Risk of influenza transmission in a hospital emergency department during the week of highest incidence.
Identifieur interne : 000053 ( Main/Exploration ); précédent : 000052; suivant : 000054Risk of influenza transmission in a hospital emergency department during the week of highest incidence.
Auteurs : Miguel Esteve-Esteve [Espagne] ; Daniel Bautista-Rentero [Espagne] ; Vicente Zan N-Viguer [Espagne]Source :
- Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias [ 2386-5857 ] ; 2018.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Enfant (MeSH), Espagne (épidémiologie), Facteurs temps (MeSH), Facteurs âges (MeSH), Femelle (MeSH), Grippe humaine (transmission), Grippe humaine (épidémiologie), Humains (MeSH), Incidence (MeSH), Mâle (MeSH), Risque (MeSH), Service hospitalier d'urgences (MeSH), Services de consultations externes des hôpitaux (MeSH), Sujet âgé (MeSH), Vaccination (MeSH), Vaccins antigrippaux (MeSH), Études rétrospectives (MeSH).
- MESH :
- épidémiologie : Espagne, Grippe humaine.
- Adolescent, Adulte, Adulte d'âge moyen, Enfant, Facteurs temps, Facteurs âges, Femelle, Humains, Incidence, Mâle, Risque, Service hospitalier d'urgences, Services de consultations externes des hôpitaux, Sujet âgé, Vaccination, Vaccins antigrippaux, Études rétrospectives.
- Wicri :
- geographic : Espagne.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Age Factors (MeSH), Aged (MeSH), Child (MeSH), Emergency Service, Hospital (MeSH), Female (MeSH), Humans (MeSH), Incidence (MeSH), Influenza Vaccines (MeSH), Influenza, Human (epidemiology), Influenza, Human (transmission), Male (MeSH), Middle Aged (MeSH), Outpatient Clinics, Hospital (MeSH), Retrospective Studies (MeSH), Risk (MeSH), Spain (epidemiology), Time Factors (MeSH), Vaccination (MeSH).
- MESH :
- chemical : Influenza Vaccines.
- geographic , epidemiology : Spain.
- epidemiology : Influenza, Human.
- transmission : Influenza, Human.
- Adolescent, Adult, Age Factors, Aged, Child, Emergency Service, Hospital, Female, Humans, Incidence, Male, Middle Aged, Outpatient Clinics, Hospital, Retrospective Studies, Risk, Time Factors, Vaccination.
Abstract
OBJECTIVES
To estimate the risk of influenza transmission in patients coming to a hospital emergency department during the week of highest incidence and to analyze factors associated with transmission.
MATERIAL AND METHODS
Retrospective observational analysis of a cohort of patients treated in the emergency room during the 2014-2015 flu season. The following variables were collected from records: recorded influenza diagnosis, results of a rapid influenza confirmation test, point of exposure (emergency department, outpatient clinic, or the community), age, sex, flu vaccination or not, number of emergency visits, time spent in the waiting room, and total time in the hospital. We compiled descriptive statistics and performed bivariate and multivariate analyses by means of a Poisson regression to estimate relative risk (RR) and 95% CIs.
RESULTS
The emergency department patients had a RR of contracting influenza 3.29 times that of the communityexposed population (95% CI, 1.53-7.08, P=.002); their risk was 2.05 times greater than that of outpatient clinic visitors (95% CI, 1.04-4.02, P=.036). Emergency patients under the age of 15 years had a 5.27 greater risk than older patients (95% CI, 1.59-17.51; P=.007). The RR of patients visiting more than once was 11.43 times greater (95% CI, 3.58-36.44; P<.001). The risk attributable to visiting the emergency department risk was 70.5%, whereas risk attributable to community exposure was 2%.
CONCLUSION
The risk of contracting influenza is greater for emergency department patients than for the general population or for patients coming to the hospital for outpatient clinic visits. Patients under the age of 15 years incur greater risk.
PubMed: 29437304
Affiliations:
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Clinics, Hospital (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Risk (MeSH)</term><term>Spain (epidemiology)</term><term>Time Factors (MeSH)</term><term>Vaccination (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Enfant (MeSH)</term><term>Espagne (épidémiologie)</term><term>Facteurs temps (MeSH)</term><term>Facteurs âges (MeSH)</term><term>Femelle (MeSH)</term><term>Grippe humaine (transmission)</term><term>Grippe humaine (épidémiologie)</term><term>Humains (MeSH)</term><term>Incidence (MeSH)</term><term>Mâle (MeSH)</term><term>Risque (MeSH)</term><term>Service hospitalier d'urgences (MeSH)</term><term>Services de consultations externes des hôpitaux (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Vaccination (MeSH)</term><term>Vaccins antigrippaux (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" 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xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enfant</term><term>Facteurs temps</term><term>Facteurs âges</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Mâle</term><term>Risque</term><term>Service hospitalier d'urgences</term><term>Services de consultations externes des hôpitaux</term><term>Sujet âgé</term><term>Vaccination</term><term>Vaccins antigrippaux</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Espagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>To estimate the risk of influenza transmission in patients coming to a hospital emergency department during the week of highest incidence and to analyze factors associated with transmission.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIAL AND METHODS</b></p><p>Retrospective observational analysis of a cohort of patients treated in the emergency room during the 2014-2015 flu season. The following variables were collected from records: recorded influenza diagnosis, results of a rapid influenza confirmation test, point of exposure (emergency department, outpatient clinic, or the community), age, sex, flu vaccination or not, number of emergency visits, time spent in the waiting room, and total time in the hospital. We compiled descriptive statistics and performed bivariate and multivariate analyses by means of a Poisson regression to estimate relative risk (RR) and 95% CIs.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The emergency department patients had a RR of contracting influenza 3.29 times that of the communityexposed population (95% CI, 1.53-7.08, P=.002); their risk was 2.05 times greater than that of outpatient clinic visitors (95% CI, 1.04-4.02, P=.036). Emergency patients under the age of 15 years had a 5.27 greater risk than older patients (95% CI, 1.59-17.51; P=.007). The RR of patients visiting more than once was 11.43 times greater (95% CI, 3.58-36.44; P<.001). The risk attributable to visiting the emergency department risk was 70.5%, whereas risk attributable to community exposure was 2%.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The risk of contracting influenza is greater for emergency department patients than for the general population or for patients coming to the hospital for outpatient clinic visits. Patients under the age of 15 years incur greater risk.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29437304</PMID><DateCompleted><Year>2019</Year><Month>05</Month><Day>13</Day></DateCompleted><DateRevised><Year>2019</Year><Month>05</Month><Day>13</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">2386-5857</ISSN><JournalIssue CitedMedium="Internet"><Volume>30</Volume><Issue>1</Issue><PubDate><Year>2018</Year><Month>02</Month></PubDate></JournalIssue><Title>Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias</Title><ISOAbbreviation>Emergencias</ISOAbbreviation></Journal><ArticleTitle>Risk of influenza transmission in a hospital emergency department during the week of highest incidence.</ArticleTitle><Pagination><MedlinePgn>7-13</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVES">To estimate the risk of influenza transmission in patients coming to a hospital emergency department during the week of highest incidence and to analyze factors associated with transmission.</AbstractText><AbstractText Label="MATERIAL AND METHODS">Retrospective observational analysis of a cohort of patients treated in the emergency room during the 2014-2015 flu season. The following variables were collected from records: recorded influenza diagnosis, results of a rapid influenza confirmation test, point of exposure (emergency department, outpatient clinic, or the community), age, sex, flu vaccination or not, number of emergency visits, time spent in the waiting room, and total time in the hospital. We compiled descriptive statistics and performed bivariate and multivariate analyses by means of a Poisson regression to estimate relative risk (RR) and 95% CIs.</AbstractText><AbstractText Label="RESULTS">The emergency department patients had a RR of contracting influenza 3.29 times that of the communityexposed population (95% CI, 1.53-7.08, P=.002); their risk was 2.05 times greater than that of outpatient clinic visitors (95% CI, 1.04-4.02, P=.036). Emergency patients under the age of 15 years had a 5.27 greater risk than older patients (95% CI, 1.59-17.51; P=.007). The RR of patients visiting more than once was 11.43 times greater (95% CI, 3.58-36.44; P<.001). The risk attributable to visiting the emergency department risk was 70.5%, whereas risk attributable to community exposure was 2%.</AbstractText><AbstractText Label="CONCLUSION">The risk of contracting influenza is greater for emergency department patients than for the general population or for patients coming to the hospital for outpatient clinic visits. Patients under the age of 15 years incur greater risk.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Esteve-Esteve</LastName><ForeName>Miguel</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Servicio de Medicina Preventiva, Hospital Universitario Dr. Peset, Valencia, España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bautista-Rentero</LastName><ForeName>Daniel</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Servicio de Medicina Preventiva, Hospital Universitario Dr. Peset, Valencia, España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zanón-Viguer</LastName><ForeName>Vicente</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Servicio de Medicina Preventiva, Hospital Universitario Dr. Peset, Valencia, España.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><Language>spa</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><VernacularTitle>Riesgo de transmisión de gripe en un servicio de urgencias hospitalario en periodo de máxima incidencia epidémica.</VernacularTitle></Article><MedlineJournalInfo><Country>Spain</Country><MedlineTA>Emergencias</MedlineTA><NlmUniqueID>9805751</NlmUniqueID><ISSNLinking>1137-6821</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Emergencias. 2018 Feb;30(1):5-6</RefSource><PMID Version="1">29437303</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Emergencias. 2018 Jun;30(3):209</RefSource><PMID Version="1">29687682</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Emergencias. 2018 Jun;30(3):209-210</RefSource><PMID Version="1">29687683</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004636" MajorTopicYN="Y">Emergency Service, Hospital</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000635" MajorTopicYN="Y">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010044" MajorTopicYN="N">Outpatient Clinics, Hospital</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012306" MajorTopicYN="N">Risk</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName></MeshHeading></MeshHeadingList><OtherAbstract Type="Publisher" Language="spa"><AbstractText Label="OBJETIVO">Estimar el riesgo de contagio de gripe en la población que acude a un servicio de urgencias hospitalario (SUH) en la semana de máxima incidencia epidémica, así como analizar los factores que influyen en la transmisión.</AbstractText><AbstractText Label="METODO">Estudio analítico observacional de cohortes retrospectivo realizado en sujetos pertenecientes a un Departamento de Salud durante la temporada 2014-15. Las variables estudiadas fueron diagnóstico registrado de gripe, prueba confirmatoria de gripe, grupo de exposición (SUH, consultas externas y población), edad, sexo, vacunación antigripal, número de veces atendido en el SUH, tiempo en la sala de espera y tiempo total en el servicio. Se realizó análisis descriptivo, bivariante y multivariante mediante regresión de Poisson, y se estimaron los riesgos relativos (RR) con sus intervalos de confianza (IC) del 95%.</AbstractText><AbstractText Label="RESULTADOS">El RR de contraer la gripe en el SUH respecto a la población fue de 3,29 (IC95%: 1,53-7,08; p = 0,002) y con respecto a consultas externas fue de 2,05 (IC95%: 1,04-4,02; p = 0,036). El RR de gripe en el SUH en menores de 15 años respecto a mayores 15 años fue de 5,27 (IC95%: 1,59-17,51; p = 0,007). En sujetos con > 1 visita respecto a 1 visita el RR fue de 11,43 (IC95%: 3,58-36,44; p < 0,001). El riesgo atribuible proporcional fue del 70,5% y el riesgo atribuible poblacional del 2%.</AbstractText><AbstractText Label="CONCLUSIONES">La población que visita al SUH durante la semana de máxima incidencia epidémica de gripe aumenta significativamente el riesgo de contraerla respecto a la población que no acude a urgencias.</AbstractText></OtherAbstract><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Emergency health services</Keyword><Keyword MajorTopicYN="Y">Gripe</Keyword><Keyword MajorTopicYN="Y">Influenza</Keyword><Keyword MajorTopicYN="Y">Servicio de Urgencias</Keyword><Keyword MajorTopicYN="Y">Transmisión</Keyword><Keyword MajorTopicYN="Y">Transmission</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>2</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>2</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>5</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29437304</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country></list><tree><country name="Espagne"><noRegion><name sortKey="Esteve Esteve, Miguel" sort="Esteve Esteve, Miguel" uniqKey="Esteve Esteve M" first="Miguel" last="Esteve-Esteve">Miguel Esteve-Esteve</name></noRegion><name sortKey="Bautista Rentero, Daniel" sort="Bautista Rentero, Daniel" uniqKey="Bautista Rentero D" first="Daniel" last="Bautista-Rentero">Daniel Bautista-Rentero</name><name sortKey="Zan N Viguer, Vicente" sort="Zan N Viguer, Vicente" uniqKey="Zan N Viguer V" first="Vicente" last="Zan N-Viguer">Vicente Zan N-Viguer</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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