The predictive value of influenza symptomatology in elderly people

Family Practice
T M GovaertJ A Knottnerus

Abstract

We aimed to determine the complex of symptoms which has the highest predictive value for the diagnosis of influenza. A questionnaire study with questions regarding the symptomatology of influenza among patients aged 60 and older (n = 1838). Thirty-four participating GPs recorded the symptomatology of patients who came to their general practice with influenza-like complaints. The validity of the diagnostic conclusion of the GP, as well as the diagnostic validity of the criteria of the International Classification of Health Problems in Primary Care (ICHPPC-2) and the Sentinel Stations in The Netherlands, was determined with the help of the predictive value and odds ratio, using serologically confirmed influenza as the gold standard. The same method was used to determine which complex of symptoms has the highest predictive value for influenza. The results were verified using logistic regression analysis. The predictive value of the diagnostics of the GP amounted to 35%. The predictive values of the diagnostics according to the criteria of the two classification methods were 24% (Sentinel Stations) and 18% (ICHPPC-2). Of the individual symptoms, the combination of fever, coughing and acute onset had the highest predictive value (30...Continue Reading

Citations

Sep 9, 2011·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·A HombrouckI Thomas
Mar 17, 2005·Journal of Clinical Epidemiology·José María Navarro-MaríUNKNOWN Influenza Surveillance Network in Andalusia, Spain
Jun 28, 2003·Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology·Karin ThurskyHeath Kelly
Oct 18, 2002·Journal of the American Geriatrics Society·Edward E WalshAnn R Falsey
Nov 14, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·G BoivinJ Maziade
Jan 11, 2003·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Kathleen M NeuzilKristin L Nichol
Jan 20, 2006·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Ann R Falsey, Edward E Walsh
Feb 4, 2010·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·H Keipp Talbot, Ann R Falsey
Oct 17, 2008·Respirology : Official Journal of the Asian Pacific Society of Respirology·Samson S Y Wong, Kwok-Yung Yuen
Jan 19, 2011·Annals of Family Medicine·Mark H Ebell, Anna Afonso
Dec 12, 2012·Bulletin of the World Health Organization·Siddhivinayak HirveAkhilesh Mishra
Aug 15, 2014·The New England Journal of Medicine·Carlos A DiazGranadosH Keipp Talbot
Jun 27, 2009·The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists·Sum Lam, Tomas Z Jodlowski
Oct 3, 2003·Journal of General Internal Medicine·Michael B RothbergDavid N Rose
Jul 3, 2013·The Medical Clinics of North America·Angelena M Labella, Susan E Merel
Apr 18, 2003·Luminescence : the Journal of Biological and Chemical Luminescence·Komandoor E AchyuthanCraig D Shimasaki
May 29, 2012·The American Journal of Emergency Medicine·Shey-Ying ChenShan-Chwen Chang
Mar 17, 2010·The Journal of Emergency Medicine·Jeffrey J PetrozzinoMark J Atkinson
Jan 20, 2009·Archives of Gerontology and Geriatrics·Osamu MatsunoToshihide Kumamoto
May 23, 2008·Journal of Clinical Epidemiology·Angelique G S C JansenEelko Hak
Sep 11, 2007·Infectious Disease Clinics of North America·Tin Han HtweNancy Khardori
Apr 15, 2016·Paediatrics and International Child Health·Jurai WongsawatSirirat Likanonsakul
Jun 23, 2006·Journal of Clinical Pharmacy and Therapeutics·J A LinderD W Bates
Aug 11, 2015·Influenza and Other Respiratory Viruses·Ann R FalseyEdward E Walsh
Apr 2, 2015·The American Journal of Emergency Medicine·Andrea F DugasRichard E Rothman
Jan 19, 2012·Human Vaccines & Immunotherapeutics·H Keipp B TalbotKathryn M Edwards
Mar 19, 2003·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Bernie J O'BrienMark Loeb

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of the American Geriatrics Society
Edward E WalshAnn R Falsey
Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
G BoivinJ Maziade
Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
Kathleen M NeuzilKristin L Nichol
Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
F CarratA J Valleron
The Journal of the American Board of Family Practice
Mark H EbellTracy Casault
© 2022 Meta ULC. All rights reserved