RT Journal Article T1 Smoking may increase the risk of hospitalization due to influenza A1 Godoy, Pere A1 Castilla, Jesus A1 Maria Mayoral, Jose A1 Delgado-Rodriguez, Miguel A1 Martin, Vicente A1 Astray, Jenaro A1 Soldevila, Nuria A1 Gonzalez-Candelas, Fernando A1 Castro, Ady A1 Baricot, Maretva A1 Tamames, Sonia A1 Alonso, Jordi A1 Galan, Juan C. A1 Maria Quintana, Jose A1 Pumarola, Tomas A1 Dominguez, Angela A1 CIBERESP, K1 Community-acquired pneumonia K1 Cigarette-smoking K1 Population K1 Infection K1 Responses K1 Exposure K1 Disease K1 Cells AB Background: Smoking may facilitate influenza virus infections and their severity. The objective was to investigate the risk of hospitalization due to influenza in Spanish smokers and ex-smokers. Methods: We carried out a multicentre, case-control study in 2011. Cases [patients a parts per thousand yen 18 years hospitalized > 24 h with real time polymerase chain reaction (RT-PCR)-confirmed influenza] were selected from 29 Spanish hospitals. For each case, we selected an outpatient aged a parts per thousand yen 18 years with RT-PCR-confirmed influenza matched by age (+/- 5 years), date of hospitalization of the case (+/- 10 days) and province of residence. We collected epidemiological variables, comorbidities and the smoking history. The risk of hospitalization due to smoking was determined by the adjusted odds ratio (aOR) using logistic regression. Results: We studied 471 hospitalized cases and 476 outpatient cases. Hospitalized cases had a higher frequency of influenza risk factors compared with outpatient cases. Hospitalized cases had a higher frequency of smoking (30.9% vs. 17.1%) and being ex-smokers (29.3% vs. 25.3%). Current smoking (aOR = 2.18, 95% CI: 1.23-3.87) and being an ex-smoker (aOR = 1.73, 95% CI: 1.07-2.82) were associated with the risk of hospitalization. Conclusions: Smoking may increase the risk of hospitalization in smokers and ex-smokers when infected by the influenza virus. Smoking prevention could reduce hospitalizations. Influenza vaccination is recommended for smokers. PB Oxford univ press SN 1101-1262 YR 2016 FD 2016-10-01 LK http://hdl.handle.net/10668/18950 UL http://hdl.handle.net/10668/18950 LA en DS RISalud RD Apr 5, 2025