Description

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.

 


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