The Simple Triage Scoring System (STSS) successfully predicts mortality and critical care resource utilization in H1N1 pandemic flu: a retrospective analysis
Identifieur interne : 000989 ( Pmc/Curation ); précédent : 000988; suivant : 000990The Simple Triage Scoring System (STSS) successfully predicts mortality and critical care resource utilization in H1N1 pandemic flu: a retrospective analysis
Auteurs : Kayode A. Adeniji [Royaume-Uni] ; Rebecca Cusack [Royaume-Uni]Source :
- Critical Care [ 1364-8535 ] ; 2011.
Abstract
Triage protocols are only initiated when it is apparent that resource deficits will occur across a broad geographical area despite efforts to expand or acquire additional capacity. Prior to the pandemic the UK Department of Health (DOH) recommended the use of a staged triage plan incorporating Sepsis-related Organ Failure Assessment (SOFA) developed by the Ontario Ministry of Health to assist in the triage of critical care admissions and discharges during an influenza outbreak in the UK. There are data to suggest that had it been used in the recent H1N1 pandemic it may have led to inappropriate limitation of therapy if surge capacity had been overwhelmed.
We retrospectively reviewed the performance of the Simple Triage Scoring System (STSS) as an indicator of the utilization of hospital resources in adult patients with confirmed H1N1 admitted to a university teaching hospital. Our aim was to compare it against the staged initial SOFA score process with regards to mortality, need for intensive care admission and requirement for mechanical ventilation and assess its validity.
Over an 8 month period, 62 patients with confirmed H1N1 were admitted. Forty (65%) had documented comorbidities and 27 (44%) had pneumonic changes on their admission CXR. Nineteen (31%) were admitted to the intensive care unit where 5 (26%) required mechanical ventilation (MV). There were 3 deaths. The STSS group categorization demonstrated a better discriminating accuracy in predicting critical care resource usage with a receiver operating characteristic area under the curve (95% confidence interval) for ICU admission of 0.88 (0.78-0.98) and need for MV of 0.91 (0.83-0.99). This compared to the staged SOFA score of 0.77 (0.65-0.89) and 0.87 (0.72-1.00) respectively. Low mortality rates limited analysis on survival predictions.
The STSS accurately risk stratified patients in this cohort according to their risk of death and predicted the likelihood of admission to critical care and the requirement for MV. Its single point in time, accuracy and easily collected component variables commend it as an alternative reproducible system to facilitate the triage and treatment of patients in any future influenza pandemic.
Url:
DOI: 10.1186/cc10001
PubMed: 21269458
PubMed Central: 3221968
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000989
Links to Exploration step
PMC:3221968Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Simple Triage Scoring System (STSS) successfully predicts mortality and critical care resource utilization in H1N1 pandemic flu: a retrospective analysis</title><author><name sortKey="Adeniji, Kayode A" sort="Adeniji, Kayode A" uniqKey="Adeniji K" first="Kayode A" last="Adeniji">Kayode A. Adeniji</name><affiliation wicri:level="1"><nlm:aff id="I1">Critical Care Research Unit, SUHT, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Critical Care Research Unit, SUHT, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD</wicri:regionArea></affiliation></author><author><name sortKey="Cusack, Rebecca" sort="Cusack, Rebecca" uniqKey="Cusack R" first="Rebecca" last="Cusack">Rebecca Cusack</name><affiliation wicri:level="1"><nlm:aff id="I1">Critical Care Research Unit, SUHT, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Critical Care Research Unit, SUHT, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21269458</idno><idno type="pmc">3221968</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3221968</idno><idno type="RBID">PMC:3221968</idno><idno type="doi">10.1186/cc10001</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">000989</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000989</idno><idno type="wicri:Area/Pmc/Curation">000989</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000989</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Simple Triage Scoring System (STSS) successfully predicts mortality and critical care resource utilization in H1N1 pandemic flu: a retrospective analysis</title><author><name sortKey="Adeniji, Kayode A" sort="Adeniji, Kayode A" uniqKey="Adeniji K" first="Kayode A" last="Adeniji">Kayode A. Adeniji</name><affiliation wicri:level="1"><nlm:aff id="I1">Critical Care Research Unit, SUHT, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Critical Care Research Unit, SUHT, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD</wicri:regionArea></affiliation></author><author><name sortKey="Cusack, Rebecca" sort="Cusack, Rebecca" uniqKey="Cusack R" first="Rebecca" last="Cusack">Rebecca Cusack</name><affiliation wicri:level="1"><nlm:aff id="I1">Critical Care Research Unit, SUHT, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Critical Care Research Unit, SUHT, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD</wicri:regionArea></affiliation></author></analytic><series><title level="j">Critical Care</title><idno type="ISSN">1364-8535</idno><idno type="eISSN">1466-609X</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>Triage protocols are only initiated when it is apparent that resource deficits will occur across a broad geographical area despite efforts to expand or acquire additional capacity. Prior to the pandemic the UK Department of Health (DOH) recommended the use of a staged triage plan incorporating Sepsis-related Organ Failure Assessment (SOFA) developed by the Ontario Ministry of Health to assist in the triage of critical care admissions and discharges during an influenza outbreak in the UK. There are data to suggest that had it been used in the recent H1N1 pandemic it may have led to inappropriate limitation of therapy if surge capacity had been overwhelmed.</p></sec><sec><title>Methods</title><p>We retrospectively reviewed the performance of the Simple Triage Scoring System (STSS) as an indicator of the utilization of hospital resources in adult patients with confirmed H1N1 admitted to a university teaching hospital. Our aim was to compare it against the staged initial SOFA score process with regards to mortality, need for intensive care admission and requirement for mechanical ventilation and assess its validity.</p></sec><sec><title>Results</title><p>Over an 8 month period, 62 patients with confirmed H1N1 were admitted. Forty (65%) had documented comorbidities and 27 (44%) had pneumonic changes on their admission CXR. Nineteen (31%) were admitted to the intensive care unit where 5 (26%) required mechanical ventilation (MV). There were 3 deaths. The STSS group categorization demonstrated a better discriminating accuracy in predicting critical care resource usage with a receiver operating characteristic area under the curve (95% confidence interval) for ICU admission of 0.88 (0.78-0.98) and need for MV of 0.91 (0.83-0.99). This compared to the staged SOFA score of 0.77 (0.65-0.89) and 0.87 (0.72-1.00) respectively. Low mortality rates limited analysis on survival predictions.</p></sec><sec><title>Conclusions</title><p>The STSS accurately risk stratified patients in this cohort according to their risk of death and predicted the likelihood of admission to critical care and the requirement for MV. Its single point in time, accuracy and easily collected component variables commend it as an alternative reproducible system to facilitate the triage and treatment of patients in any future influenza pandemic.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Robertson Steel, I" uniqKey="Robertson Steel I">I Robertson-Steel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Repine, Tb" uniqKey="Repine T">TB Repine</name></author><author><name sortKey="Lisagor, P" uniqKey="Lisagor P">P Lisagor</name></author><author><name sortKey="Cohen, Dj" uniqKey="Cohen D">DJ Cohen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Smith, Gj" uniqKey="Smith G">GJ Smith</name></author><author><name sortKey="Vijaykrishna, D" uniqKey="Vijaykrishna D">D Vijaykrishna</name></author><author><name sortKey="Bahl, J" uniqKey="Bahl J">J Bahl</name></author><author><name sortKey="Lycett, Sj" uniqKey="Lycett S">SJ Lycett</name></author><author><name sortKey="Worobey, M" uniqKey="Worobey M">M Worobey</name></author><author><name sortKey="Pybus, Og" uniqKey="Pybus O">OG Pybus</name></author><author><name sortKey="Ma, Sk" uniqKey="Ma S">SK Ma</name></author><author><name sortKey="Cheung, Cl" uniqKey="Cheung C">CL Cheung</name></author><author><name sortKey="Raghwani, J" uniqKey="Raghwani J">J Raghwani</name></author><author><name sortKey="Bhatt, S" uniqKey="Bhatt S">S Bhatt</name></author><author><name sortKey="Peiris, Js" uniqKey="Peiris J">JS Peiris</name></author><author><name sortKey="Guan, Y" uniqKey="Guan Y">Y Guan</name></author><author><name sortKey="Rambaut, A" uniqKey="Rambaut A">A Rambaut</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ercole, A" uniqKey="Ercole A">A Ercole</name></author><author><name sortKey="Taylor, Bl" uniqKey="Taylor B">BL Taylor</name></author><author><name sortKey="Rhodes, A" uniqKey="Rhodes A">A Rhodes</name></author><author><name sortKey="Menon, Dk" uniqKey="Menon D">DK Menon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beigel, Jh" uniqKey="Beigel J">JH Beigel</name></author><author><name sortKey="Farrar, J" uniqKey="Farrar J">J Farrar</name></author><author><name sortKey="Han, Am" uniqKey="Han A">AM Han</name></author><author><name sortKey="Hayden, Fg" uniqKey="Hayden F">FG Hayden</name></author><author><name sortKey="Hyer, R" uniqKey="Hyer R">R Hyer</name></author><author><name sortKey="De Jong, Md" uniqKey="De Jong M">MD de Jong</name></author><author><name sortKey="Lochindarat, S" uniqKey="Lochindarat S">S Lochindarat</name></author><author><name sortKey="Nguyen, Tk" uniqKey="Nguyen T">TK Nguyen</name></author><author><name sortKey="Nguyen, Th" uniqKey="Nguyen T">TH Nguyen</name></author><author><name sortKey="Tran, Th" uniqKey="Tran T">TH Tran</name></author><author><name sortKey="Nicoll, A" uniqKey="Nicoll A">A Nicoll</name></author><author><name sortKey="Touch, S" uniqKey="Touch S">S Touch</name></author><author><name sortKey="Yuen, Ky" uniqKey="Yuen K">KY Yuen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vincent, Jl" uniqKey="Vincent J">JL Vincent</name></author><author><name sortKey="Moreno, R" uniqKey="Moreno R">R Moreno</name></author><author><name sortKey="Takala, J" uniqKey="Takala J">J Takala</name></author><author><name sortKey="Willatts, S" uniqKey="Willatts S">S Willatts</name></author><author><name sortKey="De Mendonca, A" uniqKey="De Mendonca A">A De Mendonça</name></author><author><name sortKey="Bruining, H" uniqKey="Bruining H">H Bruining</name></author><author><name sortKey="Reinhart, Ck" uniqKey="Reinhart C">CK Reinhart</name></author><author><name sortKey="Suter, Pm" uniqKey="Suter P">PM Suter</name></author><author><name sortKey="Thijs, Lg" uniqKey="Thijs L">LG Thijs</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Christian, Md" uniqKey="Christian M">MD Christian</name></author><author><name sortKey="Hawryluck, L" uniqKey="Hawryluck L">L Hawryluck</name></author><author><name sortKey="Wax, Rs" uniqKey="Wax R">RS Wax</name></author><author><name sortKey="Cook, T" uniqKey="Cook T">T Cook</name></author><author><name sortKey="Lazar, Nm" uniqKey="Lazar N">NM Lazar</name></author><author><name sortKey="Herridge, Ms" uniqKey="Herridge M">MS Herridge</name></author><author><name sortKey="Muller, Mp" uniqKey="Muller M">MP Muller</name></author><author><name sortKey="Gowans, Dr" uniqKey="Gowans D">DR Gowans</name></author><author><name sortKey="Fortier, W" uniqKey="Fortier W">W Fortier</name></author><author><name sortKey="Burkle, Fm" uniqKey="Burkle F">FM Burkle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Christian, M" uniqKey="Christian M">M Christian</name></author><author><name sortKey="Hamielec, C" uniqKey="Hamielec C">C Hamielec</name></author><author><name sortKey="Lazar, N" uniqKey="Lazar N">N Lazar</name></author><author><name sortKey="Wax, R" uniqKey="Wax R">R Wax</name></author><author><name sortKey="Griffith, L" uniqKey="Griffith L">L Griffith</name></author><author><name sortKey="Herridge, M" uniqKey="Herridge M">M Herridge</name></author><author><name sortKey="Lee, D" uniqKey="Lee D">D Lee</name></author><author><name sortKey="Cook, Dj" uniqKey="Cook D">DJ Cook</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ferreira, Fl" uniqKey="Ferreira F">FL Ferreira</name></author><author><name sortKey="Bota, Dp" uniqKey="Bota D">DP Bota</name></author><author><name sortKey="Bross, A" uniqKey="Bross A">A Bross</name></author><author><name sortKey="Melot, C" uniqKey="Melot C">C Melot</name></author><author><name sortKey="Vincent, J" uniqKey="Vincent J">J Vincent</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Moreno, R" uniqKey="Moreno R">R Moreno</name></author><author><name sortKey="Vincent, Jl" uniqKey="Vincent J">JL Vincent</name></author><author><name sortKey="Matos, R" uniqKey="Matos R">R Matos</name></author><author><name sortKey="Mendonca, A" uniqKey="Mendonca A">A Mendonça</name></author><author><name sortKey="Cantraine, F" uniqKey="Cantraine F">F Cantraine</name></author><author><name sortKey="Thijs, L" uniqKey="Thijs L">L Thijs</name></author><author><name sortKey="Sprung, C" uniqKey="Sprung C">C Sprung</name></author><author><name sortKey="Antonelli, M" uniqKey="Antonelli M">M Antonelli</name></author><author><name sortKey="Bruining, H" uniqKey="Bruining H">H Bruining</name></author><author><name sortKey="Willatts, S" uniqKey="Willatts S">S Willatts</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Khan, Z" uniqKey="Khan Z">Z Khan</name></author><author><name sortKey="Hulme, J" uniqKey="Hulme J">J Hulme</name></author><author><name sortKey="Sherwood, N" uniqKey="Sherwood N">N Sherwood</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guest, T" uniqKey="Guest T">T Guest</name></author><author><name sortKey="Tantam, G" uniqKey="Tantam G">G Tantam</name></author><author><name sortKey="Donlin, N" uniqKey="Donlin N">N Donlin</name></author><author><name sortKey="Tantam, K" uniqKey="Tantam K">K Tantam</name></author><author><name sortKey="Mcmillan, H" uniqKey="Mcmillan H">H McMillan</name></author><author><name sortKey="Tillyard, A" uniqKey="Tillyard A">A Tillyard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Talmor, D" uniqKey="Talmor D">D Talmor</name></author><author><name sortKey="Jones, Ae" uniqKey="Jones A">AE Jones</name></author><author><name sortKey="Rubinson, L" uniqKey="Rubinson L">L Rubinson</name></author><author><name sortKey="Howell, Md" uniqKey="Howell M">MD Howell</name></author><author><name sortKey="Shapiro, Ni" uniqKey="Shapiro N">NI Shapiro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pandharipande, Pp" uniqKey="Pandharipande P">PP Pandharipande</name></author><author><name sortKey="Shintani, Ak" uniqKey="Shintani A">AK Shintani</name></author><author><name sortKey="Hagerman, He" uniqKey="Hagerman H">HE Hagerman</name></author><author><name sortKey="St Jacques, Pj" uniqKey="St Jacques P">PJ St Jacques</name></author><author><name sortKey="Rice, Tw" uniqKey="Rice T">TW Rice</name></author><author><name sortKey="Sanders, Nw" uniqKey="Sanders N">NW Sanders</name></author><author><name sortKey="Ware, Lb" uniqKey="Ware L">LB Ware</name></author><author><name sortKey="Bernard, Gr" uniqKey="Bernard G">GR Bernard</name></author><author><name sortKey="Ely, Ew" uniqKey="Ely E">EW Ely</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zweig, Mh" uniqKey="Zweig M">MH Zweig</name></author><author><name sortKey="Campbell, G" uniqKey="Campbell G">G Campbell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tillyard, A" uniqKey="Tillyard A">A Tillyard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Challen, K" uniqKey="Challen K">K Challen</name></author><author><name sortKey="Bentley, A" uniqKey="Bentley A">A Bentley</name></author><author><name sortKey="Bright, J" uniqKey="Bright J">J Bright</name></author><author><name sortKey="Walter, D" uniqKey="Walter D">D Walter</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Christian, Md" uniqKey="Christian M">MD Christian</name></author><author><name sortKey="Joynt, Gm" uniqKey="Joynt G">GM Joynt</name></author><author><name sortKey="Hick, Jl" uniqKey="Hick J">JL Hick</name></author><author><name sortKey="Colvin, J" uniqKey="Colvin J">J Colvin</name></author><author><name sortKey="Danis, M" uniqKey="Danis M">M Danis</name></author><author><name sortKey="Sprung, Cl" uniqKey="Sprung C">CL Sprung</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sprung, Cl" uniqKey="Sprung C">CL Sprung</name></author><author><name sortKey="Zimmerman, Jl" uniqKey="Zimmerman J">JL Zimmerman</name></author><author><name sortKey="Christian, Md" uniqKey="Christian M">MD Christian</name></author><author><name sortKey="Joynt, Gm" uniqKey="Joynt G">GM Joynt</name></author><author><name sortKey="Hick, Jl" uniqKey="Hick J">JL Hick</name></author><author><name sortKey="Taylor, B" uniqKey="Taylor B">B Taylor</name></author><author><name sortKey="Richards, Ga" uniqKey="Richards G">GA Richards</name></author><author><name sortKey="Sandrock, C" uniqKey="Sandrock C">C Sandrock</name></author><author><name sortKey="Cohen, R" uniqKey="Cohen R">R Cohen</name></author><author><name sortKey="Adini, B" uniqKey="Adini B">B Adini</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hick, J" uniqKey="Hick J">J Hick</name></author><author><name sortKey="Rubinson, L" uniqKey="Rubinson L">L Rubinson</name></author><author><name sortKey="O Laughlin, D" uniqKey="O Laughlin D">D O'Laughlin</name></author><author><name sortKey="Farmer, Jc" uniqKey="Farmer J">JC Farmer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zygun, Da" uniqKey="Zygun D">DA Zygun</name></author><author><name sortKey="Laupland, Kb" uniqKey="Laupland K">KB Laupland</name></author><author><name sortKey="Fick, Gh" uniqKey="Fick G">GH Fick</name></author><author><name sortKey="Sandham, Jd" uniqKey="Sandham J">JD Sandham</name></author><author><name sortKey="Doig, Cj" uniqKey="Doig C">CJ Doig</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bautista, E" uniqKey="Bautista E">E Bautista</name></author><author><name sortKey="Chotpitayasunondh, T" uniqKey="Chotpitayasunondh T">T Chotpitayasunondh</name></author><author><name sortKey="Gao, Z" uniqKey="Gao Z">Z Gao</name></author><author><name sortKey="Harper, Sa" uniqKey="Harper S">SA Harper</name></author><author><name sortKey="Shaw, M" uniqKey="Shaw M">M Shaw</name></author><author><name sortKey="Uyeki, Tm" uniqKey="Uyeki T">TM Uyeki</name></author><author><name sortKey="Zaki, Sr" uniqKey="Zaki S">SR Zaki</name></author><author><name sortKey="Hayden, Fg" uniqKey="Hayden F">FG Hayden</name></author><author><name sortKey="Hui, Ds" uniqKey="Hui D">DS Hui</name></author><author><name sortKey="Kettner, Jd" uniqKey="Kettner J">JD Kettner</name></author><author><name sortKey="Kumar, A" uniqKey="Kumar A">A Kumar</name></author><author><name sortKey="Lim, M" uniqKey="Lim M">M Lim</name></author><author><name sortKey="Shindo, N" uniqKey="Shindo N">N Shindo</name></author><author><name sortKey="Penn, C" uniqKey="Penn C">C Penn</name></author><author><name sortKey="Nicholson, Kg" uniqKey="Nicholson K">KG Nicholson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kumar, A" uniqKey="Kumar A">A Kumar</name></author><author><name sortKey="Zarychanski, R" uniqKey="Zarychanski R">R Zarychanski</name></author><author><name sortKey="Pinto, R" uniqKey="Pinto R">R Pinto</name></author><author><name sortKey="Cook, Dj" uniqKey="Cook D">DJ Cook</name></author><author><name sortKey="Marshall, J" uniqKey="Marshall J">J Marshall</name></author><author><name sortKey="Lacroix, J" uniqKey="Lacroix J">J Lacroix</name></author><author><name sortKey="Stelfox, T" uniqKey="Stelfox T">T Stelfox</name></author><author><name sortKey="Bagshaw, S" uniqKey="Bagshaw S">S Bagshaw</name></author><author><name sortKey="Choong, K" uniqKey="Choong K">K Choong</name></author><author><name sortKey="Lamontagne, F" uniqKey="Lamontagne F">F Lamontagne</name></author><author><name sortKey="Turgeon, Af" uniqKey="Turgeon A">AF Turgeon</name></author><author><name sortKey="Lapinsky, S" uniqKey="Lapinsky S">S Lapinsky</name></author><author><name sortKey="Ahern, Sp" uniqKey="Ahern S">SP Ahern</name></author><author><name sortKey="Smith, O" uniqKey="Smith O">O Smith</name></author><author><name sortKey="Siddiqui, F" uniqKey="Siddiqui F">F Siddiqui</name></author><author><name sortKey="Jouvet, P" uniqKey="Jouvet P">P Jouvet</name></author><author><name sortKey="Khwaja, K" uniqKey="Khwaja K">K Khwaja</name></author><author><name sortKey="Mcintyre, L" uniqKey="Mcintyre L">L McIntyre</name></author><author><name sortKey="Menon, K" uniqKey="Menon K">K Menon</name></author><author><name sortKey="Hutchison, J" uniqKey="Hutchison J">J Hutchison</name></author><author><name sortKey="Hornstein, D" uniqKey="Hornstein D">D Hornstein</name></author><author><name sortKey="Joffe, A" uniqKey="Joffe A">A Joffe</name></author><author><name sortKey="Lauzier, F" uniqKey="Lauzier F">F Lauzier</name></author><author><name sortKey="Singh, J" uniqKey="Singh J">J Singh</name></author><author><name sortKey="Karachi, T" uniqKey="Karachi T">T Karachi</name></author><author><name sortKey="Wiebe, K" uniqKey="Wiebe K">K Wiebe</name></author><author><name sortKey="Olafson, K" uniqKey="Olafson K">K Olafson</name></author><author><name sortKey="Ramsey, C" uniqKey="Ramsey C">C Ramsey</name></author><author><name sortKey="Sharma, S" uniqKey="Sharma S">S Sharma</name></author><author><name sortKey="Dodek, P" uniqKey="Dodek P">P Dodek</name></author><author><name sortKey="Meade, M" uniqKey="Meade M">M Meade</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Webb, Sa" uniqKey="Webb S">SA Webb</name></author><author><name sortKey="Pettil, V" uniqKey="Pettil V">V Pettilä</name></author><author><name sortKey="Seppelt, I" uniqKey="Seppelt I">I Seppelt</name></author><author><name sortKey="Bellomo, R" uniqKey="Bellomo R">R Bellomo</name></author><author><name sortKey="Bailey, M" uniqKey="Bailey M">M Bailey</name></author><author><name sortKey="Cooper, Dj" uniqKey="Cooper D">DJ Cooper</name></author><author><name sortKey="Cretikos, M" uniqKey="Cretikos M">M Cretikos</name></author><author><name sortKey="Davies, Ar" uniqKey="Davies A">AR Davies</name></author><author><name sortKey="Finfer, S" uniqKey="Finfer S">S Finfer</name></author><author><name sortKey="Harrigan, Pw" uniqKey="Harrigan P">PW Harrigan</name></author><author><name sortKey="Hart, Gk" uniqKey="Hart G">GK Hart</name></author><author><name sortKey="Howe, B" uniqKey="Howe B">B Howe</name></author><author><name sortKey="Iredell, Jr" uniqKey="Iredell J">JR Iredell</name></author><author><name sortKey="Mcarthur, C" uniqKey="Mcarthur C">C McArthur</name></author><author><name sortKey="Mitchell, I" uniqKey="Mitchell I">I Mitchell</name></author><author><name sortKey="Morrison, S" uniqKey="Morrison S">S Morrison</name></author><author><name sortKey="Nichol, Ad" uniqKey="Nichol A">AD Nichol</name></author><author><name sortKey="Paterson, Dl" uniqKey="Paterson D">DL Paterson</name></author><author><name sortKey="Peake, S" uniqKey="Peake S">S Peake</name></author><author><name sortKey="Richards, B" uniqKey="Richards B">B Richards</name></author><author><name sortKey="Stephens, D" uniqKey="Stephens D">D Stephens</name></author><author><name sortKey="Turner, A" uniqKey="Turner A">A Turner</name></author><author><name sortKey="Yung, M" uniqKey="Yung M">M Yung</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tourtier, J" uniqKey="Tourtier J">J Tourtier</name></author><author><name sortKey="Auroy, Y" uniqKey="Auroy Y">Y Auroy</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Crit Care</journal-id><journal-title-group><journal-title>Critical Care</journal-title></journal-title-group><issn pub-type="ppub">1364-8535</issn><issn pub-type="epub">1466-609X</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">21269458</article-id><article-id pub-id-type="pmc">3221968</article-id><article-id pub-id-type="publisher-id">cc10001</article-id><article-id pub-id-type="doi">10.1186/cc10001</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research</subject></subj-group></article-categories><title-group><article-title>The Simple Triage Scoring System (STSS) successfully predicts mortality and critical care resource utilization in H1N1 pandemic flu: a retrospective analysis</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Adeniji</surname><given-names>Kayode A</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>aden@doctors.org.uk</email></contrib><contrib contrib-type="author" id="A2"><name><surname>Cusack</surname><given-names>Rebecca</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>Rebecca.Cusack@suht.swest.nhs.uk</email></contrib></contrib-group><aff id="I1"><label>1</label>Critical Care Research Unit, SUHT, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK</aff><pub-date pub-type="ppub"><year>2011</year></pub-date><pub-date pub-type="epub"><day>26</day><month>1</month><year>2011</year></pub-date><volume>15</volume><issue>1</issue><fpage>R39</fpage><lpage>R39</lpage><history><date date-type="received"><day>28</day><month>5</month><year>2010</year></date><date date-type="rev-recd"><day>26</day><month>11</month><year>2010</year></date><date date-type="accepted"><day>26</day><month>1</month><year>2011</year></date></history><permissions><copyright-statement>Copyright ©2011 Adeniji et al.; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2011</copyright-year><copyright-holder>Adeniji et al.; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><self-uri xlink:href="http://ccforum.com/content/15/1/R39"></self-uri><abstract><sec><title>Introduction</title><p>Triage protocols are only initiated when it is apparent that resource deficits will occur across a broad geographical area despite efforts to expand or acquire additional capacity. Prior to the pandemic the UK Department of Health (DOH) recommended the use of a staged triage plan incorporating Sepsis-related Organ Failure Assessment (SOFA) developed by the Ontario Ministry of Health to assist in the triage of critical care admissions and discharges during an influenza outbreak in the UK. There are data to suggest that had it been used in the recent H1N1 pandemic it may have led to inappropriate limitation of therapy if surge capacity had been overwhelmed.</p></sec><sec><title>Methods</title><p>We retrospectively reviewed the performance of the Simple Triage Scoring System (STSS) as an indicator of the utilization of hospital resources in adult patients with confirmed H1N1 admitted to a university teaching hospital. Our aim was to compare it against the staged initial SOFA score process with regards to mortality, need for intensive care admission and requirement for mechanical ventilation and assess its validity.</p></sec><sec><title>Results</title><p>Over an 8 month period, 62 patients with confirmed H1N1 were admitted. Forty (65%) had documented comorbidities and 27 (44%) had pneumonic changes on their admission CXR. Nineteen (31%) were admitted to the intensive care unit where 5 (26%) required mechanical ventilation (MV). There were 3 deaths. The STSS group categorization demonstrated a better discriminating accuracy in predicting critical care resource usage with a receiver operating characteristic area under the curve (95% confidence interval) for ICU admission of 0.88 (0.78-0.98) and need for MV of 0.91 (0.83-0.99). This compared to the staged SOFA score of 0.77 (0.65-0.89) and 0.87 (0.72-1.00) respectively. Low mortality rates limited analysis on survival predictions.</p></sec><sec><title>Conclusions</title><p>The STSS accurately risk stratified patients in this cohort according to their risk of death and predicted the likelihood of admission to critical care and the requirement for MV. Its single point in time, accuracy and easily collected component variables commend it as an alternative reproducible system to facilitate the triage and treatment of patients in any future influenza pandemic.</p></sec></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/PandemieGrippaleV1/Data/Pmc/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000989 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd -nk 000989 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= PandemieGrippaleV1
|flux= Pmc
|étape= Curation
|type= RBID
|clé= PMC:3221968
|texte= The Simple Triage Scoring System (STSS) successfully predicts mortality and critical care resource utilization in H1N1 pandemic flu: a retrospective analysis
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Curation/RBID.i -Sk "pubmed:21269458" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd \
| NlmPubMed2Wicri -a PandemieGrippaleV1
| This area was generated with Dilib version V0.6.34. |  |