Influenza and seasonal patterns of hospital use by older adults in long-term care and community settings in Ontario, Canada.
Identifieur interne : 000273 ( Main/Exploration ); précédent : 000272; suivant : 000274Influenza and seasonal patterns of hospital use by older adults in long-term care and community settings in Ontario, Canada.
Auteurs : Andrea Gruneir [États-Unis] ; Jeff C. Kwong ; Michael A. Campitelli ; Alice Newman ; Geoffrey M. Anderson ; Paula A. Rochon ; Vincent MorSource :
- American journal of public health [ 1541-0048 ] ; 2014.
Descripteurs français
- KwdFr :
- Admission du patient (), Caractéristiques de l'habitat (), Femelle, Foyers pour personnes agées (), Grippe humaine (épidémiologie), Humains, Hôpitaux (), Maisons de repos (), Mâle, Ontario (épidémiologie), Pneumopathie infectieuse (épidémiologie), Saisons, Service hospitalier d'urgences (), Sujet âgé, Sujet âgé de 80 ans ou plus, Études rétrospectives.
- MESH :
- épidémiologie : Grippe humaine, Ontario, Pneumopathie infectieuse.
- Admission du patient, Caractéristiques de l'habitat, Femelle, Foyers pour personnes agées, Humains, Hôpitaux, Maisons de repos, Mâle, Saisons, Service hospitalier d'urgences, Sujet âgé, Sujet âgé de 80 ans ou plus, Études rétrospectives.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Emergency Service, Hospital (statistics & numerical data), Female, Homes for the Aged (statistics & numerical data), Hospitals (statistics & numerical data), Humans, Influenza, Human (epidemiology), Male, Nursing Homes (statistics & numerical data), Ontario (epidemiology), Patient Admission (statistics & numerical data), Pneumonia (epidemiology), Residence Characteristics (statistics & numerical data), Retrospective Studies, Seasons.
- MESH :
- epidemiology : Influenza, Human, Ontario, Pneumonia.
- statistics & numerical data : Emergency Service, Hospital, Homes for the Aged, Hospitals, Nursing Homes, Patient Admission, Residence Characteristics.
- Aged, Aged, 80 and over, Female, Humans, Male, Retrospective Studies, Seasons.
Abstract
OBJECTIVES
We compared seasonal influenza hospital use among older adults in long-term care (LTC) and community settings.
METHODS
We used provincial administrative data from Ontario to identify all emergency department (ED) visits and hospital admissions for pneumonia and influenza among adults older than 65 years between 2002 and 2008. We used sentinel laboratory reports to define influenza and summer seasons and estimated mean annual event rates and influenza-associated rates.
RESULTS
Mean annual pneumonia and influenza ED visit rates were higher in LTC than the community (rate ratio [RR] for influenza season = 3.9; 95% confidence interval [CI] = 3.8, 4.0; for summer = 4.9; 95% CI = 4.8, 5.1) but this was attenuated in influenza-associated rates (RR = 2.4; 95% CI = 2.1, 2.8). The proportion of pneumonia and influenza ED visits attributable to seasonal influenza was 17% (15%-20%) in LTC and 28% (27%-29%) in the community. Results for hospital admissions were comparable.
CONCLUSIONS
We found high rates of hospital use from LTC but evidence of lower impact of circulating influenza in the community. This differential impact of circulating influenza between the 2 environments may result from different influenza control policies.
DOI: 10.2105/AJPH.2013.301519
PubMed: 24328631
Affiliations:
Links toward previous steps (curation, corpus...)
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Rochon are with the Women's College Research Institute, Women's College Hospital, Toronto, ON. Jeff C. Kwong, Michael A. Campitelli, and Alice Newman are with the Institute for Clinical Evaluative Sciences, Toronto. Geoffrey M. Anderson is with the Institute of Health Policy, Management, and Evaluation, University of Toronto. Vincent Mor is with the Department of Health Services, Policy and Practice, Brown University, Providence, RI.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Rhode Island</region></placeName><wicri:cityArea>Andrea Gruneir and Paula A. Rochon are with the Women's College Research Institute, Women's College Hospital, Toronto, ON. Jeff C. Kwong, Michael A. Campitelli, and Alice Newman are with the Institute for Clinical Evaluative Sciences, Toronto. Geoffrey M. Anderson is with the Institute of Health Policy, Management, and Evaluation, University of Toronto. Vincent Mor is with the Department of Health Services, Policy and Practice, Brown University, Providence</wicri:cityArea></affiliation></author><author><name sortKey="Kwong, Jeff C" sort="Kwong, Jeff C" uniqKey="Kwong J" first="Jeff C" last="Kwong">Jeff C. Kwong</name></author><author><name sortKey="Campitelli, Michael A" sort="Campitelli, Michael A" uniqKey="Campitelli M" first="Michael A" last="Campitelli">Michael A. Campitelli</name></author><author><name sortKey="Newman, Alice" sort="Newman, Alice" uniqKey="Newman A" first="Alice" last="Newman">Alice Newman</name></author><author><name sortKey="Anderson, Geoffrey M" sort="Anderson, Geoffrey M" uniqKey="Anderson G" first="Geoffrey M" last="Anderson">Geoffrey M. Anderson</name></author><author><name sortKey="Rochon, Paula A" sort="Rochon, Paula A" uniqKey="Rochon P" first="Paula A" last="Rochon">Paula A. Rochon</name></author><author><name sortKey="Mor, Vincent" sort="Mor, Vincent" uniqKey="Mor V" first="Vincent" last="Mor">Vincent Mor</name></author></analytic><series><title level="j">American journal of public health</title><idno type="eISSN">1541-0048</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Emergency Service, Hospital (statistics & numerical data)</term><term>Female</term><term>Homes for the Aged (statistics & numerical data)</term><term>Hospitals (statistics & numerical data)</term><term>Humans</term><term>Influenza, Human (epidemiology)</term><term>Male</term><term>Nursing Homes (statistics & numerical data)</term><term>Ontario (epidemiology)</term><term>Patient Admission (statistics & numerical data)</term><term>Pneumonia (epidemiology)</term><term>Residence Characteristics (statistics & numerical data)</term><term>Retrospective Studies</term><term>Seasons</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Admission du patient ()</term><term>Caractéristiques de l'habitat ()</term><term>Femelle</term><term>Foyers pour personnes agées ()</term><term>Grippe humaine (épidémiologie)</term><term>Humains</term><term>Hôpitaux ()</term><term>Maisons de repos ()</term><term>Mâle</term><term>Ontario (épidémiologie)</term><term>Pneumopathie infectieuse (épidémiologie)</term><term>Saisons</term><term>Service hospitalier d'urgences ()</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term><term>Ontario</term><term>Pneumonia</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Emergency Service, Hospital</term><term>Homes for the Aged</term><term>Hospitals</term><term>Nursing Homes</term><term>Patient Admission</term><term>Residence Characteristics</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Grippe humaine</term><term>Ontario</term><term>Pneumopathie infectieuse</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Male</term><term>Retrospective Studies</term><term>Seasons</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Admission du patient</term><term>Caractéristiques de l'habitat</term><term>Femelle</term><term>Foyers pour personnes agées</term><term>Humains</term><term>Hôpitaux</term><term>Maisons de repos</term><term>Mâle</term><term>Saisons</term><term>Service hospitalier d'urgences</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>We compared seasonal influenza hospital use among older adults in long-term care (LTC) and community settings.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We used provincial administrative data from Ontario to identify all emergency department (ED) visits and hospital admissions for pneumonia and influenza among adults older than 65 years between 2002 and 2008. We used sentinel laboratory reports to define influenza and summer seasons and estimated mean annual event rates and influenza-associated rates.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Mean annual pneumonia and influenza ED visit rates were higher in LTC than the community (rate ratio [RR] for influenza season = 3.9; 95% confidence interval [CI] = 3.8, 4.0; for summer = 4.9; 95% CI = 4.8, 5.1) but this was attenuated in influenza-associated rates (RR = 2.4; 95% CI = 2.1, 2.8). The proportion of pneumonia and influenza ED visits attributable to seasonal influenza was 17% (15%-20%) in LTC and 28% (27%-29%) in the community. Results for hospital admissions were comparable.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>We found high rates of hospital use from LTC but evidence of lower impact of circulating influenza in the community. This differential impact of circulating influenza between the 2 environments may result from different influenza control policies.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24328631</PMID><DateCompleted><Year>2014</Year><Month>03</Month><Day>17</Day></DateCompleted><DateRevised><Year>2019</Year><Month>01</Month><Day>08</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1541-0048</ISSN><JournalIssue CitedMedium="Internet"><Volume>104</Volume><Issue>2</Issue><PubDate><Year>2014</Year><Month>Feb</Month></PubDate></JournalIssue><Title>American journal of public health</Title><ISOAbbreviation>Am J Public Health</ISOAbbreviation></Journal><ArticleTitle>Influenza and seasonal patterns of hospital use by older adults in long-term care and community settings in Ontario, Canada.</ArticleTitle><Pagination><MedlinePgn>e141-7</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2105/AJPH.2013.301519</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">We compared seasonal influenza hospital use among older adults in long-term care (LTC) and community settings.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We used provincial administrative data from Ontario to identify all emergency department (ED) visits and hospital admissions for pneumonia and influenza among adults older than 65 years between 2002 and 2008. We used sentinel laboratory reports to define influenza and summer seasons and estimated mean annual event rates and influenza-associated rates.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Mean annual pneumonia and influenza ED visit rates were higher in LTC than the community (rate ratio [RR] for influenza season = 3.9; 95% confidence interval [CI] = 3.8, 4.0; for summer = 4.9; 95% CI = 4.8, 5.1) but this was attenuated in influenza-associated rates (RR = 2.4; 95% CI = 2.1, 2.8). The proportion of pneumonia and influenza ED visits attributable to seasonal influenza was 17% (15%-20%) in LTC and 28% (27%-29%) in the community. Results for hospital admissions were comparable.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">We found high rates of hospital use from LTC but evidence of lower impact of circulating influenza in the community. This differential impact of circulating influenza between the 2 environments may result from different influenza control policies.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gruneir</LastName><ForeName>Andrea</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Andrea Gruneir and Paula A. Rochon are with the Women's College Research Institute, Women's College Hospital, Toronto, ON. Jeff C. Kwong, Michael A. Campitelli, and Alice Newman are with the Institute for Clinical Evaluative Sciences, Toronto. Geoffrey M. Anderson is with the Institute of Health Policy, Management, and Evaluation, University of Toronto. Vincent Mor is with the Department of Health Services, Policy and Practice, Brown University, Providence, RI.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kwong</LastName><ForeName>Jeff C</ForeName><Initials>JC</Initials></Author><Author ValidYN="Y"><LastName>Campitelli</LastName><ForeName>Michael A</ForeName><Initials>MA</Initials></Author><Author ValidYN="Y"><LastName>Newman</LastName><ForeName>Alice</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Anderson</LastName><ForeName>Geoffrey M</ForeName><Initials>GM</Initials></Author><Author ValidYN="Y"><LastName>Rochon</LastName><ForeName>Paula A</ForeName><Initials>PA</Initials></Author><Author ValidYN="Y"><LastName>Mor</LastName><ForeName>Vincent</ForeName><Initials>V</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>HOA 80075</GrantID><Agency>Canadian Institutes of Health Research</Agency><Country>Canada</Country></Grant><Grant><GrantID>MOP 89943</GrantID><Agency>Canadian Institutes of Health Research</Agency><Country>Canada</Country></Grant><Grant><GrantID>R01 HS018462</GrantID><Acronym>HS</Acronym><Agency>AHRQ HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>HS018462</GrantID><Acronym>HS</Acronym><Agency>AHRQ HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>OTG 88591</GrantID><Agency>Canadian Institutes of Health Research</Agency><Country>Canada</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D013487">Research Support, U.S. Gov't, P.H.S.</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>12</Month><Day>12</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Public Health</MedlineTA><NlmUniqueID>1254074</NlmUniqueID><ISSNLinking>0090-0036</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004636" MajorTopicYN="N">Emergency Service, Hospital</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006707" MajorTopicYN="N">Homes for the Aged</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006761" MajorTopicYN="N">Hospitals</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009735" MajorTopicYN="N">Nursing Homes</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009864" MajorTopicYN="N">Ontario</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010343" MajorTopicYN="N">Patient Admission</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011014" MajorTopicYN="N">Pneumonia</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012111" MajorTopicYN="N">Residence Characteristics</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012621" MajorTopicYN="Y">Seasons</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>12</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>12</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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Island</li></region></list><tree><noCountry><name sortKey="Anderson, Geoffrey M" sort="Anderson, Geoffrey M" uniqKey="Anderson G" first="Geoffrey M" last="Anderson">Geoffrey M. Anderson</name><name sortKey="Campitelli, Michael A" sort="Campitelli, Michael A" uniqKey="Campitelli M" first="Michael A" last="Campitelli">Michael A. Campitelli</name><name sortKey="Kwong, Jeff C" sort="Kwong, Jeff C" uniqKey="Kwong J" first="Jeff C" last="Kwong">Jeff C. Kwong</name><name sortKey="Mor, Vincent" sort="Mor, Vincent" uniqKey="Mor V" first="Vincent" last="Mor">Vincent Mor</name><name sortKey="Newman, Alice" sort="Newman, Alice" uniqKey="Newman A" first="Alice" last="Newman">Alice Newman</name><name sortKey="Rochon, Paula A" sort="Rochon, Paula A" uniqKey="Rochon P" first="Paula A" last="Rochon">Paula A. Rochon</name></noCountry><country name="États-Unis"><region name="Rhode Island"><name sortKey="Gruneir, Andrea" sort="Gruneir, Andrea" uniqKey="Gruneir A" first="Andrea" last="Gruneir">Andrea Gruneir</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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