[Hospital care of patients with A/H1N1 influenza: evaluation of the first 1000 reported cases in Spain].
Identifieur interne : 000453 ( Main/Exploration ); précédent : 000452; suivant : 000454[Hospital care of patients with A/H1N1 influenza: evaluation of the first 1000 reported cases in Spain].
Auteurs : Mireia Cantero Caballero [Espagne] ; Angel Touma Fernández ; M Jesús Granda Martín ; Ana Castuera Gil ; Paul Zegarra Salas ; Carmen Cuenca Carvajal ; Juan Carlos Cano Ballesteros ; Susana Granado De La Orden ; María Ferrer Civeira ; Pilar Catalán Alonso ; Cristina Pérez Sanz ; Angel Aguaron De La Cruz ; Carlos Merello Godino ; Juan Andueza Lillo ; Paz Rodríguez Pérez ; Luis Audibert MenaSource :
- Medicina clinica [ 0025-7753 ] ; 2010.
Descripteurs français
- KwdFr :
- MESH :
- statistiques et données numériques : Hospitalisation.
- thérapie : Grippe humaine.
- épidémiologie : Grippe humaine.
- Adulte, Espagne, Femelle, Humains, Mâle, Sous-type H1N1 du virus de la grippe A.
- Wicri :
- geographic : Espagne.
English descriptors
- KwdEn :
- MESH :
- geographic : Spain.
- epidemiology : Influenza, Human.
- statistics & numerical data : Hospitalization.
- therapy : Influenza, Human.
- Adult, Female, Humans, Influenza A Virus, H1N1 Subtype, Male.
Abstract
INTRODUCTION AND OBJECTIVES
Influenza A is expected to have a great impact in countries in the northern hemisphere yet little has been reported about how this outbreak can affect hospital care. The aim of this study is to assess patients who demand care for flu symptoms and their outcome.
MATERIAL AND METHODS
From the beginning of the outbreak a specific protocol was established for the care of patients with potential influenza A in admission, emergency and hospitalization ward. A nominal registry was designed with clinical and epidemiological data.
RESULTS
1018 patients were evaluated for potential influenza A from the beginning of the outbreak until the 31(st) August, 2009. 77% of them fulfilled clinical criteria and were classified as suspected cases. Mean age was 31,7 years (SD17,2), 52% were women, 3,3% pregnant or puerperal. The admission rate was 23,4% with a global mean stay of 3,5 days, and 2,5 for the adults who were admitted to the short stay hospital unit. 2,8 % had pneumonia, two patients required admission to the intensive care unit and one of them died.
CONCLUSIONS
Our data show an outbreak with mild illness, with a remarkable percentage of pneumonia but with good outcome. Despite of the high percentage of admissions, and in order to avoid the misleading attention to other patients, we believe that an assistance model based in specific units, short stay and post-discharge follow up could be suitable.
DOI: 10.1016/j.medcli.2009.10.051
PubMed: 20307895
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Touma Fernandez, Angel" sort="Touma Fernandez, Angel" uniqKey="Touma Fernandez A" first="Angel" last="Touma Fernández">Angel Touma Fernández</name></author><author><name sortKey="Granda Martin, M Jesus" sort="Granda Martin, M Jesus" uniqKey="Granda Martin M" first="M Jesús" last="Granda Martín">M Jesús Granda Martín</name></author><author><name sortKey="Castuera Gil, Ana" sort="Castuera Gil, Ana" uniqKey="Castuera Gil A" first="Ana" last="Castuera Gil">Ana Castuera Gil</name></author><author><name sortKey="Zegarra Salas, Paul" sort="Zegarra Salas, Paul" uniqKey="Zegarra Salas P" first="Paul" last="Zegarra Salas">Paul Zegarra Salas</name></author><author><name sortKey="Cuenca Carvajal, Carmen" sort="Cuenca Carvajal, Carmen" uniqKey="Cuenca Carvajal C" first="Carmen" last="Cuenca Carvajal">Carmen Cuenca Carvajal</name></author><author><name sortKey="Cano Ballesteros, Juan Carlos" sort="Cano Ballesteros, Juan Carlos" uniqKey="Cano Ballesteros J" first="Juan Carlos" last="Cano Ballesteros">Juan Carlos Cano Ballesteros</name></author><author><name sortKey="Granado De La Orden, Susana" sort="Granado De La Orden, Susana" uniqKey="Granado De La Orden S" first="Susana" last="Granado De La Orden">Susana Granado De La Orden</name></author><author><name sortKey="Ferrer Civeira, Maria" sort="Ferrer Civeira, Maria" uniqKey="Ferrer Civeira M" first="María" last="Ferrer Civeira">María Ferrer Civeira</name></author><author><name sortKey="Catalan Alonso, Pilar" sort="Catalan Alonso, Pilar" uniqKey="Catalan Alonso P" first="Pilar" last="Catalán Alonso">Pilar Catalán Alonso</name></author><author><name sortKey="Perez Sanz, Cristina" sort="Perez Sanz, Cristina" uniqKey="Perez Sanz C" first="Cristina" last="Pérez Sanz">Cristina Pérez Sanz</name></author><author><name sortKey="Aguaron De La Cruz, Angel" sort="Aguaron De La Cruz, Angel" uniqKey="Aguaron De La Cruz A" first="Angel" last="Aguaron De La Cruz">Angel Aguaron De La Cruz</name></author><author><name sortKey="Merello Godino, Carlos" sort="Merello Godino, Carlos" uniqKey="Merello Godino C" first="Carlos" last="Merello Godino">Carlos Merello Godino</name></author><author><name sortKey="Andueza Lillo, Juan" sort="Andueza Lillo, Juan" uniqKey="Andueza Lillo J" first="Juan" last="Andueza Lillo">Juan Andueza Lillo</name></author><author><name sortKey="Rodriguez Perez, Paz" sort="Rodriguez Perez, Paz" uniqKey="Rodriguez Perez P" first="Paz" last="Rodríguez Pérez">Paz Rodríguez Pérez</name></author><author><name sortKey="Audibert Mena, Luis" sort="Audibert Mena, Luis" uniqKey="Audibert Mena L" first="Luis" last="Audibert Mena">Luis Audibert Mena</name></author></analytic><series><title level="j">Medicina clinica</title><idno type="ISSN">0025-7753</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Female (MeSH)</term><term>Hospitalization (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Influenza A Virus, H1N1 Subtype (MeSH)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (therapy)</term><term>Male (MeSH)</term><term>Spain (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Espagne (MeSH)</term><term>Femelle (MeSH)</term><term>Grippe humaine (thérapie)</term><term>Grippe humaine (épidémiologie)</term><term>Hospitalisation (statistiques et données numériques)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Sous-type H1N1 du virus de la grippe A (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Spain</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitalization</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Hospitalisation</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Male</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Espagne</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Sous-type H1N1 du virus de la grippe A</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>INTRODUCTION AND OBJECTIVES</b></p><p>Influenza A is expected to have a great impact in countries in the northern hemisphere yet little has been reported about how this outbreak can affect hospital care. The aim of this study is to assess patients who demand care for flu symptoms and their outcome.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIAL AND METHODS</b></p><p>From the beginning of the outbreak a specific protocol was established for the care of patients with potential influenza A in admission, emergency and hospitalization ward. A nominal registry was designed with clinical and epidemiological data.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>1018 patients were evaluated for potential influenza A from the beginning of the outbreak until the 31(st) August, 2009. 77% of them fulfilled clinical criteria and were classified as suspected cases. Mean age was 31,7 years (SD17,2), 52% were women, 3,3% pregnant or puerperal. The admission rate was 23,4% with a global mean stay of 3,5 days, and 2,5 for the adults who were admitted to the short stay hospital unit. 2,8 % had pneumonia, two patients required admission to the intensive care unit and one of them died.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Our data show an outbreak with mild illness, with a remarkable percentage of pneumonia but with good outcome. Despite of the high percentage of admissions, and in order to avoid the misleading attention to other patients, we believe that an assistance model based in specific units, short stay and post-discharge follow up could be suitable.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20307895</PMID><DateCompleted><Year>2010</Year><Month>09</Month><Day>02</Day></DateCompleted><DateRevised><Year>2010</Year><Month>05</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0025-7753</ISSN><JournalIssue CitedMedium="Print"><Volume>135</Volume><Issue>1</Issue><PubDate><Year>2010</Year><Month>Jun</Month><Day>05</Day></PubDate></JournalIssue><Title>Medicina clinica</Title><ISOAbbreviation>Med Clin (Barc)</ISOAbbreviation></Journal><ArticleTitle>[Hospital care of patients with A/H1N1 influenza: evaluation of the first 1000 reported cases in Spain].</ArticleTitle><Pagination><MedlinePgn>1-7</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.medcli.2009.10.051</ELocationID><Abstract><AbstractText Label="INTRODUCTION AND OBJECTIVES" NlmCategory="OBJECTIVE">Influenza A is expected to have a great impact in countries in the northern hemisphere yet little has been reported about how this outbreak can affect hospital care. The aim of this study is to assess patients who demand care for flu symptoms and their outcome.</AbstractText><AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">From the beginning of the outbreak a specific protocol was established for the care of patients with potential influenza A in admission, emergency and hospitalization ward. A nominal registry was designed with clinical and epidemiological data.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">1018 patients were evaluated for potential influenza A from the beginning of the outbreak until the 31(st) August, 2009. 77% of them fulfilled clinical criteria and were classified as suspected cases. Mean age was 31,7 years (SD17,2), 52% were women, 3,3% pregnant or puerperal. The admission rate was 23,4% with a global mean stay of 3,5 days, and 2,5 for the adults who were admitted to the short stay hospital unit. 2,8 % had pneumonia, two patients required admission to the intensive care unit and one of them died.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our data show an outbreak with mild illness, with a remarkable percentage of pneumonia but with good outcome. Despite of the high percentage of admissions, and in order to avoid the misleading attention to other patients, we believe that an assistance model based in specific units, short stay and post-discharge follow up could be suitable.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cantero Caballero</LastName><ForeName>Mireia</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Servicio de Medicina Preventiva y Gestión de Calidad, Hospital General Universitario Gregorio Marañón, Madrid, España. mcantero.hgugm@salud.madrid.org</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Touma Fernández</LastName><ForeName>Angel</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Granda Martín</LastName><ForeName>M Jesús</ForeName><Initials>MJ</Initials></Author><Author ValidYN="Y"><LastName>Castuera Gil</LastName><ForeName>Ana</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Zegarra Salas</LastName><ForeName>Paul</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Cuenca Carvajal</LastName><ForeName>Carmen</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Cano Ballesteros</LastName><ForeName>Juan Carlos</ForeName><Initials>JC</Initials></Author><Author ValidYN="Y"><LastName>Granado De La Orden</LastName><ForeName>Susana</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Ferrer Civeira</LastName><ForeName>María</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Catalán Alonso</LastName><ForeName>Pilar</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Pérez Sanz</LastName><ForeName>Cristina</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Aguaron De La Cruz</LastName><ForeName>Angel</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Merello Godino</LastName><ForeName>Carlos</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Andueza Lillo</LastName><ForeName>Juan</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Rodríguez Pérez</LastName><ForeName>Paz</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Audibert Mena</LastName><ForeName>Luis</ForeName><Initials>L</Initials></Author></AuthorList><Language>spa</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Demanda de atención hospitalaria por gripe A/H1N1: evaluación de los primeros 1.000 casos atendidos.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2010</Year><Month>03</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>Spain</Country><MedlineTA>Med Clin (Barc)</MedlineTA><NlmUniqueID>0376377</NlmUniqueID><ISSNLinking>0025-7753</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053118" MajorTopicYN="Y">Influenza A Virus, H1N1 Subtype</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2009</Year><Month>09</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2009</Year><Month>10</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2009</Year><Month>10</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>3</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>3</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2010</Year><Month>9</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">20307895</ArticleId><ArticleId IdType="pii">S0025-7753(10)00084-9</ArticleId><ArticleId IdType="doi">10.1016/j.medcli.2009.10.051</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country><region><li>Communauté de Madrid</li></region><settlement><li>Madrid</li></settlement></list><tree><noCountry><name sortKey="Aguaron De La Cruz, Angel" sort="Aguaron De La Cruz, Angel" uniqKey="Aguaron De La Cruz A" first="Angel" last="Aguaron De La Cruz">Angel Aguaron De La Cruz</name><name sortKey="Andueza Lillo, Juan" sort="Andueza Lillo, Juan" uniqKey="Andueza Lillo J" first="Juan" last="Andueza Lillo">Juan Andueza Lillo</name><name sortKey="Audibert Mena, Luis" sort="Audibert Mena, Luis" uniqKey="Audibert Mena L" first="Luis" last="Audibert Mena">Luis Audibert Mena</name><name sortKey="Cano Ballesteros, Juan Carlos" sort="Cano Ballesteros, Juan Carlos" uniqKey="Cano Ballesteros J" first="Juan Carlos" last="Cano Ballesteros">Juan Carlos Cano Ballesteros</name><name sortKey="Castuera Gil, Ana" sort="Castuera Gil, Ana" uniqKey="Castuera Gil A" first="Ana" last="Castuera Gil">Ana Castuera Gil</name><name sortKey="Catalan Alonso, Pilar" sort="Catalan Alonso, Pilar" uniqKey="Catalan Alonso P" first="Pilar" last="Catalán Alonso">Pilar Catalán Alonso</name><name sortKey="Cuenca Carvajal, Carmen" sort="Cuenca Carvajal, Carmen" uniqKey="Cuenca Carvajal C" first="Carmen" last="Cuenca Carvajal">Carmen Cuenca Carvajal</name><name sortKey="Ferrer Civeira, Maria" sort="Ferrer Civeira, Maria" uniqKey="Ferrer Civeira M" first="María" last="Ferrer Civeira">María Ferrer Civeira</name><name sortKey="Granado De La Orden, Susana" sort="Granado De La Orden, Susana" uniqKey="Granado De La Orden S" first="Susana" last="Granado De La Orden">Susana Granado De La Orden</name><name sortKey="Granda Martin, M Jesus" sort="Granda Martin, M Jesus" uniqKey="Granda Martin M" first="M Jesús" last="Granda Martín">M Jesús Granda Martín</name><name sortKey="Merello Godino, Carlos" sort="Merello Godino, Carlos" uniqKey="Merello Godino C" first="Carlos" last="Merello Godino">Carlos Merello Godino</name><name sortKey="Perez Sanz, Cristina" sort="Perez Sanz, Cristina" uniqKey="Perez Sanz C" first="Cristina" last="Pérez Sanz">Cristina Pérez Sanz</name><name sortKey="Rodriguez Perez, Paz" sort="Rodriguez Perez, Paz" uniqKey="Rodriguez Perez P" first="Paz" last="Rodríguez Pérez">Paz Rodríguez Pérez</name><name sortKey="Touma Fernandez, Angel" sort="Touma Fernandez, Angel" uniqKey="Touma Fernandez A" first="Angel" last="Touma Fernández">Angel Touma Fernández</name><name sortKey="Zegarra Salas, Paul" sort="Zegarra Salas, Paul" uniqKey="Zegarra Salas P" first="Paul" last="Zegarra Salas">Paul Zegarra Salas</name></noCountry><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Cantero Caballero, Mireia" sort="Cantero Caballero, Mireia" uniqKey="Cantero Caballero M" first="Mireia" last="Cantero Caballero">Mireia Cantero Caballero</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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