PandemieGrippaleV1, PascalFrancis, Corpus, bibRecord, 000090

Surge in Hospitalizations Associated With Mechanical Ventilator Use During Influenza Outbreaks

Identifieur interne : 000090 ( PascalFrancis/Corpus ); précédent : 000089; suivant : 000091

Surge in Hospitalizations Associated With Mechanical Ventilator Use During Influenza Outbreaks

Auteurs : James C. Jr King ; Adebola Ajao ; Richard Lichenstein ; Laurence S. Magder

Source :

Disaster medicine and public health preparedness [ 1935-7893 ] ; 2014.

RBID : Pascal:14-0156020

Descripteurs français

Pascal (Inist)
- Hospitalisation, Association, Insufflateur, Utilisation, Grippe, Epidémie, Santé publique, Aigu, Pathologie de l'appareil respiratoire, Homme, Malade.

English descriptors

KwdEn :
- Acute, Association, Epidemic, Hospitalization, Human, Influenza, Patient, Public health, Respiratory disease, Use, Ventilator.

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A11	`03`	`1`		`@1 LICHENSTEIN (Richard)`
A11	`04`	`1`		`@1 MAGDER (Laurence S.)`
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Format Inist (serveur)

NO :	PASCAL 14-0156020 INIST
ET :	Surge in Hospitalizations Associated With Mechanical Ventilator Use During Influenza Outbreaks
AU :	KING (James C. JR); AJAO (Adebola); LICHENSTEIN (Richard); MAGDER (Laurence S.)
AF :	Tunnell Consulting/Washington, DC/Etats-Unis (1 aut.); Gap Solutions/Washington, DC/Etats-Unis (2 aut.); Department of Pediatrics, University of Maryland School of Medicine/Baltimore, Maryland/Etats-Unis (3 aut.); Department of Epidemiology and Public Health, University of Maryland School of Medicine/Baltimore, Maryland/Etats-Unis (4 aut.)
DT :	Publication en série; Niveau analytique
SO :	Disaster medicine and public health preparedness; ISSN 1935-7893; Etats-Unis; Da. 2014; Vol. 8; No. 2; Pp. 136-142; Bibl. 26 ref.
LA :	Anglais
EA :	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.
CC :	002B30A01C; 002B05C02C
FD :	Hospitalisation; Association; Insufflateur; Utilisation; Grippe; Epidémie; Santé publique; Aigu; Pathologie de l'appareil respiratoire; Homme; Malade
FG :	Virose; Infection
ED :	Hospitalization; Association; Ventilator; Use; Influenza; Epidemic; Public health; Acute; Respiratory disease; Human; Patient
EG :	Viral disease; Infection
SD :	Hospitalización; Asociación; Insuflador; Uso; Gripe; Epidemia; Salud pública; Agudo; Aparato respiratorio patología; Hombre; Enfermo
LO :	INIST-28256.354000502710560070
ID :	14-0156020

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Pascal:14-0156020

Le document en format XML

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<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>
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<s5>19</s5>
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<server><NO>PASCAL 14-0156020 INIST</NO>
<ET>Surge in Hospitalizations Associated With Mechanical Ventilator Use During Influenza Outbreaks</ET>
<AU>KING (James C. JR); AJAO (Adebola); LICHENSTEIN (Richard); MAGDER (Laurence S.)</AU>
<AF>Tunnell Consulting/Washington, DC/Etats-Unis (1 aut.); Gap Solutions/Washington, DC/Etats-Unis (2 aut.); Department of Pediatrics, University of Maryland School of Medicine/Baltimore, Maryland/Etats-Unis (3 aut.); Department of Epidemiology and Public Health, University of Maryland School of Medicine/Baltimore, Maryland/Etats-Unis (4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Disaster medicine and public health preparedness; ISSN 1935-7893; Etats-Unis; Da. 2014; Vol. 8; No. 2; Pp. 136-142; Bibl. 26 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B30A01C; 002B05C02C</CC>
<FD>Hospitalisation; Association; Insufflateur; Utilisation; Grippe; Epidémie; Santé publique; Aigu; Pathologie de l'appareil respiratoire; Homme; Malade</FD>
<FG>Virose; Infection</FG>
<ED>Hospitalization; Association; Ventilator; Use; Influenza; Epidemic; Public health; Acute; Respiratory disease; Human; Patient</ED>
<EG>Viral disease; Infection</EG>
<SD>Hospitalización; Asociación; Insuflador; Uso; Gripe; Epidemia; Salud pública; Agudo; Aparato respiratorio patología; Hombre; Enfermo</SD>
<LO>INIST-28256.354000502710560070</LO>
<ID>14-0156020</ID>
</server>
</inist>
</record>

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Surge in Hospitalizations Associated With Mechanical Ventilator Use During Influenza Outbreaks

Surge in Hospitalizations Associated With Mechanical Ventilator Use During Influenza Outbreaks

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