GrippeFranceV1, Main, Exploration, bibRecord, 000009

Winter virus season impact on acute dyspnoea in the emergency department.

Identifieur interne : 000009 ( Main/Exploration ); précédent : 000008; suivant : 000010

Winter virus season impact on acute dyspnoea in the emergency department.

Auteurs : Hanae Christiaens [France] ; Sandrine Charpentier [France] ; Charles-Henri Houze-Cerfon [France] ; Frederic Balen [France]

Source :

The clinical respiratory journal [ 1752-699X ] ; 2019.

RBID : pubmed:31498565

Descripteurs français

KwdFr :
- Adulte d'âge moyen (MeSH), Durée du séjour (MeSH), Dyspnée (diagnostic), Dyspnée (mortalité), Dyspnée (virologie), Dyspnée (épidémiologie), Femelle (MeSH), France (épidémiologie), Grippe humaine (diagnostic), Grippe humaine (virologie), Grippe humaine (épidémiologie), Hospitalisation (MeSH), Humains (MeSH), Incidence (MeSH), Infections de l'appareil respiratoire (diagnostic), Infections de l'appareil respiratoire (virologie), Infections de l'appareil respiratoire (épidémiologie), Mâle (MeSH), Saisons (MeSH), Service hospitalier d'urgences (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Études rétrospectives (MeSH).
MESH :
- diagnostic : Dyspnée, Grippe humaine, Infections de l'appareil respiratoire.
- mortalité : Dyspnée.
- virologie : Dyspnée, Grippe humaine, Infections de l'appareil respiratoire.
- épidémiologie : Dyspnée, France, Grippe humaine, Infections de l'appareil respiratoire.
- Adulte d'âge moyen, Durée du séjour, Femelle, Hospitalisation, Humains, Incidence, Mâle, Saisons, Service hospitalier d'urgences, Sujet âgé, Sujet âgé de 80 ans ou plus, Études rétrospectives.
Wicri :
- geographic : France.

English descriptors

KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Dyspnea (diagnosis), Dyspnea (epidemiology), Dyspnea (mortality), Dyspnea (virology), Emergency Service, Hospital (MeSH), Female (MeSH), France (epidemiology), Hospitalization (MeSH), Humans (MeSH), Incidence (MeSH), Influenza, Human (diagnosis), Influenza, Human (epidemiology), Influenza, Human (virology), Length of Stay (MeSH), Male (MeSH), Middle Aged (MeSH), Respiratory Tract Infections (diagnosis), Respiratory Tract Infections (epidemiology), Respiratory Tract Infections (virology), Retrospective Studies (MeSH), Seasons (MeSH).
MESH :
- geographic , epidemiology : France.
- diagnosis : Dyspnea, Influenza, Human, Respiratory Tract Infections.
- epidemiology : Dyspnea, Influenza, Human, Respiratory Tract Infections.
- mortality : Dyspnea.
- virology : Dyspnea, Influenza, Human, Respiratory Tract Infections.
- Aged, Aged, 80 and over, Emergency Service, Hospital, Female, Hospitalization, Humans, Incidence, Length of Stay, Male, Middle Aged, Retrospective Studies, Seasons.

Abstract

OBJECTIVE

To compare the epidemiology of dyspnoea presented to emergency departments (EDs) during and of winter virus season (WVS).

METHODS

This is a monocentric retrospective cohort study. All patients attending to the ED of the Rangueil University Hospital (Toulouse, France) for dyspnoea in September 2016 (off WVS period) and January 2017 (during WVS period) were included. The primary endpoint was the final diagnosis. The patients' medical profiles, care duration, seriousness and futures were studied as secondary endpoints.

RESULTS

A total of 395 patients were studied: 125 patients during off-peak influenza season and 270 patients during the peak influenza season. The incidence of patients attending because of dyspnoea increased significantly during WVS (4.2% of ED presentations during the off WVS period versus 8.4% during the WVS period, P < 0.001). Patients attending the ED because of dyspnoea during WVS period were significantly older with more extensive medical backgrounds and more serious diseases. Most of those patients were hospitalized (54%), and largely in the geriatrics department.

CONCLUSION

The incidence of patients attending because of dyspnoea doubled during the WVS period, with patients who were older and had more complex histories. This time-consuming population largely requires hospitalization and may be one of the causes of the emergency department's overcrowding during epidemics.

DOI: 10.1111/crj.13081
PubMed: 31498565

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000017
to stream Main, to step Curation: 000017

Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Dyspnea (diagnosis)</term>
<term>Dyspnea (epidemiology)</term>
<term>Dyspnea (mortality)</term>
<term>Dyspnea (virology)</term>
<term>Emergency Service, Hospital (MeSH)</term>
<term>Female (MeSH)</term>
<term>France (epidemiology)</term>
<term>Hospitalization (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Incidence (MeSH)</term>
<term>Influenza, Human (diagnosis)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (virology)</term>
<term>Length of Stay (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Respiratory Tract Infections (diagnosis)</term>
<term>Respiratory Tract Infections (epidemiology)</term>
<term>Respiratory Tract Infections (virology)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Seasons (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term>
<term>Durée du séjour (MeSH)</term>
<term>Dyspnée (diagnostic)</term>
<term>Dyspnée (mortalité)</term>
<term>Dyspnée (virologie)</term>
<term>Dyspnée (épidémiologie)</term>
<term>Femelle (MeSH)</term>
<term>France (épidémiologie)</term>
<term>Grippe humaine (diagnostic)</term>
<term>Grippe humaine (virologie)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Hospitalisation (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Incidence (MeSH)</term>
<term>Infections de l'appareil respiratoire (diagnostic)</term>
<term>Infections de l'appareil respiratoire (virologie)</term>
<term>Infections de l'appareil respiratoire (épidémiologie)</term>
<term>Mâle (MeSH)</term>
<term>Saisons (MeSH)</term>
<term>Service hospitalier d'urgences (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Études rétrospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dyspnea</term>
<term>Influenza, Human</term>
<term>Respiratory Tract Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Dyspnée</term>
<term>Grippe humaine</term>
<term>Infections de l'appareil respiratoire</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Dyspnea</term>
<term>Influenza, Human</term>
<term>Respiratory Tract Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Dyspnea</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Dyspnée</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Dyspnée</term>
<term>Grippe humaine</term>
<term>Infections de l'appareil respiratoire</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Dyspnea</term>
<term>Influenza, Human</term>
<term>Respiratory Tract Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Dyspnée</term>
<term>France</term>
<term>Grippe humaine</term>
<term>Infections de l'appareil respiratoire</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Emergency Service, Hospital</term>
<term>Female</term>
<term>Hospitalization</term>
<term>Humans</term>
<term>Incidence</term>
<term>Length of Stay</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Seasons</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Durée du séjour</term>
<term>Femelle</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Incidence</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>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term>
</keywords>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To compare the epidemiology of dyspnoea presented to emergency departments (EDs) during and of winter virus season (WVS).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>This is a monocentric retrospective cohort study. All patients attending to the ED of the Rangueil University Hospital (Toulouse, France) for dyspnoea in September 2016 (off WVS period) and January 2017 (during WVS period) were included. The primary endpoint was the final diagnosis. The patients' medical profiles, care duration, seriousness and futures were studied as secondary endpoints.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>A total of 395 patients were studied: 125 patients during off-peak influenza season and 270 patients during the peak influenza season. The incidence of patients attending because of dyspnoea increased significantly during WVS (4.2% of ED presentations during the off WVS period versus 8.4% during the WVS period, P < 0.001). Patients attending the ED because of dyspnoea during WVS period were significantly older with more extensive medical backgrounds and more serious diseases. Most of those patients were hospitalized (54%), and largely in the geriatrics department.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>The incidence of patients attending because of dyspnoea doubled during the WVS period, with patients who were older and had more complex histories. This time-consuming population largely requires hospitalization and may be one of the causes of the emergency department's overcrowding during epidemics.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31498565</PMID>
<DateCompleted><Year>2020</Year>
<Month>03</Month>
<Day>16</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>03</Month>
<Day>16</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1752-699X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>13</Volume>
<Issue>11</Issue>
<PubDate><Year>2019</Year>
<Month>Nov</Month>
</PubDate>
</JournalIssue>
<Title>The clinical respiratory journal</Title>
<ISOAbbreviation>Clin Respir J</ISOAbbreviation>
</Journal>
<ArticleTitle>Winter virus season impact on acute dyspnoea in the emergency department.</ArticleTitle>
<Pagination><MedlinePgn>722-727</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/crj.13081</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To compare the epidemiology of dyspnoea presented to emergency departments (EDs) during and of winter virus season (WVS).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">This is a monocentric retrospective cohort study. All patients attending to the ED of the Rangueil University Hospital (Toulouse, France) for dyspnoea in September 2016 (off WVS period) and January 2017 (during WVS period) were included. The primary endpoint was the final diagnosis. The patients' medical profiles, care duration, seriousness and futures were studied as secondary endpoints.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 395 patients were studied: 125 patients during off-peak influenza season and 270 patients during the peak influenza season. The incidence of patients attending because of dyspnoea increased significantly during WVS (4.2% of ED presentations during the off WVS period versus 8.4% during the WVS period, P < 0.001). Patients attending the ED because of dyspnoea during WVS period were significantly older with more extensive medical backgrounds and more serious diseases. Most of those patients were hospitalized (54%), and largely in the geriatrics department.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The incidence of patients attending because of dyspnoea doubled during the WVS period, with patients who were older and had more complex histories. This time-consuming population largely requires hospitalization and may be one of the causes of the emergency department's overcrowding during epidemics.</AbstractText>
<CopyrightInformation>© 2019 John Wiley & Sons Ltd.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Christiaens</LastName>
<ForeName>Hanae</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Emergency Department, Toulouse University Hospital, Toulouse, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Charpentier</LastName>
<ForeName>Sandrine</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Emergency Department, Toulouse University Hospital, Toulouse, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Laboratory of Epidemiology and Analyses in Public Health, UMR 1027 - EQUITY, INSERM, Toulouse, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Toulouse III - Paul Sabatier University, Toulouse, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Houze-Cerfon</LastName>
<ForeName>Charles-Henri</ForeName>
<Initials>CH</Initials>
<AffiliationInfo><Affiliation>Emergency Department, Toulouse University Hospital, Toulouse, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Balen</LastName>
<ForeName>Frederic</ForeName>
<Initials>F</Initials>
<Identifier Source="ORCID">https://orcid.org/0000-0002-4340-7391</Identifier>
<AffiliationInfo><Affiliation>Emergency Department, Toulouse University Hospital, Toulouse, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Laboratory of Epidemiology and Analyses in Public Health, UMR 1027 - EQUITY, INSERM, Toulouse, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Toulouse III - Paul Sabatier University, Toulouse, France.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2019</Year>
<Month>09</Month>
<Day>10</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Clin Respir J</MedlineTA>
<NlmUniqueID>101315570</NlmUniqueID>
<ISSNLinking>1752-6981</ISSNLinking>
</MedlineJournalInfo>
<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="D004417" MajorTopicYN="N">Dyspnea</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004636" MajorTopicYN="N">Emergency Service, Hospital</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007902" MajorTopicYN="N">Length of Stay</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012141" MajorTopicYN="N">Respiratory Tract Infections</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012621" MajorTopicYN="N">Seasons</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Upper respiratory infection</Keyword>
<Keyword MajorTopicYN="N">dyspnoea</Keyword>
<Keyword MajorTopicYN="N">emergency department</Keyword>
<Keyword MajorTopicYN="N">epidemiology</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year>
<Month>06</Month>
<Day>01</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2019</Year>
<Month>08</Month>
<Day>15</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2019</Year>
<Month>08</Month>
<Day>16</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2019</Year>
<Month>9</Month>
<Day>10</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>3</Month>
<Day>17</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2019</Year>
<Month>9</Month>
<Day>10</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">31498565</ArticleId>
<ArticleId IdType="doi">10.1111/crj.13081</ArticleId>
</ArticleIdList>
<ReferenceList><Title>REFERENCES</Title>
<Reference><Citation>Vestergaard LS, Nielsen J, Krause TG, et al. Excess all-cause and influenza-attributable mortality in Europe, December 2016 to February 2017. Eurosurveillance. 2017;22:1-7.</Citation>
</Reference>
<Reference><Citation>Gordon A, Reingold A. The burden of influenza: a complex problem. Curr Epidemiol Rep. 2018;5:1-9.</Citation>
</Reference>
<Reference><Citation>Occitanie C, Bourdillon F. Surveillance sanitaire en région Occitanie - Grippe: Bilan de l'épidémie hivernale 2016-2017. Le point épidémiologique - INVS. 2017. http://invs.santepubliquefrance.fr/content/download/147771/538013/version/274/file/pe_grippe_occitanie_bilan_2017_2018.pdf. Accessed June 1, 2019.</Citation>
</Reference>
<Reference><Citation>Taboulet P, Moreira V, Haas L, et al. Triage with the French emergency nurses classification in hospital scale: reliability and validity. Eur J Emerg Med. 2009;16(2):61-67.</Citation>
</Reference>
<Reference><Citation>Mockel M, Searle J, Muller R, et al. Chief complaints in medical emergencies: do they relate to underlying disease and outcome? The Charité Emergency Medicine Study (CHARITEM). Eur J Emerg Med. 2013;20:103-108.</Citation>
</Reference>
<Reference><Citation>Kelly AM, Keijzers G, Klim S, et al. An observational study of dyspnea in emergency departments: the Asia, Australia, and New Zealand dyspnea in emergency departments study. Acad Emerg Med. 2017;24:328-336.</Citation>
</Reference>
<Reference><Citation>Boisguérin B, Mauro L. Les personnes âgées aux urgences: une patientèle au profil particulier. Études et résultats - Ministère des Solidarités et de la Santé. DREES. 2017;No. 1007. https://drees.solidarites-sante.gouv.fr/IMG/pdf/er1007.pdf. Accessed June 1, 2019.</Citation>
</Reference>
<Reference><Citation>Blanpain N, Buisson G. Projections de population à l'horizon 2070. INSEE Première. 2016;No. 1619. https://www.insee.fr/en/statistiques/2581288. Accessed June 1, 2019.</Citation>
</Reference>
<Reference><Citation>Ray P, Birolleau S, Lefort Y, et al. Acute respiratory failure in the elderly: etiology, emergency diagnosis and prognosis. Crit Care. 2006;10:1-12.</Citation>
</Reference>
<Reference><Citation>Laribi S, Keijzers G, van Meer O, et al. Epidemiology of patients presenting with dyspnea to emergency departments in Europe and the Asia-Pacific region. Eur J Emerg Med. 2019;26:345-349.</Citation>
</Reference>
<Reference><Citation>Siemens N, Oehmcke-Hecht S, Mettenleiter TC, et al. Port d'Entrée for respiratory infections - does the influenza a virus pave the way for bacteria? Front Microbiol. 2017;8:1-17.</Citation>
</Reference>
<Reference><Citation>McCullers JA. Insights into the interaction between influenza virus and pneumococcus. Clin Microbiol Rev. 2006;19:571-582.</Citation>
</Reference>
<Reference><Citation>Boisguérin B, Mauro L. Les personnes âgées aux urgences: une santé plus fragile nécessitant une prise en charge plus longue. Études et résultats - Ministère des. Solidarités et de la Santé. DREES. 2017;No. 1008. https://drees.solidarites-sante.gouv.fr/IMG/pdf/er1008.pdf. Accessed June 1, 2019.</Citation>
</Reference>
</ReferenceList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>France</li>
</country>
<region><li>Midi-Pyrénées</li>
<li>Occitanie (région administrative)</li>
</region>
<settlement><li>Toulouse</li>
</settlement>
</list>
<tree><country name="France"><region name="Occitanie (région administrative)"><name sortKey="Christiaens, Hanae" sort="Christiaens, Hanae" uniqKey="Christiaens H" first="Hanae" last="Christiaens">Hanae Christiaens</name>
</region>
<name sortKey="Balen, Frederic" sort="Balen, Frederic" uniqKey="Balen F" first="Frederic" last="Balen">Frederic Balen</name>
<name sortKey="Balen, Frederic" sort="Balen, Frederic" uniqKey="Balen F" first="Frederic" last="Balen">Frederic Balen</name>
<name sortKey="Balen, Frederic" sort="Balen, Frederic" uniqKey="Balen F" first="Frederic" last="Balen">Frederic Balen</name>
<name sortKey="Charpentier, Sandrine" sort="Charpentier, Sandrine" uniqKey="Charpentier S" first="Sandrine" last="Charpentier">Sandrine Charpentier</name>
<name sortKey="Charpentier, Sandrine" sort="Charpentier, Sandrine" uniqKey="Charpentier S" first="Sandrine" last="Charpentier">Sandrine Charpentier</name>
<name sortKey="Charpentier, Sandrine" sort="Charpentier, Sandrine" uniqKey="Charpentier S" first="Sandrine" last="Charpentier">Sandrine Charpentier</name>
<name sortKey="Houze Cerfon, Charles Henri" sort="Houze Cerfon, Charles Henri" uniqKey="Houze Cerfon C" first="Charles-Henri" last="Houze-Cerfon">Charles-Henri Houze-Cerfon</name>
</country>
</tree>
</affiliations>
</record>

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Winter virus season impact on acute dyspnoea in the emergency department.

Winter virus season impact on acute dyspnoea in the emergency department.

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