Surge in Hospitalizations Associated With Mechanical Ventilator Use During Influenza Outbreaks
Identifieur interne : 001010 ( Main/Exploration ); précédent : 001009; suivant : 001011Surge in Hospitalizations Associated With Mechanical Ventilator Use During Influenza Outbreaks
Auteurs : James C. Jr King [États-Unis] ; Adebola Ajao [États-Unis] ; Richard Lichenstein [États-Unis] ; Laurence S. Magder [États-Unis]Source :
- Disaster medicine and public health preparedness [ 1935-7893 ] ; 2014.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Hospitalisation, Association, Santé publique, Homme.
English descriptors
- KwdEn :
Abstract
Objective: Information on surges in critical care services including mechanical ventilator use during seasonal influenza outbreaks is limited. To potentially facilitate preparedness plans for future pandemics, we retrospectively quantitated surges in all-cause mechanical ventilator use during peak influenza for 12 consecutive years in all certified hospitals in Maryland. Methods: Influenza testing data obtained for the Centers for Disease Control and Protection, Health and Human Services region 3, included defined peak influenza outbreak periods (PIOP), non-influenza time periods (non-ITP), and proportions of circulating influenza types for all study years. Procedure codes for mechanical ventilator use and diagnostic codes for medically attended acute respiratory illness (MAARI) were reviewed for every Maryland hospitalization. Daily counts of hospitalizations associated with ventilator use or MAARI during PIOP compared to non-ITP were analyzed using Poisson regression adjusted for month and year. Results: Ventilator use increased during PIOP by 7% (95% CI, 5-10) over non-ITP (P<.0001) for all study years. These annual surges correlated with influenza season intensity, as measured by MAARI-related hospitalizations (correlation coefficient = 0.91, P<.0001). Conclusions: Surges in ventilator use were temporally associated with PIOP and were positively correlated with influenza season intensity, as measured by hospitalizations associated with acute respiratory illness. This information may assist resource planning for future pandemics.
Affiliations:
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Jr King</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Tunnell Consulting</s1><s2>Washington, DC</s2><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName></affiliation></author><author><name sortKey="Ajao, Adebola" sort="Ajao, Adebola" uniqKey="Ajao A" first="Adebola" last="Ajao">Adebola Ajao</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Gap Solutions</s1><s2>Washington, DC</s2><s3>USA</s3><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName></affiliation></author><author><name sortKey="Lichenstein, Richard" sort="Lichenstein, Richard" uniqKey="Lichenstein R" first="Richard" last="Lichenstein">Richard Lichenstein</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Pediatrics, University of Maryland School of Medicine</s1><s2>Baltimore, Maryland</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Magder, Laurence S" sort="Magder, Laurence S" uniqKey="Magder L" first="Laurence S." last="Magder">Laurence S. Magder</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Department of Epidemiology and Public Health, University of Maryland School of Medicine</s1><s2>Baltimore, Maryland</s2><s3>USA</s3><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Maryland</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">14-0156020</idno><date when="2014">2014</date><idno type="stanalyst">PASCAL 14-0156020 INIST</idno><idno type="RBID">Pascal:14-0156020</idno><idno type="wicri:Area/PascalFrancis/Corpus">000090</idno><idno type="wicri:Area/PascalFrancis/Curation">001D29</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000017</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000017</idno><idno type="wicri:doubleKey">1935-7893:2014:King J:surge:in:hospitalizations</idno><idno type="wicri:Area/Main/Merge">001018</idno><idno type="wicri:Area/Main/Curation">001010</idno><idno type="wicri:Area/Main/Exploration">001010</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Surge in Hospitalizations Associated With Mechanical Ventilator Use During Influenza Outbreaks</title><author><name sortKey="King, James C Jr" sort="King, James C Jr" uniqKey="King J" first="James C. Jr" last="King">James C. Jr King</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Tunnell Consulting</s1><s2>Washington, DC</s2><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName></affiliation></author><author><name sortKey="Ajao, Adebola" sort="Ajao, Adebola" uniqKey="Ajao A" first="Adebola" last="Ajao">Adebola Ajao</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Gap Solutions</s1><s2>Washington, DC</s2><s3>USA</s3><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName></affiliation></author><author><name sortKey="Lichenstein, Richard" sort="Lichenstein, Richard" uniqKey="Lichenstein R" first="Richard" last="Lichenstein">Richard Lichenstein</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Pediatrics, University of Maryland School of Medicine</s1><s2>Baltimore, Maryland</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Magder, Laurence S" sort="Magder, Laurence S" uniqKey="Magder L" first="Laurence S." last="Magder">Laurence S. Magder</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Department of Epidemiology and Public Health, University of Maryland School of Medicine</s1><s2>Baltimore, Maryland</s2><s3>USA</s3><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Maryland</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Disaster medicine and public health preparedness</title><title level="j" type="abbreviated">Disaster med. public health prep.</title><idno type="ISSN">1935-7893</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Disaster medicine and public health preparedness</title><title level="j" type="abbreviated">Disaster med. public health prep.</title><idno type="ISSN">1935-7893</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute</term><term>Association</term><term>Epidemic</term><term>Hospitalization</term><term>Human</term><term>Influenza</term><term>Patient</term><term>Public health</term><term>Respiratory disease</term><term>Use</term><term>Ventilator</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Hospitalisation</term><term>Association</term><term>Insufflateur</term><term>Utilisation</term><term>Grippe</term><term>Epidémie</term><term>Santé publique</term><term>Aigu</term><term>Pathologie de l'appareil respiratoire</term><term>Homme</term><term>Malade</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Hospitalisation</term><term>Association</term><term>Santé publique</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: Information on surges in critical care services including mechanical ventilator use during seasonal influenza outbreaks is limited. To potentially facilitate preparedness plans for future pandemics, we retrospectively quantitated surges in all-cause mechanical ventilator use during peak influenza for 12 consecutive years in all certified hospitals in Maryland. Methods: Influenza testing data obtained for the Centers for Disease Control and Protection, Health and Human Services region 3, included defined peak influenza outbreak periods (PIOP), non-influenza time periods (non-ITP), and proportions of circulating influenza types for all study years. Procedure codes for mechanical ventilator use and diagnostic codes for medically attended acute respiratory illness (MAARI) were reviewed for every Maryland hospitalization. Daily counts of hospitalizations associated with ventilator use or MAARI during PIOP compared to non-ITP were analyzed using Poisson regression adjusted for month and year. Results: Ventilator use increased during PIOP by 7% (95% CI, 5-10) over non-ITP (P<.0001) for all study years. These annual surges correlated with influenza season intensity, as measured by MAARI-related hospitalizations (correlation coefficient = 0.91, P<.0001). Conclusions: Surges in ventilator use were temporally associated with PIOP and were positively correlated with influenza season intensity, as measured by hospitalizations associated with acute respiratory illness. This information may assist resource planning for future pandemics.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>District de Columbia</li><li>Maryland</li></region></list><tree><country name="États-Unis"><region name="District de Columbia"><name sortKey="King, James C Jr" sort="King, James C Jr" uniqKey="King J" first="James C. Jr" last="King">James C. Jr King</name></region><name sortKey="Ajao, Adebola" sort="Ajao, Adebola" uniqKey="Ajao A" first="Adebola" last="Ajao">Adebola Ajao</name><name sortKey="Lichenstein, Richard" sort="Lichenstein, Richard" uniqKey="Lichenstein R" first="Richard" last="Lichenstein">Richard Lichenstein</name><name sortKey="Magder, Laurence S" sort="Magder, Laurence S" uniqKey="Magder L" first="Laurence S." last="Magder">Laurence S. Magder</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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