tetano
Editor, Senior Moderator
Interest of a simple on-line screening registry for measuring ICU burden related to an Influenza pandemic
Jean-Christophe M Richard, Tai Pham, Christian Brun-Buisson, Jean Reignier, Alain Mercat, Gaetan Beduneau, Bernard Regnier, Bruno Mourvillier, Christophe Guitton, Matthias Castanier, Alain Combes, Yves Le Tulzo, Laurent Brochard and Reseau europeen de recherche en Ventilation Artificielle (reva)
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Critical Care 2012, 16:R118 doi:10.1186/cc11412
Published: 9 July 2012
Abstract (provisional)
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
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 to 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. 391 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.
http://ccforum.com/content/pdf/cc11412.pdf
Jean-Christophe M Richard, Tai Pham, Christian Brun-Buisson, Jean Reignier, Alain Mercat, Gaetan Beduneau, Bernard Regnier, Bruno Mourvillier, Christophe Guitton, Matthias Castanier, Alain Combes, Yves Le Tulzo, Laurent Brochard and Reseau europeen de recherche en Ventilation Artificielle (reva)
For all author emails, please log on.
Critical Care 2012, 16:R118 doi:10.1186/cc11412
Published: 9 July 2012
Abstract (provisional)
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
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 to 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. 391 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.
http://ccforum.com/content/pdf/cc11412.pdf