Table 1.

Characteristics of Patients Hospitalized in Quebec With Respiratory Infections and Influenza and Human Coronavirus Monoinfections and Coinfections During the Peaks of Influenza Seasons (2011–2012 to 2018–2019)

Patients, No. (%)a
InfluenzaHCoV
CharacteristicAny Respiratory Infection (n = 5104)Total (n = 1831)Monoinfection (n = 1585)Coinfection With Any Virusb (n = 246)Total (n = 340)Monoinfection (n = 189)Coinfection With Any Virusb (n = 151)HCoV +  Influenza (n = 39)
Children1171 (22.9)268 (14.6)177 (11.2)91 (37.0)136 (40.0)34 (18.0)102 (67.5)16 (41.0)
 Female sex546 (46.6)124 (46.3)86 (69.4)38 (30.7)54 (39.7)13 (38.2)41 (40.2)5 (31.3)
 Agec
  0–5 mo408 (34.8)50 (18.7)34 (19.2)16 (17.6)52 (38.2)18 (52.9)34 (33.3)2 (12.5)
  6–23 mo434 (37.1)96 (35.8)51 (28.8)45 (49.5)63 (46.3)10 (29.4)53 (52.0)7 (43.8)
  2–4 y208 (17.8)69 (25.8)48 (27.1)21 (23.1)12 (8.8)3 (8.8)9 (8.8)3 (18.8)
  5–17 y121 (10.3)53 (19.8)44 (24.9)9 (9.9)9 (6.6)3 (8.8)6 (5.9)4 (25.0)
 Comorbid condition173 (14.8)54 (20.2)34 (19.2)20 (22.0)23 (16.9)3 (8.8)20 (19.6)6 (37.5)
 Influenza vaccined133 (11.8)29 (11.3)14 (8.2)15 (17.4)13 (10.0)3 (9.1)10 (10.3)2 (13.3)
 LOS, median (IQR), d2 (2–3)2 (2–3)2 (2–3)2 (2–3)2 (2–3)2 (2–3)2.5 (2–4)3 (2–4)
 Pneumoniae356 (30.4)67 (25.0)39 (22.0)28 (30.8)36 (26.5)4 (11.8)32 (31.4)3 (18.8)
 ICU admission23 (2.0)3 (1.1)2 (1.1)1 (1.1)4 (2.9)0 (0.0)4 (3.9)0 (0.0)
 Death1 (0.1)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)
Adults3933 (77.1)1563 (85.4)1408 (88.8)155 (63.0)204 (60.0)155 (82.0)49 (32.5)23 (59.0)
 Female sex2179 (55.4)874 (55.9)783 (55.6)91 (58.7)108 (52.9)80 (51.6)28 (57.1)11 (47.8)
 Age, y
  18–641073 (27.3)436 (27.9)403 (28.6)33 (21.3)63 (30.9)47 (30.3)16 (32.7)6 (26.1)
  65–74842 (21.4)320 (20.5)288 (20.5)32 (20.7)41 (20.1)31 (20.0)10 (20.4)6 (26.1)
  75–841128 (28.7)448 (28.7)400 (28.4)48 (31.0)60 (29.4)45 (29.0)15 (30.6)7 (30.4)
  ≥85890 (22.6)359 (23.0)317 (22.5)42 (27.1)40 (19.6)32 (20.7)8 (16.3)4 (17.4)
 Comorbid condition3368 (85.6)1310 (83.8)1183 (84.0)127 (81.9)181 (88.7)137 (88.4)44 (89.8)20 (87.0)
  Chronic respiratory diseasef2015 (51.2)721 (46.1)660 (46.9)61 (39.4)120 (58.8)94 (60.7)26 (53.1)10 (43.5)
Chronic cardiovascular diseasef1824 (46.4)709 (45.4)632 (44.9)77 (49.7)112 (54.9)91 (58.7)21 (42.9)11 (47.8)
  Diabetesf1151 (29.3)465 (8, 29)420 (29.8)45 (29.0)60 (29.4)43 (27.7)17 (34.7)8 (34.8)
  Chronic renal diseasef761 (19.4)298 (19.1)271 (19.3)27 (17.4)44 (21.6)34 (21.9)10 (20.4)4 (17.4)
  Other chronic diseasef221 (5.6)85 (5.4)79 (5.6)6 (3.9)13 (6.4)8 (5.2)5 (10.2)2 (8.7)
 Influenza vaccined1597 (49.1)578 (43.5)510 (43.0)68 (48.2)91 (51.7)70 (52.2)21 (50.0)9 (50.0)
 Admitted from LTCF388 (9.9)174 (11.1)157 (11.2)17 (11.0)21 (10.3)15 (9.7)6 (12.2)5 (21.7)
 Pregnancy26 (0.7)22 (1.4)19 (1.4)3 (1.9)1 (0.5)0 (0.0)1 (2.0)1 (4.4)
 LOS, median (IQR), d6 (3–11)6 (3–11)6 (3–10)6 (3–11)6 (3–10.5)6 (3–10)7 (4–12)7 (5–16)
 Pneumoniae1608 (40.9)548 (35.1)487 (34.6)61 (39.4)75 (36.8)58 (37.4)17 (34.7)9 (39.1)
 ICU admission385 (9.8)134 (8.6)127 (9.0)7 (4.5)18 (8.8)16 (10.3)2 (4.1)0 (0.0)
 Death231 (5.9)63 (4.0)59 (4.2)4 (2.6)11 (5.4)9 (5.8)2 (4.1)0 (0.0)
Patients, No. (%)a
InfluenzaHCoV
CharacteristicAny Respiratory Infection (n = 5104)Total (n = 1831)Monoinfection (n = 1585)Coinfection With Any Virusb (n = 246)Total (n = 340)Monoinfection (n = 189)Coinfection With Any Virusb (n = 151)HCoV +  Influenza (n = 39)
Children1171 (22.9)268 (14.6)177 (11.2)91 (37.0)136 (40.0)34 (18.0)102 (67.5)16 (41.0)
 Female sex546 (46.6)124 (46.3)86 (69.4)38 (30.7)54 (39.7)13 (38.2)41 (40.2)5 (31.3)
 Agec
  0–5 mo408 (34.8)50 (18.7)34 (19.2)16 (17.6)52 (38.2)18 (52.9)34 (33.3)2 (12.5)
  6–23 mo434 (37.1)96 (35.8)51 (28.8)45 (49.5)63 (46.3)10 (29.4)53 (52.0)7 (43.8)
  2–4 y208 (17.8)69 (25.8)48 (27.1)21 (23.1)12 (8.8)3 (8.8)9 (8.8)3 (18.8)
  5–17 y121 (10.3)53 (19.8)44 (24.9)9 (9.9)9 (6.6)3 (8.8)6 (5.9)4 (25.0)
 Comorbid condition173 (14.8)54 (20.2)34 (19.2)20 (22.0)23 (16.9)3 (8.8)20 (19.6)6 (37.5)
 Influenza vaccined133 (11.8)29 (11.3)14 (8.2)15 (17.4)13 (10.0)3 (9.1)10 (10.3)2 (13.3)
 LOS, median (IQR), d2 (2–3)2 (2–3)2 (2–3)2 (2–3)2 (2–3)2 (2–3)2.5 (2–4)3 (2–4)
 Pneumoniae356 (30.4)67 (25.0)39 (22.0)28 (30.8)36 (26.5)4 (11.8)32 (31.4)3 (18.8)
 ICU admission23 (2.0)3 (1.1)2 (1.1)1 (1.1)4 (2.9)0 (0.0)4 (3.9)0 (0.0)
 Death1 (0.1)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)
Adults3933 (77.1)1563 (85.4)1408 (88.8)155 (63.0)204 (60.0)155 (82.0)49 (32.5)23 (59.0)
 Female sex2179 (55.4)874 (55.9)783 (55.6)91 (58.7)108 (52.9)80 (51.6)28 (57.1)11 (47.8)
 Age, y
  18–641073 (27.3)436 (27.9)403 (28.6)33 (21.3)63 (30.9)47 (30.3)16 (32.7)6 (26.1)
  65–74842 (21.4)320 (20.5)288 (20.5)32 (20.7)41 (20.1)31 (20.0)10 (20.4)6 (26.1)
  75–841128 (28.7)448 (28.7)400 (28.4)48 (31.0)60 (29.4)45 (29.0)15 (30.6)7 (30.4)
  ≥85890 (22.6)359 (23.0)317 (22.5)42 (27.1)40 (19.6)32 (20.7)8 (16.3)4 (17.4)
 Comorbid condition3368 (85.6)1310 (83.8)1183 (84.0)127 (81.9)181 (88.7)137 (88.4)44 (89.8)20 (87.0)
  Chronic respiratory diseasef2015 (51.2)721 (46.1)660 (46.9)61 (39.4)120 (58.8)94 (60.7)26 (53.1)10 (43.5)
Chronic cardiovascular diseasef1824 (46.4)709 (45.4)632 (44.9)77 (49.7)112 (54.9)91 (58.7)21 (42.9)11 (47.8)
  Diabetesf1151 (29.3)465 (8, 29)420 (29.8)45 (29.0)60 (29.4)43 (27.7)17 (34.7)8 (34.8)
  Chronic renal diseasef761 (19.4)298 (19.1)271 (19.3)27 (17.4)44 (21.6)34 (21.9)10 (20.4)4 (17.4)
  Other chronic diseasef221 (5.6)85 (5.4)79 (5.6)6 (3.9)13 (6.4)8 (5.2)5 (10.2)2 (8.7)
 Influenza vaccined1597 (49.1)578 (43.5)510 (43.0)68 (48.2)91 (51.7)70 (52.2)21 (50.0)9 (50.0)
 Admitted from LTCF388 (9.9)174 (11.1)157 (11.2)17 (11.0)21 (10.3)15 (9.7)6 (12.2)5 (21.7)
 Pregnancy26 (0.7)22 (1.4)19 (1.4)3 (1.9)1 (0.5)0 (0.0)1 (2.0)1 (4.4)
 LOS, median (IQR), d6 (3–11)6 (3–11)6 (3–10)6 (3–11)6 (3–10.5)6 (3–10)7 (4–12)7 (5–16)
 Pneumoniae1608 (40.9)548 (35.1)487 (34.6)61 (39.4)75 (36.8)58 (37.4)17 (34.7)9 (39.1)
 ICU admission385 (9.8)134 (8.6)127 (9.0)7 (4.5)18 (8.8)16 (10.3)2 (4.1)0 (0.0)
 Death231 (5.9)63 (4.0)59 (4.2)4 (2.6)11 (5.4)9 (5.8)2 (4.1)0 (0.0)

Abbreviations: HCoV, human coronavirus; ICU, intensive care unit; IQR, interquartile range; LOS, length of stay; LTCF, long-term care facility.

aData represent no. (%) of patients unless otherwise specified.

bIncluding influenza and HCoV coinfections.

cSignificant difference (P < .05) between HCoV and influenza monoinfections; Fisher exact test was used to compare proportions, and Kruskal-Wallis test to compare LOS between monoinfections and coinfections.

dInfluenza vaccination in those with known vaccination status and timing.

eRadiologically confirmed pneumonia among those who underwent pulmonary radiography.

fCategories are not mutually exclusive.

Table 1.

Characteristics of Patients Hospitalized in Quebec With Respiratory Infections and Influenza and Human Coronavirus Monoinfections and Coinfections During the Peaks of Influenza Seasons (2011–2012 to 2018–2019)

Patients, No. (%)a
InfluenzaHCoV
CharacteristicAny Respiratory Infection (n = 5104)Total (n = 1831)Monoinfection (n = 1585)Coinfection With Any Virusb (n = 246)Total (n = 340)Monoinfection (n = 189)Coinfection With Any Virusb (n = 151)HCoV +  Influenza (n = 39)
Children1171 (22.9)268 (14.6)177 (11.2)91 (37.0)136 (40.0)34 (18.0)102 (67.5)16 (41.0)
 Female sex546 (46.6)124 (46.3)86 (69.4)38 (30.7)54 (39.7)13 (38.2)41 (40.2)5 (31.3)
 Agec
  0–5 mo408 (34.8)50 (18.7)34 (19.2)16 (17.6)52 (38.2)18 (52.9)34 (33.3)2 (12.5)
  6–23 mo434 (37.1)96 (35.8)51 (28.8)45 (49.5)63 (46.3)10 (29.4)53 (52.0)7 (43.8)
  2–4 y208 (17.8)69 (25.8)48 (27.1)21 (23.1)12 (8.8)3 (8.8)9 (8.8)3 (18.8)
  5–17 y121 (10.3)53 (19.8)44 (24.9)9 (9.9)9 (6.6)3 (8.8)6 (5.9)4 (25.0)
 Comorbid condition173 (14.8)54 (20.2)34 (19.2)20 (22.0)23 (16.9)3 (8.8)20 (19.6)6 (37.5)
 Influenza vaccined133 (11.8)29 (11.3)14 (8.2)15 (17.4)13 (10.0)3 (9.1)10 (10.3)2 (13.3)
 LOS, median (IQR), d2 (2–3)2 (2–3)2 (2–3)2 (2–3)2 (2–3)2 (2–3)2.5 (2–4)3 (2–4)
 Pneumoniae356 (30.4)67 (25.0)39 (22.0)28 (30.8)36 (26.5)4 (11.8)32 (31.4)3 (18.8)
 ICU admission23 (2.0)3 (1.1)2 (1.1)1 (1.1)4 (2.9)0 (0.0)4 (3.9)0 (0.0)
 Death1 (0.1)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)
Adults3933 (77.1)1563 (85.4)1408 (88.8)155 (63.0)204 (60.0)155 (82.0)49 (32.5)23 (59.0)
 Female sex2179 (55.4)874 (55.9)783 (55.6)91 (58.7)108 (52.9)80 (51.6)28 (57.1)11 (47.8)
 Age, y
  18–641073 (27.3)436 (27.9)403 (28.6)33 (21.3)63 (30.9)47 (30.3)16 (32.7)6 (26.1)
  65–74842 (21.4)320 (20.5)288 (20.5)32 (20.7)41 (20.1)31 (20.0)10 (20.4)6 (26.1)
  75–841128 (28.7)448 (28.7)400 (28.4)48 (31.0)60 (29.4)45 (29.0)15 (30.6)7 (30.4)
  ≥85890 (22.6)359 (23.0)317 (22.5)42 (27.1)40 (19.6)32 (20.7)8 (16.3)4 (17.4)
 Comorbid condition3368 (85.6)1310 (83.8)1183 (84.0)127 (81.9)181 (88.7)137 (88.4)44 (89.8)20 (87.0)
  Chronic respiratory diseasef2015 (51.2)721 (46.1)660 (46.9)61 (39.4)120 (58.8)94 (60.7)26 (53.1)10 (43.5)
Chronic cardiovascular diseasef1824 (46.4)709 (45.4)632 (44.9)77 (49.7)112 (54.9)91 (58.7)21 (42.9)11 (47.8)
  Diabetesf1151 (29.3)465 (8, 29)420 (29.8)45 (29.0)60 (29.4)43 (27.7)17 (34.7)8 (34.8)
  Chronic renal diseasef761 (19.4)298 (19.1)271 (19.3)27 (17.4)44 (21.6)34 (21.9)10 (20.4)4 (17.4)
  Other chronic diseasef221 (5.6)85 (5.4)79 (5.6)6 (3.9)13 (6.4)8 (5.2)5 (10.2)2 (8.7)
 Influenza vaccined1597 (49.1)578 (43.5)510 (43.0)68 (48.2)91 (51.7)70 (52.2)21 (50.0)9 (50.0)
 Admitted from LTCF388 (9.9)174 (11.1)157 (11.2)17 (11.0)21 (10.3)15 (9.7)6 (12.2)5 (21.7)
 Pregnancy26 (0.7)22 (1.4)19 (1.4)3 (1.9)1 (0.5)0 (0.0)1 (2.0)1 (4.4)
 LOS, median (IQR), d6 (3–11)6 (3–11)6 (3–10)6 (3–11)6 (3–10.5)6 (3–10)7 (4–12)7 (5–16)
 Pneumoniae1608 (40.9)548 (35.1)487 (34.6)61 (39.4)75 (36.8)58 (37.4)17 (34.7)9 (39.1)
 ICU admission385 (9.8)134 (8.6)127 (9.0)7 (4.5)18 (8.8)16 (10.3)2 (4.1)0 (0.0)
 Death231 (5.9)63 (4.0)59 (4.2)4 (2.6)11 (5.4)9 (5.8)2 (4.1)0 (0.0)
Patients, No. (%)a
InfluenzaHCoV
CharacteristicAny Respiratory Infection (n = 5104)Total (n = 1831)Monoinfection (n = 1585)Coinfection With Any Virusb (n = 246)Total (n = 340)Monoinfection (n = 189)Coinfection With Any Virusb (n = 151)HCoV +  Influenza (n = 39)
Children1171 (22.9)268 (14.6)177 (11.2)91 (37.0)136 (40.0)34 (18.0)102 (67.5)16 (41.0)
 Female sex546 (46.6)124 (46.3)86 (69.4)38 (30.7)54 (39.7)13 (38.2)41 (40.2)5 (31.3)
 Agec
  0–5 mo408 (34.8)50 (18.7)34 (19.2)16 (17.6)52 (38.2)18 (52.9)34 (33.3)2 (12.5)
  6–23 mo434 (37.1)96 (35.8)51 (28.8)45 (49.5)63 (46.3)10 (29.4)53 (52.0)7 (43.8)
  2–4 y208 (17.8)69 (25.8)48 (27.1)21 (23.1)12 (8.8)3 (8.8)9 (8.8)3 (18.8)
  5–17 y121 (10.3)53 (19.8)44 (24.9)9 (9.9)9 (6.6)3 (8.8)6 (5.9)4 (25.0)
 Comorbid condition173 (14.8)54 (20.2)34 (19.2)20 (22.0)23 (16.9)3 (8.8)20 (19.6)6 (37.5)
 Influenza vaccined133 (11.8)29 (11.3)14 (8.2)15 (17.4)13 (10.0)3 (9.1)10 (10.3)2 (13.3)
 LOS, median (IQR), d2 (2–3)2 (2–3)2 (2–3)2 (2–3)2 (2–3)2 (2–3)2.5 (2–4)3 (2–4)
 Pneumoniae356 (30.4)67 (25.0)39 (22.0)28 (30.8)36 (26.5)4 (11.8)32 (31.4)3 (18.8)
 ICU admission23 (2.0)3 (1.1)2 (1.1)1 (1.1)4 (2.9)0 (0.0)4 (3.9)0 (0.0)
 Death1 (0.1)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)
Adults3933 (77.1)1563 (85.4)1408 (88.8)155 (63.0)204 (60.0)155 (82.0)49 (32.5)23 (59.0)
 Female sex2179 (55.4)874 (55.9)783 (55.6)91 (58.7)108 (52.9)80 (51.6)28 (57.1)11 (47.8)
 Age, y
  18–641073 (27.3)436 (27.9)403 (28.6)33 (21.3)63 (30.9)47 (30.3)16 (32.7)6 (26.1)
  65–74842 (21.4)320 (20.5)288 (20.5)32 (20.7)41 (20.1)31 (20.0)10 (20.4)6 (26.1)
  75–841128 (28.7)448 (28.7)400 (28.4)48 (31.0)60 (29.4)45 (29.0)15 (30.6)7 (30.4)
  ≥85890 (22.6)359 (23.0)317 (22.5)42 (27.1)40 (19.6)32 (20.7)8 (16.3)4 (17.4)
 Comorbid condition3368 (85.6)1310 (83.8)1183 (84.0)127 (81.9)181 (88.7)137 (88.4)44 (89.8)20 (87.0)
  Chronic respiratory diseasef2015 (51.2)721 (46.1)660 (46.9)61 (39.4)120 (58.8)94 (60.7)26 (53.1)10 (43.5)
Chronic cardiovascular diseasef1824 (46.4)709 (45.4)632 (44.9)77 (49.7)112 (54.9)91 (58.7)21 (42.9)11 (47.8)
  Diabetesf1151 (29.3)465 (8, 29)420 (29.8)45 (29.0)60 (29.4)43 (27.7)17 (34.7)8 (34.8)
  Chronic renal diseasef761 (19.4)298 (19.1)271 (19.3)27 (17.4)44 (21.6)34 (21.9)10 (20.4)4 (17.4)
  Other chronic diseasef221 (5.6)85 (5.4)79 (5.6)6 (3.9)13 (6.4)8 (5.2)5 (10.2)2 (8.7)
 Influenza vaccined1597 (49.1)578 (43.5)510 (43.0)68 (48.2)91 (51.7)70 (52.2)21 (50.0)9 (50.0)
 Admitted from LTCF388 (9.9)174 (11.1)157 (11.2)17 (11.0)21 (10.3)15 (9.7)6 (12.2)5 (21.7)
 Pregnancy26 (0.7)22 (1.4)19 (1.4)3 (1.9)1 (0.5)0 (0.0)1 (2.0)1 (4.4)
 LOS, median (IQR), d6 (3–11)6 (3–11)6 (3–10)6 (3–11)6 (3–10.5)6 (3–10)7 (4–12)7 (5–16)
 Pneumoniae1608 (40.9)548 (35.1)487 (34.6)61 (39.4)75 (36.8)58 (37.4)17 (34.7)9 (39.1)
 ICU admission385 (9.8)134 (8.6)127 (9.0)7 (4.5)18 (8.8)16 (10.3)2 (4.1)0 (0.0)
 Death231 (5.9)63 (4.0)59 (4.2)4 (2.6)11 (5.4)9 (5.8)2 (4.1)0 (0.0)

Abbreviations: HCoV, human coronavirus; ICU, intensive care unit; IQR, interquartile range; LOS, length of stay; LTCF, long-term care facility.

aData represent no. (%) of patients unless otherwise specified.

bIncluding influenza and HCoV coinfections.

cSignificant difference (P < .05) between HCoV and influenza monoinfections; Fisher exact test was used to compare proportions, and Kruskal-Wallis test to compare LOS between monoinfections and coinfections.

dInfluenza vaccination in those with known vaccination status and timing.

eRadiologically confirmed pneumonia among those who underwent pulmonary radiography.

fCategories are not mutually exclusive.

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