PandemieGrippaleV1, PubMed, Curation, bibRecord, 000681

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/Curation ); précédent : 000680; suivant : 000682

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.

Auteurs : B. Morton [Royaume-Uni] ; L. Tang [Royaume-Uni] ; R. Gale [Royaume-Uni] ; M. Kelly [Royaume-Uni] ; H. Robertson [Royaume-Uni] ; M. Mogk [Allemagne] ; N. Robin [Royaume-Uni] ; I. Welters [Royaume-Uni]

Source :

British journal of anaesthesia [ 1471-6771 ] ; 2015.

RBID : pubmed:25829394

Descripteurs français

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

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Le document en format XML

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<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>
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<term>Polymerase Chain Reaction</term>
<term>Predictive Value of Tests</term>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Grippe humaine ()</term>
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<term>Sous-type H1N1 du virus de la grippe A</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Triage ()</term>
<term>Valeur prédictive des tests</term>
<term>Ventilation artificielle ()</term>
<term>Études de cohortes</term>
<term>Études rétrospectives</term>
</keywords>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Grippe humaine</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Réaction de polymérisation en chaîne</term>
<term>Résultat thérapeutique</term>
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<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>
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<Month>07</Month>
<Day>27</Day>
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<Month>01</Month>
<Day>26</Day>
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<JournalIssue CitedMedium="Internet"><Volume>114</Volume>
<Issue>6</Issue>
<PubDate><Year>2015</Year>
<Month>Jun</Month>
</PubDate>
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<Title>British journal of anaesthesia</Title>
<ISOAbbreviation>Br J Anaesth</ISOAbbreviation>
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<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>
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<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>
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<AffiliationInfo><Affiliation>Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK ben.morton@lstmed.ac.uk.</Affiliation>
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</AffiliationInfo>
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</AffiliationInfo>
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<AffiliationInfo><Affiliation>Critical Care Department, Countess of Chester Hospital, UK.</Affiliation>
</AffiliationInfo>
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</AffiliationInfo>
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</MeshHeading>
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<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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EXPLOR_STEP=$WICRI_ROOT/Sante/explor/PandemieGrippaleV1/Data/PubMed/Curation

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000681 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/PubMed/Curation/biblio.hfd -nk 000681 | SxmlIndent | more

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{{Explor lien
   |wiki=    Sante
   |area=    PandemieGrippaleV1
   |flux=    PubMed
   |étape=   Curation
   |type=    RBID
   |clé=     pubmed:25829394
   |texte=   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.
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Curation/RBID.i   -Sk "pubmed:25829394" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Curation/biblio.hfd   \
       | NlmPubMed2Wicri -a PandemieGrippaleV1

This area was generated with Dilib version V0.6.34.
Data generation: Wed Jun 10 11:04:28 2020. Site generation: Sun Mar 28 09:10:28 2021

	Serveur d'exploration sur les pandémies grippales
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Serveur d'exploration sur les pandémies grippales

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.

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.

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