|
Title
|
|
|
|
The characteristics of influenza-like illness management in Japan
| |
|
Author
|
|
|
|
| |
|
Abstract
|
|
|
|
| BackgroundThis study aimed to make a quantitative assessment of the management of influenza-like illnesses (ILI) in Japanese healthcare settings.MethodsWe analysed participants' healthcare-seeking behaviour and physicians' practice in January 2019 using an online survey of 200 households in Japan. Quality of life score, quality-adjusted life years lost, the duration of symptoms, and the duration of absence from work were compared between the influenza ILI group and the non-influenza ILI group with one-to-one propensity score matching. Missing data were imputed using multiple imputation.ResultsIn total, 261 of the 600 (43.5%) participants had at least one episode of influenza-like illness during January 2019. Of these, 194 (75.5%) visited healthcare facilities, 167 (86.1%) within 2days of onset of symptoms. A total of 169 out of 191 (88.5%) received a rapid influenza diagnostic test and 101 were diagnosed with influenza, of whom 95.0% were treated with antivirals. The median quality-adjusted life-years (QALYs) lost was 0.0055 (interquartile range, IQR 0.0040-0.0072) and median absence from work for a single episode of influenza-like illness was 2days (IQR 1-5days). Albeit QALYs lost per episode was not different between two groups, the influenza ILI group showed longer duration of absence from work (5days, IQR 4-6days) than the non-influenza ILI group (2days, IQR 1-3days).ConclusionsIn Japan, most people with influenza-like illnesses visit healthcare facilities soon after symptoms first occur and receive a diagnostic test. Those with influenza are usually treated with antivirals. Absence from work was longer for influenza than other similar illnesses. |
| |
|
Language
|
|
|
|
English
| |
|
Source (journal)
|
|
|
|
BMC public health. - London
| |
|
Publication
|
|
|
|
London
:
2020
| |
|
ISSN
|
|
|
|
1471-2458
| |
|
DOI
|
|
|
|
10.1186/S12889-020-08603-X
| |
|
Volume/pages
|
|
|
|
20
:1
(2020)
, p. 1-8
| |
|
ISI
|
|
|
|
000531285300004
| |
|
Pubmed ID
|
|
|
|
32345248
| |
|
Full text (Publisher's DOI)
|
|
|
|
| |
|
Full text (open access)
|
|
|
|
| |
|