A multicentre evaluation of two intensive care unit triage protocols for use in an influenza pandemic.
Identifieur interne : 000D59 ( PubMed/Checkpoint ); précédent : 000D58; suivant : 000D60A multicentre evaluation of two intensive care unit triage protocols for use in an influenza pandemic.
Auteurs : Winston K. Cheung [Australie] ; John Myburgh ; Ian M. Seppelt ; Michael J. Parr ; Nikki Blackwell ; Shannon Demonte ; Kalpesh Gandhi ; Larissa Hoyling ; Priya Nair ; Melissa Passer ; Claire Reynolds ; Nicholas M. Saunders ; Manoj K. Saxena ; Govindasamy ThanakrishnanSource :
- The Medical journal of Australia [ 1326-5377 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Australie (épidémiologie), Femelle, Grippe humaine (), Grippe humaine (épidémiologie), Humains, Pandémies, Protocoles cliniques, Techniques in vitro, Triage (), Unités de soins intensifs (organisation et administration), Unités de soins intensifs (ressources et distribution), Études prospectives.
- MESH :
- organisation et administration : Unités de soins intensifs.
- ressources et distribution : Unités de soins intensifs.
- épidémiologie : Australie, Grippe humaine.
- Adulte d'âge moyen, Femelle, Grippe humaine, Humains, Pandémies, Protocoles cliniques, Techniques in vitro, Triage, Études prospectives.
- Wicri :
- geographic : Australie.
English descriptors
- KwdEn :
- Australia (epidemiology), Clinical Protocols, Female, Humans, In Vitro Techniques, Influenza, Human (epidemiology), Influenza, Human (therapy), Intensive Care Units (organization & administration), Intensive Care Units (supply & distribution), Middle Aged, Pandemics, Prospective Studies, Triage (methods).
- MESH :
- geographic , epidemiology : Australia.
- epidemiology : Influenza, Human.
- methods : Triage.
- organization & administration : Intensive Care Units.
- supply & distribution : Intensive Care Units.
- therapy : Influenza, Human.
- Clinical Protocols, Female, Humans, In Vitro Techniques, Middle Aged, Pandemics, Prospective Studies.
Abstract
To determine the increase in intensive care unit (ICU) bed availability that would result from the use of the New South Wales and Ontario Health Plan for an Influenza Pandemic (OHPIP) triage protocols.
DOI: 10.5694/mja11.10926
PubMed: 22860797
Affiliations:
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Links to Exploration step
pubmed:22860797Le document en format XML
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<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (therapy)</term>
<term>Intensive Care Units (organization & administration)</term>
<term>Intensive Care Units (supply & distribution)</term>
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<term>Prospective Studies</term>
<term>Triage (methods)</term>
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<term>Australie (épidémiologie)</term>
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<term>Grippe humaine ()</term>
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<term>Protocoles cliniques</term>
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<term>Triage ()</term>
<term>Unités de soins intensifs (organisation et administration)</term>
<term>Unités de soins intensifs (ressources et distribution)</term>
<term>Études prospectives</term>
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<keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Unités de soins intensifs</term>
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<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Intensive Care Units</term>
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<keywords scheme="MESH" qualifier="ressources et distribution" xml:lang="fr"><term>Unités de soins intensifs</term>
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<front><div type="abstract" xml:lang="en">To determine the increase in intensive care unit (ICU) bed availability that would result from the use of the New South Wales and Ontario Health Plan for an Influenza Pandemic (OHPIP) triage protocols.</div>
</front>
</TEI>
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<DateCompleted><Year>2012</Year>
<Month>10</Month>
<Day>15</Day>
</DateCompleted>
<DateRevised><Year>2019</Year>
<Month>12</Month>
<Day>10</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1326-5377</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>197</Volume>
<Issue>3</Issue>
<PubDate><Year>2012</Year>
<Month>Aug</Month>
<Day>06</Day>
</PubDate>
</JournalIssue>
<Title>The Medical journal of Australia</Title>
<ISOAbbreviation>Med. J. Aust.</ISOAbbreviation>
</Journal>
<ArticleTitle>A multicentre evaluation of two intensive care unit triage protocols for use in an influenza pandemic.</ArticleTitle>
<Pagination><MedlinePgn>178-81</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine the increase in intensive care unit (ICU) bed availability that would result from the use of the New South Wales and Ontario Health Plan for an Influenza Pandemic (OHPIP) triage protocols.</AbstractText>
<AbstractText Label="DESIGN, SETTING AND PATIENTS" NlmCategory="METHODS">Prospective evaluation study conducted in eight Australian, adult, general ICUs, between September 2009 and May 2010. All patients who were admitted to the ICU, excluding those who had elective surgery, were prospectively evaluated using the two triage protocols, simulating a pandemic situation. Both protocols were originally developed to determine which patients should be excluded from accessing ICU resources during an influenza pandemic.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURE" NlmCategory="METHODS">Increase in ICU bed availability.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">At admission, the increases in ICU bed availability using Tiers 1, 2 and 3 of the NSW triage protocol were 3.5%, 14.7% and 22.7%, respectively, and 52.8% using the OHPIP triage protocol (P < 0.001). Re-evaluation of patients at 12 hours after admission using Tiers 1, 2 and 3 of the NSW triage protocol incrementally increased ICU bed availability by 19.2%, 16.1% and 14.1%, respectively (P < 0.001). The maximal cumulative increases in ICU bed availability using Tiers 1, 2 and 3 of the NSW triage protocol were 23.7%, 31.6% and 37.5%, respectively, at 72 hours (P < 0.001), and 65.0% using the OHPIP triage protocol, at 120 hours (P < 0.001).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Both triage protocols resulted in increases in ICU bed availability, but the OHPIP protocol provided the greatest increase overall. With the NSW triage protocol, ICU bed availability increased as the protocol was escalated.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cheung</LastName>
<ForeName>Winston K</ForeName>
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<Author ValidYN="Y"><CollectiveName>Influenza Pandemic ICU Triage Study Investigators</CollectiveName>
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