Impacts of rapid flu clinic services at an emergency department during the pandemic flu season
Identifieur interne : 000590 ( PascalFrancis/Checkpoint ); précédent : 000589; suivant : 000591Impacts of rapid flu clinic services at an emergency department during the pandemic flu season
Auteurs : Hsin-I Shih [Taïwan] ; Tzong-Shiann Ho [Taïwan] ; Chia-Ming Chang [Taïwan] ; Hsiang-Chin Hsu [Taïwan] ; Shih-Min Wang [Taïwan] ; Ching-Chuan Liu [Taïwan] ; Wen-Chien Ko [Taïwan] ; Yi-Hui Wu [Taïwan] ; Yen-Ling Chiu [Taïwan] ; Bor-Shyang Sheu [Taïwan] ; Chih-Hsien Chi [Taïwan]Source :
- American journal of infection control [ 0196-6553 ] ; 2012.
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Abstract
Background: We performed an assessment of an independent rapid flu clinic service (RFCS) unit, which was set up outside the emergency department (ED) during the 2009 H1N1 pandemic season. The unit was able to relieve the crowding of regular ambulatory and emergency services. Methods: Between August and December 2009, a total of 6,152 patients with influenza-like illness were enrolled in this observational retrospective study. Patients with positive influenza tests were interviewed to evaluate the efficiency of RFCS. Results: The mean length of stay (LOS) for the RFCS was 50 minutes, which was shorter than the LOS for ambulatory services (1 hour) and regular ED services (3.5 hours). Overall, 88% of patients were satisfied with the RFCS. Of 6,152 patients receiving flu tests, 1,235 (20%) had a positive result. Fever (odds ratio [OR], 4.28, 95% confidence interval [Cl]: 3.11-5.89), fever combined with cough and sore throat (OR, 2.52; 95% CI: 2.18-2.92), fever combined with sore throat (OR, 2.42; 95% CI: 2.13-2.75), history of contacting confirmed flu patients within 7 days (OR, 2.40; 95% CI: 2.07-2.78), fever combined with cough (OR, 2.19; 95% CI: 1.92-2.47), sore throat (OR, 2.03, 95% CI: 1.79-2.30); and cough (OR, 1.91, 95% Cl: 1.69-2.17) were significantly associated with positive influenza tests. Conclusion: Setting up the RFSC was beneficial to health care facilities during a pandemic flu season.
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<series><title level="j" type="main">American journal of infection control</title>
<title level="j" type="abbreviated">Am. j. infect. control</title>
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<term>Emergency department</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Grippe</term>
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<front><div type="abstract" xml:lang="en">Background: We performed an assessment of an independent rapid flu clinic service (RFCS) unit, which was set up outside the emergency department (ED) during the 2009 H1N1 pandemic season. The unit was able to relieve the crowding of regular ambulatory and emergency services. Methods: Between August and December 2009, a total of 6,152 patients with influenza-like illness were enrolled in this observational retrospective study. Patients with positive influenza tests were interviewed to evaluate the efficiency of RFCS. Results: The mean length of stay (LOS) for the RFCS was 50 minutes, which was shorter than the LOS for ambulatory services (1 hour) and regular ED services (3.5 hours). Overall, 88% of patients were satisfied with the RFCS. Of 6,152 patients receiving flu tests, 1,235 (20%) had a positive result. Fever (odds ratio [OR], 4.28, 95% confidence interval [Cl]: 3.11-5.89), fever combined with cough and sore throat (OR, 2.52; 95% CI: 2.18-2.92), fever combined with sore throat (OR, 2.42; 95% CI: 2.13-2.75), history of contacting confirmed flu patients within 7 days (OR, 2.40; 95% CI: 2.07-2.78), fever combined with cough (OR, 2.19; 95% CI: 1.92-2.47), sore throat (OR, 2.03, 95% CI: 1.79-2.30); and cough (OR, 1.91, 95% Cl: 1.69-2.17) were significantly associated with positive influenza tests. Conclusion: Setting up the RFSC was beneficial to health care facilities during a pandemic flu season.</div>
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<fA11 i1="05" i2="1"><s1>WANG (Shih-Min)</s1>
</fA11>
<fA11 i1="06" i2="1"><s1>LIU (Ching-Chuan)</s1>
</fA11>
<fA11 i1="07" i2="1"><s1>KO (Wen-Chien)</s1>
</fA11>
<fA11 i1="08" i2="1"><s1>WU (Yi-Hui)</s1>
</fA11>
<fA11 i1="09" i2="1"><s1>CHIU (Yen-Ling)</s1>
</fA11>
<fA11 i1="10" i2="1"><s1>SHEU (Bor-Shyang)</s1>
</fA11>
<fA11 i1="11" i2="1"><s1>CHI (Chih-Hsien)</s1>
</fA11>
<fA14 i1="01"><s1>Department of Emergency Medicine, National Cheng Kung University Hospital</s1>
<s2>Tainan</s2>
<s3>TWN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>11 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>Division of Infectious Diseases, National Cheng Kung University Hospital</s1>
<s2>Tainan</s2>
<s3>TWN</s3>
<sZ>3 aut.</sZ>
<sZ>7 aut.</sZ>
</fA14>
<fA14 i1="03"><s1>Division of Geriatrics and Gerontology, National Cheng Kung University Hospital</s1>
<s2>Tainan</s2>
<s3>TWN</s3>
<sZ>3 aut.</sZ>
</fA14>
<fA14 i1="04"><s1>Department of Internal Medicine, National Cheng Kung University Hospital</s1>
<s2>Tainan</s2>
<s3>TWN</s3>
<sZ>3 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>10 aut.</sZ>
</fA14>
<fA14 i1="05"><s1>Center for Infection Control, National Cheng Kung University Hospital</s1>
<s2>Tainan</s2>
<s3>TWN</s3>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
</fA14>
<fA20><s1>165-169</s1>
</fA20>
<fA21><s1>2012</s1>
</fA21>
<fA23 i1="01"><s0>ENG</s0>
</fA23>
<fA43 i1="01"><s1>INIST</s1>
<s2>19097</s2>
<s5>354000509715560150</s5>
</fA43>
<fA44><s0>0000</s0>
<s1>© 2012 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45><s0>30 ref.</s0>
</fA45>
<fA47 i1="01" i2="1"><s0>12-0147240</s0>
</fA47>
<fA60><s1>P</s1>
</fA60>
<fA61><s0>A</s0>
</fA61>
<fA64 i1="01" i2="1"><s0>American journal of infection control</s0>
</fA64>
<fA66 i1="01"><s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>Background: We performed an assessment of an independent rapid flu clinic service (RFCS) unit, which was set up outside the emergency department (ED) during the 2009 H1N1 pandemic season. The unit was able to relieve the crowding of regular ambulatory and emergency services. Methods: Between August and December 2009, a total of 6,152 patients with influenza-like illness were enrolled in this observational retrospective study. Patients with positive influenza tests were interviewed to evaluate the efficiency of RFCS. Results: The mean length of stay (LOS) for the RFCS was 50 minutes, which was shorter than the LOS for ambulatory services (1 hour) and regular ED services (3.5 hours). Overall, 88% of patients were satisfied with the RFCS. Of 6,152 patients receiving flu tests, 1,235 (20%) had a positive result. Fever (odds ratio [OR], 4.28, 95% confidence interval [Cl]: 3.11-5.89), fever combined with cough and sore throat (OR, 2.52; 95% CI: 2.18-2.92), fever combined with sore throat (OR, 2.42; 95% CI: 2.13-2.75), history of contacting confirmed flu patients within 7 days (OR, 2.40; 95% CI: 2.07-2.78), fever combined with cough (OR, 2.19; 95% CI: 1.92-2.47), sore throat (OR, 2.03, 95% CI: 1.79-2.30); and cough (OR, 1.91, 95% Cl: 1.69-2.17) were significantly associated with positive influenza tests. Conclusion: Setting up the RFSC was beneficial to health care facilities during a pandemic flu season.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B05A02</s0>
</fC02>
<fC02 i1="02" i2="X"><s0>002B05C02C</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Grippe</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Influenza</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Gripe</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Service urgence</s0>
<s5>07</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Emergency department</s0>
<s5>07</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Servicio urgencia</s0>
<s5>07</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Taiwan</s0>
<s2>NG</s2>
<s5>08</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Taiwan</s0>
<s2>NG</s2>
<s5>08</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Taiwan</s0>
<s2>NG</s2>
<s5>08</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Contrôle</s0>
<s5>30</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Check</s0>
<s5>30</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Control</s0>
<s5>30</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Pandémie</s0>
<s4>INC</s4>
<s5>86</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Virose</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Viral disease</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Virosis</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Infection</s0>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Infection</s0>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Infección</s0>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Asie</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Asia</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Asia</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Prévention</s0>
<s5>37</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Prevention</s0>
<s5>37</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Prevención</s0>
<s5>37</s5>
</fC07>
<fN21><s1>114</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
<affiliations><list><country><li>Taïwan</li>
</country>
</list>
<tree><country name="Taïwan"><noRegion><name sortKey="Shih, Hsin I" sort="Shih, Hsin I" uniqKey="Shih H" first="Hsin-I" last="Shih">Hsin-I Shih</name>
</noRegion>
<name sortKey="Chang, Chia Ming" sort="Chang, Chia Ming" uniqKey="Chang C" first="Chia-Ming" last="Chang">Chia-Ming Chang</name>
<name sortKey="Chang, Chia Ming" sort="Chang, Chia Ming" uniqKey="Chang C" first="Chia-Ming" last="Chang">Chia-Ming Chang</name>
<name sortKey="Chang, Chia Ming" sort="Chang, Chia Ming" uniqKey="Chang C" first="Chia-Ming" last="Chang">Chia-Ming Chang</name>
<name sortKey="Chi, Chih Hsien" sort="Chi, Chih Hsien" uniqKey="Chi C" first="Chih-Hsien" last="Chi">Chih-Hsien Chi</name>
<name sortKey="Chiu, Yen Ling" sort="Chiu, Yen Ling" uniqKey="Chiu Y" first="Yen-Ling" last="Chiu">Yen-Ling Chiu</name>
<name sortKey="Ho, Tzong Shiann" sort="Ho, Tzong Shiann" uniqKey="Ho T" first="Tzong-Shiann" last="Ho">Tzong-Shiann Ho</name>
<name sortKey="Hsu, Hsiang Chin" sort="Hsu, Hsiang Chin" uniqKey="Hsu H" first="Hsiang-Chin" last="Hsu">Hsiang-Chin Hsu</name>
<name sortKey="Ko, Wen Chien" sort="Ko, Wen Chien" uniqKey="Ko W" first="Wen-Chien" last="Ko">Wen-Chien Ko</name>
<name sortKey="Ko, Wen Chien" sort="Ko, Wen Chien" uniqKey="Ko W" first="Wen-Chien" last="Ko">Wen-Chien Ko</name>
<name sortKey="Ko, Wen Chien" sort="Ko, Wen Chien" uniqKey="Ko W" first="Wen-Chien" last="Ko">Wen-Chien Ko</name>
<name sortKey="Liu, Ching Chuan" sort="Liu, Ching Chuan" uniqKey="Liu C" first="Ching-Chuan" last="Liu">Ching-Chuan Liu</name>
<name sortKey="Sheu, Bor Shyang" sort="Sheu, Bor Shyang" uniqKey="Sheu B" first="Bor-Shyang" last="Sheu">Bor-Shyang Sheu</name>
<name sortKey="Wang, Shih Min" sort="Wang, Shih Min" uniqKey="Wang S" first="Shih-Min" last="Wang">Shih-Min Wang</name>
<name sortKey="Wu, Yi Hui" sort="Wu, Yi Hui" uniqKey="Wu Y" first="Yi-Hui" last="Wu">Yi-Hui Wu</name>
</country>
</tree>
</affiliations>
</record>
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