Performance of influenza-specific triage tools in an H1N1-positive cohort: P/F ratio better predicts the need for mechanical ventilation and critical care admission.
Identifieur interne : 000681 ( PubMed/Corpus ); précédent : 000680; suivant : 000682Performance of influenza-specific triage tools in an H1N1-positive cohort: P/F ratio better predicts the need for mechanical ventilation and critical care admission.
Auteurs : B. Morton ; L. Tang ; R. Gale ; M. Kelly ; H. Robertson ; M. Mogk ; N. Robin ; I. WeltersSource :
- British journal of anaesthesia [ 1471-6771 ] ; 2015.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Cohort Studies, Critical Care (methods), Female, Humans, Influenza A Virus, H1N1 Subtype, Influenza, Human (diagnosis), Influenza, Human (therapy), Male, Middle Aged, Oxygen (blood), Patient Admission, Polymerase Chain Reaction, Predictive Value of Tests, Respiration, Artificial (methods), Retrospective Studies, Treatment Outcome, Triage (methods), Young Adult.
- MESH :
- chemical , blood : Oxygen.
- diagnosis : Influenza, Human.
- methods : Critical Care, Respiration, Artificial, Triage.
- therapy : Influenza, Human.
- Adolescent, Adult, Aged, Aged, 80 and over, Cohort Studies, Female, Humans, Influenza A Virus, H1N1 Subtype, Male, Middle Aged, Patient Admission, Polymerase Chain Reaction, Predictive Value of Tests, Retrospective Studies, Treatment Outcome, Young Adult.
Abstract
Pandemic influenza presents a major threat to global health and socioeconomic well-being. Future demand for critical care may outstrip supply and force clinicians to triage patients for admission. We evaluated the Simple Triage Scoring System (STSS), Ontario Health Plan for an Influenza Epidemic (OHPIP) and PaO2 /FiO2 (P/F) ratio to determine utility in predicting need for mechanical ventilation.
DOI: 10.1093/bja/aev042
PubMed: 25829394
Links to Exploration step
pubmed:25829394Le document en format XML
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Gale</name><affiliation><nlm:affiliation>Intensive Care Unit, Royal Liverpool University Hospital, Liverpool, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Kelly, M" sort="Kelly, M" uniqKey="Kelly M" first="M" last="Kelly">M. Kelly</name><affiliation><nlm:affiliation>Intensive Care Unit, Royal Liverpool University Hospital, Liverpool, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Robertson, H" sort="Robertson, H" uniqKey="Robertson H" first="H" last="Robertson">H. Robertson</name><affiliation><nlm:affiliation>Critical Care Department, Countess of Chester Hospital, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Mogk, M" sort="Mogk, M" uniqKey="Mogk M" first="M" last="Mogk">M. Mogk</name><affiliation><nlm:affiliation>MoReData GmbH, Giessen, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Robin, N" sort="Robin, N" uniqKey="Robin N" first="N" last="Robin">N. Robin</name><affiliation><nlm:affiliation>Critical Care Department, Countess of Chester Hospital, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Welters, I" sort="Welters, I" uniqKey="Welters I" first="I" last="Welters">I. Welters</name><affiliation><nlm:affiliation>Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, UK Intensive Care Unit, Royal Liverpool University Hospital, Liverpool, UK.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25829394</idno><idno type="pmid">25829394</idno><idno type="doi">10.1093/bja/aev042</idno><idno type="wicri:Area/PubMed/Corpus">000681</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000681</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Performance of influenza-specific triage tools in an H1N1-positive cohort: P/F ratio better predicts the need for mechanical ventilation and critical care admission.</title><author><name sortKey="Morton, B" sort="Morton, B" uniqKey="Morton B" first="B" last="Morton">B. Morton</name><affiliation><nlm:affiliation>Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK ben.morton@lstmed.ac.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Tang, L" sort="Tang, L" uniqKey="Tang L" first="L" last="Tang">L. Tang</name><affiliation><nlm:affiliation>Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Gale, R" sort="Gale, R" uniqKey="Gale R" first="R" last="Gale">R. Gale</name><affiliation><nlm:affiliation>Intensive Care Unit, Royal Liverpool University Hospital, Liverpool, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Kelly, M" sort="Kelly, M" uniqKey="Kelly M" first="M" last="Kelly">M. Kelly</name><affiliation><nlm:affiliation>Intensive Care Unit, Royal Liverpool University Hospital, Liverpool, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Robertson, H" sort="Robertson, H" uniqKey="Robertson H" first="H" last="Robertson">H. Robertson</name><affiliation><nlm:affiliation>Critical Care Department, Countess of Chester Hospital, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Mogk, M" sort="Mogk, M" uniqKey="Mogk M" first="M" last="Mogk">M. Mogk</name><affiliation><nlm:affiliation>MoReData GmbH, Giessen, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Robin, N" sort="Robin, N" uniqKey="Robin N" first="N" last="Robin">N. Robin</name><affiliation><nlm:affiliation>Critical Care Department, Countess of Chester Hospital, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Welters, I" sort="Welters, I" uniqKey="Welters I" first="I" last="Welters">I. Welters</name><affiliation><nlm:affiliation>Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, UK Intensive Care Unit, Royal Liverpool University Hospital, Liverpool, UK.</nlm:affiliation></affiliation></author></analytic><series><title level="j">British journal of anaesthesia</title><idno type="eISSN">1471-6771</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cohort Studies</term><term>Critical Care (methods)</term><term>Female</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Influenza, Human (diagnosis)</term><term>Influenza, Human (therapy)</term><term>Male</term><term>Middle Aged</term><term>Oxygen (blood)</term><term>Patient Admission</term><term>Polymerase Chain Reaction</term><term>Predictive Value of Tests</term><term>Respiration, Artificial (methods)</term><term>Retrospective Studies</term><term>Treatment Outcome</term><term>Triage (methods)</term><term>Young Adult</term></keywords><keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Oxygen</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Critical Care</term><term>Respiration, Artificial</term><term>Triage</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Male</term><term>Middle Aged</term><term>Patient Admission</term><term>Polymerase Chain Reaction</term><term>Predictive Value of Tests</term><term>Retrospective Studies</term><term>Treatment Outcome</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Pandemic influenza presents a major threat to global health and socioeconomic well-being. Future demand for critical care may outstrip supply and force clinicians to triage patients for admission. We evaluated the Simple Triage Scoring System (STSS), Ontario Health Plan for an Influenza Epidemic (OHPIP) and PaO2 /FiO2 (P/F) ratio to determine utility in predicting need for mechanical ventilation.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25829394</PMID><DateCompleted><Year>2015</Year><Month>07</Month><Day>27</Day></DateCompleted><DateRevised><Year>2018</Year><Month>01</Month><Day>26</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1471-6771</ISSN><JournalIssue CitedMedium="Internet"><Volume>114</Volume><Issue>6</Issue><PubDate><Year>2015</Year><Month>Jun</Month></PubDate></JournalIssue><Title>British journal of anaesthesia</Title><ISOAbbreviation>Br J Anaesth</ISOAbbreviation></Journal><ArticleTitle>Performance of influenza-specific triage tools in an H1N1-positive cohort: P/F ratio better predicts the need for mechanical ventilation and critical care admission.</ArticleTitle><Pagination><MedlinePgn>927-33</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/bja/aev042</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Pandemic influenza presents a major threat to global health and socioeconomic well-being. Future demand for critical care may outstrip supply and force clinicians to triage patients for admission. We evaluated the Simple Triage Scoring System (STSS), Ontario Health Plan for an Influenza Epidemic (OHPIP) and PaO2 /FiO2 (P/F) ratio to determine utility in predicting need for mechanical ventilation.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We conducted a retrospective case note review of patients admitted to two centres, Royal Liverpool University Hospital and Countess of Chester Hospital, during the UK influenza pandemic of 2010-11. Demand for critical care during this period forced hospitals in Cheshire and Merseyside to implement escalation policies and increase capacity. Inclusion criteria were polymerase chain reaction-confirmed H1N1 influenza and age >18 years. Exclusion criteria were no evidence of treatment for influenza, patient not admitted to hospital or the inability to locate case notes.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">One hundred and one patients were included, 29 were admitted to critical care and 23 required mechanical ventilation. The P/F ratio predicted the need for mechanical ventilation with a receiver operating characteristic area under the curve (ROC AUC) of 0.885 (CI 0.817-0.952). Predictive ability was not reduced when the P/F ratio had to be estimated using the Pandharipande tool. The STSS score predicted the need for mechanical ventilation [ROC AUC 0.798 (CI 0.704-0.891)]. The reverse triage component of the OHPIP tool was a poor predictor of patient outcome.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The P/F ratio was a better predictor of need for mechanical ventilation than STSS. The P/F ratio is a simple and accepted determinant of hypoxaemia and should be used if secondary triaging becomes necessary during future influenza pandemics.</AbstractText><CopyrightInformation>© The Author 2015. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Morton</LastName><ForeName>B</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK ben.morton@lstmed.ac.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tang</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gale</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Intensive Care Unit, Royal Liverpool University Hospital, Liverpool, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kelly</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Intensive Care Unit, Royal Liverpool University Hospital, Liverpool, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Robertson</LastName><ForeName>H</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Critical Care Department, Countess of Chester Hospital, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mogk</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>MoReData GmbH, Giessen, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Robin</LastName><ForeName>N</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Critical Care Department, Countess of Chester Hospital, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Welters</LastName><ForeName>I</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, UK Intensive Care Unit, Royal Liverpool University Hospital, Liverpool, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>03</Month><Day>31</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Br J Anaesth</MedlineTA><NlmUniqueID>0372541</NlmUniqueID><ISSNLinking>0007-0912</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>S88TT14065</RegistryNumber><NameOfSubstance UI="D010100">Oxygen</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Br J Anaesth. 2015 Jun;114(6):865-7</RefSource><PMID Version="1">25991740</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003422" MajorTopicYN="N">Critical Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053118" MajorTopicYN="Y">Influenza A Virus, H1N1 Subtype</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010100" MajorTopicYN="N">Oxygen</DescriptorName><QualifierName UI="Q000097" MajorTopicYN="Y">blood</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010343" MajorTopicYN="N">Patient Admission</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016133" MajorTopicYN="N">Polymerase Chain Reaction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012121" MajorTopicYN="N">Respiration, Artificial</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014218" MajorTopicYN="N">Triage</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">critical care</Keyword><Keyword MajorTopicYN="N">influenza, human</Keyword><Keyword MajorTopicYN="N">pandemics</Keyword><Keyword MajorTopicYN="N">patient admission</Keyword><Keyword MajorTopicYN="N">triage</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>12</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>4</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>4</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>7</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25829394</ArticleId><ArticleId IdType="pii">S0007-0912(17)31477-0</ArticleId><ArticleId IdType="doi">10.1093/bja/aev042</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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