Resource burden at children's hospitals experiencing surge volumes during the spring 2009 H1N1 influenza pandemic.
Identifieur interne : 000E62 ( PubMed/Checkpoint ); précédent : 000E61; suivant : 000E63Resource burden at children's hospitals experiencing surge volumes during the spring 2009 H1N1 influenza pandemic.
Auteurs : Marion R. Sills [États-Unis] ; Matthew Hall ; Harold K. Simon ; Evan S. Fieldston ; Nicholas Walter ; James E. Levin ; Thomas V. Brogan ; Paul D. Hain ; Denise M. Goodman ; D D Fritch-Levens ; Daniel B. Fagbuyi ; Michael B. Mundorff ; Anne M. Libby ; Heather O. Anderson ; William V. Padula ; Samir S. ShahSource :
- Academic emergency medicine : official journal of the Society for Academic Emergency Medicine [ 1553-2712 ] ; 2011.
Descripteurs français
- KwdFr :
- Adolescent, Analyse de régression, Bases de données factuelles, Enfant, Enfant d'âge préscolaire, Facteurs de risque, Grippe humaine (), Grippe humaine (épidémiologie), Hospitalisation (), Humains, Hôpitaux pédiatriques (), Indice de gravité médicale, Jeune adulte, Maladie chronique (épidémiologie), Mâle, Nourrisson, Nouveau-né, Pandémies, Rationnement des services de santé, Sous-type H1N1 du virus de la grippe A, États-Unis d'Amérique (épidémiologie).
- MESH :
- épidémiologie : Grippe humaine, Maladie chronique, États-Unis d'Amérique.
- Adolescent, Analyse de régression, Bases de données factuelles, Enfant, Enfant d'âge préscolaire, Facteurs de risque, Grippe humaine, Hospitalisation, Humains, Hôpitaux pédiatriques, Indice de gravité médicale, Jeune adulte, Mâle, Nourrisson, Nouveau-né, Pandémies, Rationnement des services de santé, Sous-type H1N1 du virus de la grippe A.
English descriptors
- KwdEn :
- Adolescent, Child, Child, Preschool, Chronic Disease (epidemiology), Databases, Factual, Health Care Rationing, Hospitalization (statistics & numerical data), Hospitals, Pediatric (statistics & numerical data), Humans, Infant, Infant, Newborn, Influenza A Virus, H1N1 Subtype, Influenza, Human (epidemiology), Influenza, Human (therapy), Male, Pandemics, Regression Analysis, Risk Factors, Severity of Illness Index, United States (epidemiology), Young Adult.
- MESH :
- epidemiology : Chronic Disease, Influenza, Human, United States.
- statistics & numerical data : Hospitalization, Hospitals, Pediatric.
- therapy : Influenza, Human.
- Adolescent, Child, Child, Preschool, Databases, Factual, Health Care Rationing, Humans, Infant, Infant, Newborn, Influenza A Virus, H1N1 Subtype, Male, Pandemics, Regression Analysis, Risk Factors, Severity of Illness Index, Young Adult.
Abstract
The objective was to describe the emergency department (ED) resource burden of the spring 2009 H1N1 influenza pandemic at U.S. children's hospitals by quantifying observed-to-expected utilization.
DOI: 10.1111/j.1553-2712.2010.00992.x
PubMed: 21314775
Affiliations:
Links toward previous steps (curation, corpus...)
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pubmed:21314775Le document en format XML
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Sills</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, University of Colorado School of Medicine, Section of Emergency Medicine, Children's Hospital, Aurora, USA. sills.marion@tchden.org</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pediatrics, University of Colorado School of Medicine, Section of Emergency Medicine, Children's Hospital, Aurora</wicri:regionArea><wicri:noRegion>Aurora</wicri:noRegion></affiliation></author><author><name sortKey="Hall, Matthew" sort="Hall, Matthew" uniqKey="Hall M" first="Matthew" last="Hall">Matthew Hall</name></author><author><name sortKey="Simon, Harold K" sort="Simon, Harold K" uniqKey="Simon H" first="Harold K" last="Simon">Harold K. Simon</name></author><author><name sortKey="Fieldston, Evan S" sort="Fieldston, Evan S" uniqKey="Fieldston E" first="Evan S" last="Fieldston">Evan S. 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Sills</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, University of Colorado School of Medicine, Section of Emergency Medicine, Children's Hospital, Aurora, USA. sills.marion@tchden.org</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pediatrics, University of Colorado School of Medicine, Section of Emergency Medicine, Children's Hospital, Aurora</wicri:regionArea><wicri:noRegion>Aurora</wicri:noRegion></affiliation></author><author><name sortKey="Hall, Matthew" sort="Hall, Matthew" uniqKey="Hall M" first="Matthew" last="Hall">Matthew Hall</name></author><author><name sortKey="Simon, Harold K" sort="Simon, Harold K" uniqKey="Simon H" first="Harold K" last="Simon">Harold K. Simon</name></author><author><name sortKey="Fieldston, Evan S" sort="Fieldston, Evan S" uniqKey="Fieldston E" first="Evan S" last="Fieldston">Evan S. Fieldston</name></author><author><name sortKey="Walter, Nicholas" sort="Walter, Nicholas" uniqKey="Walter N" first="Nicholas" last="Walter">Nicholas Walter</name></author><author><name sortKey="Levin, James E" sort="Levin, James E" uniqKey="Levin J" first="James E" last="Levin">James E. Levin</name></author><author><name sortKey="Brogan, Thomas V" sort="Brogan, Thomas V" uniqKey="Brogan T" first="Thomas V" last="Brogan">Thomas V. Brogan</name></author><author><name sortKey="Hain, Paul D" sort="Hain, Paul D" uniqKey="Hain P" first="Paul D" last="Hain">Paul D. Hain</name></author><author><name sortKey="Goodman, Denise M" sort="Goodman, Denise M" uniqKey="Goodman D" first="Denise M" last="Goodman">Denise M. 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Padula</name></author><author><name sortKey="Shah, Samir S" sort="Shah, Samir S" uniqKey="Shah S" first="Samir S" last="Shah">Samir S. Shah</name></author></analytic><series><title level="j">Academic emergency medicine : official journal of the Society for Academic Emergency Medicine</title><idno type="eISSN">1553-2712</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Child</term><term>Child, Preschool</term><term>Chronic Disease (epidemiology)</term><term>Databases, Factual</term><term>Health Care Rationing</term><term>Hospitalization (statistics & numerical data)</term><term>Hospitals, Pediatric (statistics & numerical data)</term><term>Humans</term><term>Infant</term><term>Infant, Newborn</term><term>Influenza A Virus, H1N1 Subtype</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (therapy)</term><term>Male</term><term>Pandemics</term><term>Regression Analysis</term><term>Risk Factors</term><term>Severity of Illness Index</term><term>United States (epidemiology)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Analyse de régression</term><term>Bases de données factuelles</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Facteurs de risque</term><term>Grippe humaine ()</term><term>Grippe humaine (épidémiologie)</term><term>Hospitalisation ()</term><term>Humains</term><term>Hôpitaux pédiatriques ()</term><term>Indice de gravité médicale</term><term>Jeune adulte</term><term>Maladie chronique (épidémiologie)</term><term>Mâle</term><term>Nourrisson</term><term>Nouveau-né</term><term>Pandémies</term><term>Rationnement des services de santé</term><term>Sous-type H1N1 du virus de la grippe A</term><term>États-Unis d'Amérique (épidémiologie)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Chronic Disease</term><term>Influenza, Human</term><term>United States</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitalization</term><term>Hospitals, Pediatric</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Grippe humaine</term><term>Maladie chronique</term><term>États-Unis d'Amérique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Child</term><term>Child, Preschool</term><term>Databases, Factual</term><term>Health Care Rationing</term><term>Humans</term><term>Infant</term><term>Infant, Newborn</term><term>Influenza A Virus, H1N1 Subtype</term><term>Male</term><term>Pandemics</term><term>Regression Analysis</term><term>Risk Factors</term><term>Severity of Illness Index</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Analyse de régression</term><term>Bases de données factuelles</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Facteurs de risque</term><term>Grippe humaine</term><term>Hospitalisation</term><term>Humains</term><term>Hôpitaux pédiatriques</term><term>Indice de gravité médicale</term><term>Jeune adulte</term><term>Mâle</term><term>Nourrisson</term><term>Nouveau-né</term><term>Pandémies</term><term>Rationnement des services de santé</term><term>Sous-type H1N1 du virus de la grippe A</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The objective was to describe the emergency department (ED) resource burden of the spring 2009 H1N1 influenza pandemic at U.S. children's hospitals by quantifying observed-to-expected utilization.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21314775</PMID><DateCompleted><Year>2011</Year><Month>07</Month><Day>12</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1553-2712</ISSN><JournalIssue CitedMedium="Internet"><Volume>18</Volume><Issue>2</Issue><PubDate><Year>2011</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Academic emergency medicine : official journal of the Society for Academic Emergency Medicine</Title><ISOAbbreviation>Acad Emerg Med</ISOAbbreviation></Journal><ArticleTitle>Resource burden at children's hospitals experiencing surge volumes during the spring 2009 H1N1 influenza pandemic.</ArticleTitle><Pagination><MedlinePgn>158-66</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/j.1553-2712.2010.00992.x</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The objective was to describe the emergency department (ED) resource burden of the spring 2009 H1N1 influenza pandemic at U.S. children's hospitals by quantifying observed-to-expected utilization.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The authors performed an ecologic analysis for April through July 2009 using data from 23 EDs in the Pediatric Health Information System (PHIS), an administrative database of widely distributed U.S. children's hospitals. All ED visits during the study period were included, and data from the 5 prior years were used for establishing expected values. Primary outcome measures included observed-to-expected ratios for ED visits for all reasons and for influenza-related illness (IRI).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Overall, 390,983 visits, and 88,885 visits for IRI, were included for Calendar Weeks 16 through 29, when 2009 H1N1 influenza was circulating. The subset of 106,330 visits and 31,703 IRI visits made to the 14 hospitals experiencing the authors' definition of ED surge during Weeks 16 to 29 was also studied. During surge weeks, the 14 EDs experienced 29% more total visits and 51% more IRI visits than expected (p < 0.01 for both comparisons). Of ED IRI visits during surge weeks, only 4.8% were admitted to non-intensive care beds (70% of expected, p < 0.01), 0.19% were admitted to intensive care units (44% of expected, p < 0.01), and 0.01% received mechanical ventilation (5.0% of expected, p < 0.01). Factors associated with more-than-expected visits included ages 2-17 years, payer type, and asthma. No factors were associated with more-than-expected hospitalizations from the ED.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">During the spring 2009 H1N1 influenza pandemic, pediatric EDs nationwide experienced a marked increase in visits, with far fewer than expected requiring nonintensive or intensive care hospitalization. The data in this study can be used for future pandemic planning.</AbstractText><CopyrightInformation>© 2011 by the Society for Academic Emergency Medicine.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sills</LastName><ForeName>Marion R</ForeName><Initials>MR</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, University of Colorado School of Medicine, Section of Emergency Medicine, Children's Hospital, Aurora, USA. sills.marion@tchden.org</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hall</LastName><ForeName>Matthew</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Simon</LastName><ForeName>Harold K</ForeName><Initials>HK</Initials></Author><Author ValidYN="Y"><LastName>Fieldston</LastName><ForeName>Evan S</ForeName><Initials>ES</Initials></Author><Author ValidYN="Y"><LastName>Walter</LastName><ForeName>Nicholas</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Levin</LastName><ForeName>James E</ForeName><Initials>JE</Initials></Author><Author ValidYN="Y"><LastName>Brogan</LastName><ForeName>Thomas V</ForeName><Initials>TV</Initials></Author><Author ValidYN="Y"><LastName>Hain</LastName><ForeName>Paul D</ForeName><Initials>PD</Initials></Author><Author ValidYN="Y"><LastName>Goodman</LastName><ForeName>Denise M</ForeName><Initials>DM</Initials></Author><Author ValidYN="Y"><LastName>Fritch-Levens</LastName><ForeName>D D</ForeName><Initials>DD</Initials></Author><Author ValidYN="Y"><LastName>Fagbuyi</LastName><ForeName>Daniel B</ForeName><Initials>DB</Initials></Author><Author ValidYN="Y"><LastName>Mundorff</LastName><ForeName>Michael B</ForeName><Initials>MB</Initials></Author><Author ValidYN="Y"><LastName>Libby</LastName><ForeName>Anne M</ForeName><Initials>AM</Initials></Author><Author ValidYN="Y"><LastName>Anderson</LastName><ForeName>Heather O</ForeName><Initials>HO</Initials></Author><Author ValidYN="Y"><LastName>Padula</LastName><ForeName>William V</ForeName><Initials>WV</Initials></Author><Author ValidYN="Y"><LastName>Shah</LastName><ForeName>Samir S</ForeName><Initials>SS</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>R03 HS016418</GrantID><Acronym>HS</Acronym><Agency>AHRQ HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>5R03HS016418</GrantID><Acronym>HS</Acronym><Agency>AHRQ HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>K01 AI73729</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType><PublicationType UI="D013487">Research Support, U.S. Gov't, P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Acad Emerg Med</MedlineTA><NlmUniqueID>9418450</NlmUniqueID><ISSNLinking>1069-6563</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016208" MajorTopicYN="N">Databases, Factual</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015276" MajorTopicYN="N">Health Care Rationing</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006776" MajorTopicYN="N">Hospitals, Pediatric</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053118" MajorTopicYN="N">Influenza A Virus, H1N1 Subtype</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012044" MajorTopicYN="N">Regression Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N">United States</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>2</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>2</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>7</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21314775</ArticleId><ArticleId IdType="doi">10.1111/j.1553-2712.2010.00992.x</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country></list><tree><noCountry><name sortKey="Anderson, Heather O" sort="Anderson, Heather O" uniqKey="Anderson H" first="Heather O" last="Anderson">Heather O. Anderson</name><name sortKey="Brogan, Thomas V" sort="Brogan, Thomas V" uniqKey="Brogan T" first="Thomas V" last="Brogan">Thomas V. Brogan</name><name sortKey="Fagbuyi, Daniel B" sort="Fagbuyi, Daniel B" uniqKey="Fagbuyi D" first="Daniel B" last="Fagbuyi">Daniel B. Fagbuyi</name><name sortKey="Fieldston, Evan S" sort="Fieldston, Evan S" uniqKey="Fieldston E" first="Evan S" last="Fieldston">Evan S. Fieldston</name><name sortKey="Fritch Levens, D D" sort="Fritch Levens, D D" uniqKey="Fritch Levens D" first="D D" last="Fritch-Levens">D D Fritch-Levens</name><name sortKey="Goodman, Denise M" sort="Goodman, Denise M" uniqKey="Goodman D" first="Denise M" last="Goodman">Denise M. Goodman</name><name sortKey="Hain, Paul D" sort="Hain, Paul D" uniqKey="Hain P" first="Paul D" last="Hain">Paul D. Hain</name><name sortKey="Hall, Matthew" sort="Hall, Matthew" uniqKey="Hall M" first="Matthew" last="Hall">Matthew Hall</name><name sortKey="Levin, James E" sort="Levin, James E" uniqKey="Levin J" first="James E" last="Levin">James E. Levin</name><name sortKey="Libby, Anne M" sort="Libby, Anne M" uniqKey="Libby A" first="Anne M" last="Libby">Anne M. Libby</name><name sortKey="Mundorff, Michael B" sort="Mundorff, Michael B" uniqKey="Mundorff M" first="Michael B" last="Mundorff">Michael B. Mundorff</name><name sortKey="Padula, William V" sort="Padula, William V" uniqKey="Padula W" first="William V" last="Padula">William V. Padula</name><name sortKey="Shah, Samir S" sort="Shah, Samir S" uniqKey="Shah S" first="Samir S" last="Shah">Samir S. Shah</name><name sortKey="Simon, Harold K" sort="Simon, Harold K" uniqKey="Simon H" first="Harold K" last="Simon">Harold K. Simon</name><name sortKey="Walter, Nicholas" sort="Walter, Nicholas" uniqKey="Walter N" first="Nicholas" last="Walter">Nicholas Walter</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Sills, Marion R" sort="Sills, Marion R" uniqKey="Sills M" first="Marion R" last="Sills">Marion R. Sills</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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