Gray et al identified risk factors associated with severe respiratory infection associated with adenovirus. These can help identify a patient who may benefit from more aggressive management. The authors are from multiple hospitals and universities in the United States.
NOTE: The paper reports risk factors for severe disease but did not use a risk score.
Severe infection was defined as ICU admission or death.
Parameters:
(1) age of the patient in years
(2) chronic comorbid disease
(3) recent transplantation
(4) adenovirus type
Parameter |
Finding |
Points |
age of the patient |
< 7 years old |
0 |
|
>= 7 years old |
1 |
chronic comorbid disease |
none |
0 |
|
one or more |
1 |
recent transplantation |
no |
0 |
|
yes |
1 |
adenovirus type |
5 |
1 |
|
21 |
2 |
|
other |
0 |
where:
• The odds ratios for most of the risk factors were 2.7 to 3.6, except for type 21 which was 7.6.
• Other studies have reported risk for type 7.
total risk score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum risk score: 0
• maximum risk score: 5
• The higher the score the greater the risk for severe infection.
Specialty: Infectious Diseases, Pedatrics