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Supplemental Digital Content 3.

3A. Logistic regression analysis of independent predictors of ICU admission in Australian children with severe complications of influenza, 2008-2017

Variables Unadjusted ORs P-value Adjusted ORs1 P-value Age

Less than 5 years Reference 0.028 Reference 0.28

5 or more years 1.44 (1.04-2.00) 0.76 (0.47-1.25) Underlying medical conditions

No Reference <0.001 Reference 0.002

Yes 2.53 (1.81-3.53) 2.23 (1.35-3.71)

Chronic lung disease2,3

No Reference 0.003 Reference 0.020

Yes 1.93 (1.24-3.01) 2.20 (1.13-4.30)

Neurologic3

No Reference 0.001 Reference 0.019

Yes 2.31 (1.43-3.74) 2.65 (1.17-6.00)

Neuromuscular3

No Reference 0.013 Reference 0.008

Yes 2.63 (1.70-5.90) 5.44 (1.57-18.90)

Lab -proven bacterial coinfection

No Reference <0.001 Reference 0.06

Yes 2.62 (1.60-4.23) 1.99 (0.96-4.13)

SEIFA

Most disadvantaged Reference 0.006 Reference 0.73

Second quintile 1.07 (0.60-1.92) 0.52 (0.22-1.22) Third quintile 0.58 (0.34-0.97) 0.66 (0.32-1.36) Fourth quintile 0.46 (0.28-0.78) 0.35 (0.17-0.73) Least disadvantaged 0.64 (0.37-1.09) 0.57 (0.24-1.11)

1 Multivariable models adjusted for: age, sex, SEIFA, underlying medical conditions and vaccination for seasonal influenza.

2 Includes asthma and cystic fibrosis.

3 Multivariable models adjusted for: age, sex, SEIFA and chronic lung disease, neurological or neuromuscular.

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3B. Logistic regression analysis of independent predictors of the requirement for mechanical ventilation in Australian children with severe complications of influenza, 2008-2017.

Variables Unadjusted ORs P-value Adjusted ORs1 P-value Age

Less than 5 years Reference 0.001 Reference 0.38

5 or more years 0.53 (0.36-0.78) 0.77 (0.44-1.38) Underlying medical conditions

No Reference 0.004 Reference 0.040

Yes 1.77 (1.20-2.59) 1.85 (1.03-3.32)

Chronic lung disease2,3

No Reference 0.17 Reference 0.12

Yes 1.40 (0.86-2.29) 1.81 (0.85-3.83)

Neurologic3

No Reference 0.004 Reference 0.20

Yes 2.10 (1.28-3.45) 1.75 (0.74-4.13)

Neuromuscular3

No Reference 0.08 Reference 0.019

Yes 2.00 (0.90-4.45) 3.87 (1.25-12.00)

Lab -proven bacterial coinfection

No Reference <0.001 Reference 0.14

Yes 2.76 (1.69-4.51) 1.80 (0.82-3.96)

SEIFA

Most disadvantaged Reference 0.06 Reference 0.72

Second quintile 1.24 (0.66-2.31) 0.59 (0.21-1.65) Third quintile 0.65 (0.35-1.20) 0.73 (0.32-1.69) Fourth quintile 0.53 (0.29-0.97) 0.57 (0.25-1.29) Least disadvantaged 0.86 (0.47-1.59) 0.65(0.27-1.58)

1 Multivariable models adjusted for: age, sex, SEIFA, underlying medical conditions and vaccination for seasonal influenza.

2 Includes asthma and cystic fibrosis.

3 Multivariable models adjusted for: age, sex, SEIFA and chronic lung disease, neurological or neuromuscular

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