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The high burden of pneumonia on US emergency departments during the 2009 influenza pandemic

Identifieur interne : 001C60 ( PascalFrancis/Curation ); précédent : 001C59; suivant : 001C61

The high burden of pneumonia on US emergency departments during the 2009 influenza pandemic

Auteurs : Wesley H. Self [États-Unis] ; Marie R. Griffin [États-Unis] ; YUWEI ZHU [États-Unis] ; William D. Dupont [États-Unis] ; Tyler W. Barrett [États-Unis] ; Carlos G. Grijalva [États-Unis]

Source :

RBID : Pascal:14-0046979

Descripteurs français

English descriptors

Abstract

Objectives: During the 2009 influenza A (H1N1) pandemic, unusual influenza activity outside the typical winter season provided a unique opportunity to evaluate the association between influenza and pneumonia incidence. We sought to quantify the impact of the 2009 pandemic on the incidence of emergency department (ED) visits for pneumonia in the United States (US). Methods: Using the Nationwide Emergency Department Survey, we estimated monthly counts and rates of excess all-cause pneumonia ED visits in the US attributable to the pandemic by comparing observed pneumonia ED visits during the pandemic (April 2009-March 2010) to expected values modeled from the three prior years. Results: The pandemic was associated with an excess of 180,560 pneumonia ED visits or 0.59 excess pneumonia visits per 1000 US population (95% confidence interval: 0.55, 0.62). These excess visits accounted for 7.0% of all pneumonia ED visits during the pandemic year. The greatest excess occurred during months with highest influenza activity (September-November 2009). Persons aged <65 years accounted for 94% of the excess pneumonia visits. Conclusions: ED visits for pneumonia increased substantially during the 2009 pandemic, especially during peak influenza activity, suggesting a strong association between influenza activity and pneumonia incidence during the pandemic period.
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A11 01  1    @1 SELF (Wesley H.)
A11 02  1    @1 GRIFFIN (Marie R.)
A11 03  1    @1 YUWEI ZHU
A11 04  1    @1 DUPONT (William D.)
A11 05  1    @1 BARRETT (Tyler W.)
A11 06  1    @1 GRIJALVA (Carlos G.)
A14 01      @1 Department of Emergency Medicine, Vanderbilt University, 1313 21st Avenue South, 703 Oxford House @2 Nashville, TN 37232 @3 USA @Z 1 aut. @Z 5 aut.
A14 02      @1 Department of Preventive Medicine, Vanderbilt University @2 Nashville, TN 37232 @3 USA @Z 2 aut. @Z 6 aut.
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C01 01    ENG  @0 Objectives: During the 2009 influenza A (H1N1) pandemic, unusual influenza activity outside the typical winter season provided a unique opportunity to evaluate the association between influenza and pneumonia incidence. We sought to quantify the impact of the 2009 pandemic on the incidence of emergency department (ED) visits for pneumonia in the United States (US). Methods: Using the Nationwide Emergency Department Survey, we estimated monthly counts and rates of excess all-cause pneumonia ED visits in the US attributable to the pandemic by comparing observed pneumonia ED visits during the pandemic (April 2009-March 2010) to expected values modeled from the three prior years. Results: The pandemic was associated with an excess of 180,560 pneumonia ED visits or 0.59 excess pneumonia visits per 1000 US population (95% confidence interval: 0.55, 0.62). These excess visits accounted for 7.0% of all pneumonia ED visits during the pandemic year. The greatest excess occurred during months with highest influenza activity (September-November 2009). Persons aged <65 years accounted for 94% of the excess pneumonia visits. Conclusions: ED visits for pneumonia increased substantially during the 2009 pandemic, especially during peak influenza activity, suggesting a strong association between influenza activity and pneumonia incidence during the pandemic period.
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C07 03  X  SPA  @0 America del norte @2 NG
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C07 04  X  ENG  @0 America @2 NG
C07 04  X  SPA  @0 America @2 NG
C07 05  X  FRE  @0 Pathologie de l'appareil respiratoire @5 37
C07 05  X  ENG  @0 Respiratory disease @5 37
C07 05  X  SPA  @0 Aparato respiratorio patología @5 37
C07 06  X  FRE  @0 Pathologie des poumons @5 38
C07 06  X  ENG  @0 Lung disease @5 38
C07 06  X  SPA  @0 Pulmón patología @5 38
N21       @1 055
N44 01      @1 OTO
N82       @1 OTO

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Pascal:14-0046979

Le document en format XML

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<div type="abstract" xml:lang="en">Objectives: During the 2009 influenza A (H1N1) pandemic, unusual influenza activity outside the typical winter season provided a unique opportunity to evaluate the association between influenza and pneumonia incidence. We sought to quantify the impact of the 2009 pandemic on the incidence of emergency department (ED) visits for pneumonia in the United States (US). Methods: Using the Nationwide Emergency Department Survey, we estimated monthly counts and rates of excess all-cause pneumonia ED visits in the US attributable to the pandemic by comparing observed pneumonia ED visits during the pandemic (April 2009-March 2010) to expected values modeled from the three prior years. Results: The pandemic was associated with an excess of 180,560 pneumonia ED visits or 0.59 excess pneumonia visits per 1000 US population (95% confidence interval: 0.55, 0.62). These excess visits accounted for 7.0% of all pneumonia ED visits during the pandemic year. The greatest excess occurred during months with highest influenza activity (September-November 2009). Persons aged <65 years accounted for 94% of the excess pneumonia visits. Conclusions: ED visits for pneumonia increased substantially during the 2009 pandemic, especially during peak influenza activity, suggesting a strong association between influenza activity and pneumonia incidence during the pandemic period.</div>
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<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>Amérique du Nord</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>North America</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>America del norte</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Amérique</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>America</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>America</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Pathologie de l'appareil respiratoire</s0>
<s5>37</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Respiratory disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Aparato respiratorio patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Pathologie des poumons</s0>
<s5>38</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Lung disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Pulmón patología</s0>
<s5>38</s5>
</fC07>
<fN21>
<s1>055</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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