Title |
Interest of a simple on-line screening registry for measuring ICU burden related to an influenza pandemic
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Published in |
Critical Care, July 2012
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DOI | 10.1186/cc11412 |
Pubmed ID | |
Authors |
Jean-Christophe Marie Richard, Tài Pham, Christian Brun-Buisson, Jean Reignier, Alain Mercat, Gaëtan Beduneau, Bernard Régnier, Bruno Mourvillier, Christophe Guitton, Matthias Castanier, Alain Combes, Yves Le Tulzo, Laurent Brochard, the REVA study group |
Abstract |
ABSTRACT: INTRODUCTION: The specific burden imposed on Intensive Care Units (ICUs) during the A/H1N1 influenza 2009 pandemic has been poorly explored. An on-line screening registry allowed a daily report of ICU beds occupancy rate by flu infected patients (Flu-OR) admitted in French ICUs. METHODS: We conducted a prospective inception cohort study with results of an on-line screening registry designed for daily assessment of ICU burden. RESULTS: Among the 108 centers participating to the French H1N1 research network on mechanical ventilation (REVA) - French Society of Intensive Care (SRLF) registry, 69 ICUs belonging to seven large geographical areas voluntarily participated in a website screening-registry. The aim was to daily assess the ICU beds occupancy rate by influenza-infected and non-infected patients for at least three weeks. Three hundred ninety-one critically ill infected patients were enrolled in the cohort, representing a subset of 35% of the whole French 2009 pandemic cohort; 73% were mechanically ventilated, 13% required extra corporal membrane oxygenation (ECMO) and 22% died. The global Flu-OR in these ICUs was only 7.6%, but it exceeded a predefined 15% critical threshold in 32 ICUs for a total of 103 weeks. Flu-ORs were significantly higher in University than in non-University hospitals. The peak ICU burden was poorly predicted by observations obtained at the level of large geographical areas. CONCLUSIONS: The peak Flu-OR during the pandemic significantly exceeded a 15% critical threshold in almost half of the ICUs, with an uneven distribution with time, geographical areas and between University and non-University hospitals. An on-line assessment of Flu-OR via a simple dedicated registry may contribute to better match resources and needs. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 50% |
Practitioners (doctors, other healthcare professionals) | 1 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Colombia | 1 | 5% |
Brazil | 1 | 5% |
Unknown | 19 | 90% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 4 | 19% |
Student > Master | 4 | 19% |
Researcher | 3 | 14% |
Student > Doctoral Student | 2 | 10% |
Student > Bachelor | 1 | 5% |
Other | 5 | 24% |
Unknown | 2 | 10% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 13 | 62% |
Unspecified | 1 | 5% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 5% |
Nursing and Health Professions | 1 | 5% |
Business, Management and Accounting | 1 | 5% |
Other | 2 | 10% |
Unknown | 2 | 10% |