = 1.3, 1.7) and ICU admissions (OR 2.2; 95% CI = 1.4, 3.4) after influenza infections, as compared with never smokers. No association was observed between ever-active smoking and influenza-associated deaths. We found a positive association between secondhand smoking and influenza-associated hospital admissions, but only in children below 15 years of age. CONCLUSIONS: The literature evidence showed that smoking was consistently associated with higher risk of hospital admissions after influenza infection, but the results for ICU admissions and deaths were less conclusive because of the limited number of studies.
Persistent Identifierhttp://hdl.handle.net/10722/271373
ISSN
2023 Impact Factor: 4.7
2023 SCImago Journal Rankings: 0.655
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorHan, L-
dc.contributor.authorRan, J-
dc.contributor.authorMak, YW-
dc.contributor.authorSuen, L-
dc.contributor.authorLee, P-
dc.contributor.authorPeiris, JS-
dc.contributor.authorYang, L-
dc.date.accessioned2019-06-24T01:08:36Z-
dc.date.available2019-06-24T01:08:36Z-
dc.date.issued2019-
dc.identifier.citationEpidemiology, 2019, v. 30 n. 3, p. 405-417-
dc.identifier.issn1044-3983-
dc.identifier.urihttp://hdl.handle.net/10722/271373-
dc.description.abstractBACKGROUND: Although smoking has been recognized as a risk factor for many respiratory diseases, its effects of influenza-associated morbidity and mortality remain controversial. We conducted a systematic review and meta-analysis to assess the impact of smoking on influenza-associated hospital admissions, intensive care unit (ICU) admissions, and deaths. METHODS: We searched the databases of PubMed, CINAHL, EMBASE, and the China National Knowledge Infrastructure for all observational studies published between 1 January 2000 and 30 November 2017 on ever-active/secondhand smoking and influenza-associated hospital admissions, ICU admissions, and deaths. We pooled data using random effect models. RESULTS: The initial search retrieved 7495 articles, of which 20 studies were included for systematic review, and 12 studies (eight case-control studies, two cohort studies, and two cross-sectional studies) with 18612 subjects were included in meta-analysis. The overall quality of selected studies was moderate. Ever-active smokers had higher odds of hospital admissions (odds ratio [OR] = 1.5; 95% confidence interval [CI] = 1.3, 1.7) and ICU admissions (OR 2.2; 95% CI = 1.4, 3.4) after influenza infections, as compared with never smokers. No association was observed between ever-active smoking and influenza-associated deaths. We found a positive association between secondhand smoking and influenza-associated hospital admissions, but only in children below 15 years of age. CONCLUSIONS: The literature evidence showed that smoking was consistently associated with higher risk of hospital admissions after influenza infection, but the results for ICU admissions and deaths were less conclusive because of the limited number of studies.-
dc.languageeng-
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.epidem.com-
dc.relation.ispartofEpidemiology-
dc.rightsThis is a non-final version of an article published in final form in (provide complete journal citation)-
dc.subjectBronchiolitis-
dc.subjectRespiratory Syncytial Viruses-
dc.subjectPalivizumab prophylaxis-
dc.titleSmoking and Influenza-associated Morbidity and Mortality: A Systematic Review and Meta-analysis-
dc.typeArticle-
dc.identifier.emailPeiris, JS: malik@hkucc.hku.hk-
dc.identifier.authorityPeiris, JS=rp00410-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1097/EDE.0000000000000984-
dc.identifier.pmid30789425-
dc.identifier.scopuseid_2-s2.0-85064721766-
dc.identifier.hkuros298024-
dc.identifier.volume30-
dc.identifier.issue3-
dc.identifier.spage405-
dc.identifier.epage417-
dc.identifier.isiWOS:000480682000021-
dc.publisher.placeUnited States-
dc.identifier.issnl1044-3983-

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