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A multicentre evaluation of two intensive care unit triage protocols for use in an influenza pandemic.

Identifieur interne : 000C38 ( PubMed/Corpus ); précédent : 000C37; suivant : 000C39

A 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 Thanakrishnan

Source :

RBID : pubmed:22860797

English descriptors

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:22860797

Le document en format XML

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<title xml:lang="en">A multicentre evaluation of two intensive care unit triage protocols for use in an influenza pandemic.</title>
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<name sortKey="Cheung, Winston K" sort="Cheung, Winston K" uniqKey="Cheung W" first="Winston K" last="Cheung">Winston K. Cheung</name>
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<name sortKey="Myburgh, John" sort="Myburgh, John" uniqKey="Myburgh J" first="John" last="Myburgh">John Myburgh</name>
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<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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<name sortKey="Hoyling, Larissa" sort="Hoyling, Larissa" uniqKey="Hoyling L" first="Larissa" last="Hoyling">Larissa Hoyling</name>
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<name sortKey="Thanakrishnan, Govindasamy" sort="Thanakrishnan, Govindasamy" uniqKey="Thanakrishnan G" first="Govindasamy" last="Thanakrishnan">Govindasamy Thanakrishnan</name>
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<name sortKey="Myburgh, John" sort="Myburgh, John" uniqKey="Myburgh J" first="John" last="Myburgh">John Myburgh</name>
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<name sortKey="Passer, Melissa" sort="Passer, Melissa" uniqKey="Passer M" first="Melissa" last="Passer">Melissa Passer</name>
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<name sortKey="Reynolds, Claire" sort="Reynolds, Claire" uniqKey="Reynolds C" first="Claire" last="Reynolds">Claire Reynolds</name>
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<name sortKey="Thanakrishnan, Govindasamy" sort="Thanakrishnan, Govindasamy" uniqKey="Thanakrishnan G" first="Govindasamy" last="Thanakrishnan">Govindasamy Thanakrishnan</name>
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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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<term>Australia</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Influenza, Human</term>
</keywords>
<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>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Influenza, Human</term>
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<term>Clinical Protocols</term>
<term>Female</term>
<term>Humans</term>
<term>In Vitro Techniques</term>
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<term>Pandemics</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>
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<DateCompleted>
<Year>2012</Year>
<Month>10</Month>
<Day>15</Day>
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<DateRevised>
<Year>2019</Year>
<Month>12</Month>
<Day>10</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1326-5377</ISSN>
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<Volume>197</Volume>
<Issue>3</Issue>
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<Year>2012</Year>
<Month>Aug</Month>
<Day>06</Day>
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<Title>The Medical journal of Australia</Title>
<ISOAbbreviation>Med. J. Aust.</ISOAbbreviation>
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<ArticleTitle>A multicentre evaluation of two intensive care unit triage protocols for use in an influenza pandemic.</ArticleTitle>
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<MedlinePgn>178-81</MedlinePgn>
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<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>
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