A multicentre evaluation of two intensive care unit triage protocols for use in an influenza pandemic.
Identifieur interne : 000C38 ( PubMed/Corpus ); précédent : 000C37; suivant : 000C39A multicentre evaluation of two intensive care unit triage protocols for use in an influenza pandemic.
Auteurs : Winston K. Cheung ; 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.
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
Links to Exploration step
pubmed:22860797Le document en format XML
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<author><name sortKey="Cheung, Winston K" sort="Cheung, Winston K" uniqKey="Cheung W" first="Winston K" last="Cheung">Winston K. Cheung</name>
<affiliation><nlm:affiliation>Concord Repatriation General Hospital, Sydney, NSW. winston.cheung@sswahs.nsw.gov.au</nlm:affiliation>
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<author><name sortKey="Myburgh, John" sort="Myburgh, John" uniqKey="Myburgh J" first="John" last="Myburgh">John Myburgh</name>
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<author><name sortKey="Seppelt, Ian M" sort="Seppelt, Ian M" uniqKey="Seppelt I" first="Ian M" last="Seppelt">Ian M. Seppelt</name>
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<author><name sortKey="Parr, Michael J" sort="Parr, Michael J" uniqKey="Parr M" first="Michael J" last="Parr">Michael J. Parr</name>
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<author><name sortKey="Blackwell, Nikki" sort="Blackwell, Nikki" uniqKey="Blackwell N" first="Nikki" last="Blackwell">Nikki Blackwell</name>
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<author><name sortKey="Demonte, Shannon" sort="Demonte, Shannon" uniqKey="Demonte S" first="Shannon" last="Demonte">Shannon Demonte</name>
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<author><name sortKey="Gandhi, Kalpesh" sort="Gandhi, Kalpesh" uniqKey="Gandhi K" first="Kalpesh" last="Gandhi">Kalpesh Gandhi</name>
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<author><name sortKey="Hoyling, Larissa" sort="Hoyling, Larissa" uniqKey="Hoyling L" first="Larissa" last="Hoyling">Larissa Hoyling</name>
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<author><name sortKey="Nair, Priya" sort="Nair, Priya" uniqKey="Nair P" first="Priya" last="Nair">Priya Nair</name>
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<author><name sortKey="Passer, Melissa" sort="Passer, Melissa" uniqKey="Passer M" first="Melissa" last="Passer">Melissa Passer</name>
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<author><name sortKey="Reynolds, Claire" sort="Reynolds, Claire" uniqKey="Reynolds C" first="Claire" last="Reynolds">Claire Reynolds</name>
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<author><name sortKey="Saunders, Nicholas M" sort="Saunders, Nicholas M" uniqKey="Saunders N" first="Nicholas M" last="Saunders">Nicholas M. Saunders</name>
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<author><name sortKey="Saxena, Manoj K" sort="Saxena, Manoj K" uniqKey="Saxena M" first="Manoj K" last="Saxena">Manoj K. Saxena</name>
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<author><name sortKey="Thanakrishnan, Govindasamy" sort="Thanakrishnan, Govindasamy" uniqKey="Thanakrishnan G" first="Govindasamy" last="Thanakrishnan">Govindasamy Thanakrishnan</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">A multicentre evaluation of two intensive care unit triage protocols for use in an influenza pandemic.</title>
<author><name sortKey="Cheung, Winston K" sort="Cheung, Winston K" uniqKey="Cheung W" first="Winston K" last="Cheung">Winston K. Cheung</name>
<affiliation><nlm:affiliation>Concord Repatriation General Hospital, Sydney, NSW. winston.cheung@sswahs.nsw.gov.au</nlm:affiliation>
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<author><name sortKey="Myburgh, John" sort="Myburgh, John" uniqKey="Myburgh J" first="John" last="Myburgh">John Myburgh</name>
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<author><name sortKey="Seppelt, Ian M" sort="Seppelt, Ian M" uniqKey="Seppelt I" first="Ian M" last="Seppelt">Ian M. Seppelt</name>
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<author><name sortKey="Parr, Michael J" sort="Parr, Michael J" uniqKey="Parr M" first="Michael J" last="Parr">Michael J. Parr</name>
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<author><name sortKey="Blackwell, Nikki" sort="Blackwell, Nikki" uniqKey="Blackwell N" first="Nikki" last="Blackwell">Nikki Blackwell</name>
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<author><name sortKey="Demonte, Shannon" sort="Demonte, Shannon" uniqKey="Demonte S" first="Shannon" last="Demonte">Shannon Demonte</name>
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<author><name sortKey="Gandhi, Kalpesh" sort="Gandhi, Kalpesh" uniqKey="Gandhi K" first="Kalpesh" last="Gandhi">Kalpesh Gandhi</name>
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<author><name sortKey="Hoyling, Larissa" sort="Hoyling, Larissa" uniqKey="Hoyling L" first="Larissa" last="Hoyling">Larissa Hoyling</name>
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<author><name sortKey="Nair, Priya" sort="Nair, Priya" uniqKey="Nair P" first="Priya" last="Nair">Priya Nair</name>
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<author><name sortKey="Passer, Melissa" sort="Passer, Melissa" uniqKey="Passer M" first="Melissa" last="Passer">Melissa Passer</name>
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<author><name sortKey="Reynolds, Claire" sort="Reynolds, Claire" uniqKey="Reynolds C" first="Claire" last="Reynolds">Claire Reynolds</name>
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<author><name sortKey="Saunders, Nicholas M" sort="Saunders, Nicholas M" uniqKey="Saunders N" first="Nicholas M" last="Saunders">Nicholas M. Saunders</name>
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<author><name sortKey="Saxena, Manoj K" sort="Saxena, Manoj K" uniqKey="Saxena M" first="Manoj K" last="Saxena">Manoj K. Saxena</name>
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<author><name sortKey="Thanakrishnan, Govindasamy" sort="Thanakrishnan, Govindasamy" uniqKey="Thanakrishnan G" first="Govindasamy" last="Thanakrishnan">Govindasamy Thanakrishnan</name>
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<series><title level="j">The Medical journal of Australia</title>
<idno type="eISSN">1326-5377</idno>
<imprint><date when="2012" type="published">2012</date>
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<term>Clinical Protocols</term>
<term>Female</term>
<term>Humans</term>
<term>In Vitro Techniques</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (therapy)</term>
<term>Intensive Care Units (organization & administration)</term>
<term>Intensive Care Units (supply & distribution)</term>
<term>Middle Aged</term>
<term>Pandemics</term>
<term>Prospective Studies</term>
<term>Triage (methods)</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Australia</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Triage</term>
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<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Intensive Care Units</term>
</keywords>
<keywords scheme="MESH" qualifier="supply & distribution" xml:lang="en"><term>Intensive Care Units</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Clinical Protocols</term>
<term>Female</term>
<term>Humans</term>
<term>In Vitro Techniques</term>
<term>Middle Aged</term>
<term>Pandemics</term>
<term>Prospective Studies</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>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22860797</PMID>
<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>
<Initials>WK</Initials>
<AffiliationInfo><Affiliation>Concord Repatriation General Hospital, Sydney, NSW. winston.cheung@sswahs.nsw.gov.au</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Myburgh</LastName>
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<Author ValidYN="Y"><LastName>Seppelt</LastName>
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<Author ValidYN="Y"><LastName>Parr</LastName>
<ForeName>Michael J</ForeName>
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<Author ValidYN="Y"><CollectiveName>Influenza Pandemic ICU Triage Study Investigators</CollectiveName>
</Author>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D023362">Evaluation Study</PublicationType>
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<MedlineJournalInfo><Country>Australia</Country>
<MedlineTA>Med J Aust</MedlineTA>
<NlmUniqueID>0400714</NlmUniqueID>
<ISSNLinking>0025-729X</ISSNLinking>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D001315" MajorTopicYN="N" Type="Geographic">Australia</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
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<MeshHeading><DescriptorName UI="D002985" MajorTopicYN="N">Clinical Protocols</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D066298" MajorTopicYN="N">In Vitro Techniques</DescriptorName>
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<MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
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<MeshHeading><DescriptorName UI="D007362" MajorTopicYN="N">Intensive Care Units</DescriptorName>
<QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName>
<QualifierName UI="Q000600" MajorTopicYN="N">supply & distribution</QualifierName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014218" MajorTopicYN="N">Triage</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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