RT Journal Article T1 Sociodemographic factors and clinical conditions associated to hospitalization in influenza A (H1N1) 2009 virus infected patients in Spain, 2009-2010. A1 González-Candelas, Fernando A1 Astray, Jenaro A1 Alonso, Jordi A1 Castro, Ady A1 Cantón, Rafael A1 Galán, Juan Carlos A1 Garin, Olatz A1 Sáez, Marc A1 Soldevila, Nuria A1 Baricot, Maretva A1 Castilla, Jesús A1 Godoy, Pere A1 Delgado-Rodríguez, Miguel A1 Martín, Vicente A1 Mayoral, José María A1 Pumarola, Tomás A1 Quintana, José María A1 Tamames, Sonia A1 Domínguez, Angela K1 Subtipo H1N1 del Virus de la Influenza A K1 Gripe humana AB The emergence and pandemic spread of a new strain of influenza A (H1N1) virus in 2009 resulted in a serious alarm in clinical and public health services all over the world. One distinguishing feature of this new influenza pandemic was the different profile of hospitalized patients compared to those from traditional seasonal influenza infections. Our goal was to analyze sociodemographic and clinical factors associated to hospitalization following infection by influenza A(H1N1) virus. We report the results of a Spanish nationwide study with laboratory confirmed infection by the new pandemic virus in a case-control design based on hospitalized patients. The main risk factors for hospitalization of influenza A (H1N1) 2009 were determined to be obesity (BMI≥40, with an odds-ratio [OR] 14.27), hematological neoplasia (OR 10.71), chronic heart disease, COPD (OR 5.16) and neurological disease, among the clinical conditions, whereas low education level and some ethnic backgrounds (Gypsies and Amerinds) were the sociodemographic variables found associated to hospitalization. The presence of any clinical condition of moderate risk almost triples the risk of hospitalization (OR 2.88) and high risk conditions raise this value markedly (OR 6.43). The risk of hospitalization increased proportionally when for two (OR 2.08) or for three or more (OR 4.86) risk factors were simultaneously present in the same patient. These findings should be considered when a new influenza virus appears in the human population. PB Public library of Science YR 2012 FD 2012-03-07 LK http://hdl.handle.net/10668/748 UL http://hdl.handle.net/10668/748 LA en NO González-Candelas F, Astray J, Alonso J, Castro A, Cantón R, Galán JC, et al. Sociodemographic factors and clinical conditions associated to hospitalization in influenza A (H1N1) 2009 virus infected patients in Spain, 2009-2010. PLoS ONE; 7(3):e33139 NO Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't; DS RISalud RD Apr 6, 2025