Impact of the 2009 influenza A (H1N1) virus pandemic on the emergency department of a tertiary hospital

The 2009 H1N1 influenza A virus infection pandemic was an important challenge for public health systems worldwide. A prospective study including all patients with an influenza-like illness, with microbiological criteria for 2009 H1N1 virus, from July to December 2009 seen in the paediatric emergency...

Full description

Saved in:
Bibliographic Details
Published in:Anales de pediatría (Barcelona, Spain : 2003) Spain : 2003), 2011-07, Vol.75 (1), p.13-20
Main Authors: Lera Carballo, E, Wörner, N T, Sancosmed Ron, M, Fàbregas Martori, A, Casquero Cossío, A, Cebrián Rubio, R
Format: Article
Language:Spanish
Subjects:
Child
Child, Preschool
Emergency Service, Hospital
Female
Hospitals
Humans
Influenza A Virus, H1N1 Subtype
Influenza, Human - epidemiology
Male
Pandemics
Prospective Studies
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page 20
container_issue 1
container_start_page 13
container_title Anales de pediatría (Barcelona, Spain : 2003)
container_volume 75
creator Lera Carballo, E
Wörner, N T
Sancosmed Ron, M
Fàbregas Martori, A
Casquero Cossío, A
Cebrián Rubio, R
description The 2009 H1N1 influenza A virus infection pandemic was an important challenge for public health systems worldwide. A prospective study including all patients with an influenza-like illness, with microbiological criteria for 2009 H1N1 virus, from July to December 2009 seen in the paediatric emergency department. Viral testing was performed using multiplex real-time reverse transcription polymerase chain reaction (RT-PCR). We analysed the number of visits to, and hospital admissions from, our emergency department. We compared patients with laboratory-confirmed 2009 H1N1 virus with non-confirmed ones. A total of 1144 patients with microbiological criteria were identified. Of these, 513 (44.8%) were admitted to hospital, 12 of them (1%) to the PICU and 3 (0.3%) died. The majority of the patients (824; 72%) had some underlying medical condition. Of the 1144 patients, 412 (36%) had RT-PCR confirmed 2009 H1N1 infection, and 732 (64%) were not confirmed. The mean age of patients with 2009 H1N1 infection was higher than those not infected (median age: 7.4 vs 4.1 years; p
doi_str_mv 10.1016/j.anpedi.2011.01.006
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_882084938</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>882084938</sourcerecordid><originalsourceid>FETCH-LOGICAL-p140t-66c6f23f55ec9663b5b772a71b5f2bc99697af8582806d45af337dbe0f66ffba3</originalsourceid><addsrcrecordid>eNo1kF1LwzAYhYMgbk7_gUju1IvVfDRpcjlE3WDojV6XtH2zZbRpbFJh_nrHnHDg3Dw8HA5CN5RklFD5uMuMD9C4jBFKM3IIkWdoSqUWcy04naDLGHeEMCVZcYEmjOaMaCqnaLPqgqkT7i1OW8CMEI2dt-0I_sfgBb5f0jf6gL_dMEYcjG-gczXu_ZGGDoYN-HqPGwhmSB34o8ngBENyZtjjbR-DS6a9QufWtBGuTz1Dny_PH0_L-fr9dfW0WM8DzUmaS1lLy7gVAmotJa9EVRTMFLQSllW11lIXxiqhmCKyyYWxnBdNBcRKaW1l-Azd_XnD0H-NEFPZuVhD2xoP_RhLpRhRuebqQN6eyLHqoCnD4LrD4vL_G_4LtUJlRw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>882084938</pqid></control><display><type>article</type><title>Impact of the 2009 influenza A (H1N1) virus pandemic on the emergency department of a tertiary hospital</title><source>ScienceDirect Journals</source><creator>Lera Carballo, E ; Wörner, N T ; Sancosmed Ron, M ; Fàbregas Martori, A ; Casquero Cossío, A ; Cebrián Rubio, R</creator><creatorcontrib>Lera Carballo, E ; Wörner, N T ; Sancosmed Ron, M ; Fàbregas Martori, A ; Casquero Cossío, A ; Cebrián Rubio, R</creatorcontrib><description>The 2009 H1N1 influenza A virus infection pandemic was an important challenge for public health systems worldwide. A prospective study including all patients with an influenza-like illness, with microbiological criteria for 2009 H1N1 virus, from July to December 2009 seen in the paediatric emergency department. Viral testing was performed using multiplex real-time reverse transcription polymerase chain reaction (RT-PCR). We analysed the number of visits to, and hospital admissions from, our emergency department. We compared patients with laboratory-confirmed 2009 H1N1 virus with non-confirmed ones. A total of 1144 patients with microbiological criteria were identified. Of these, 513 (44.8%) were admitted to hospital, 12 of them (1%) to the PICU and 3 (0.3%) died. The majority of the patients (824; 72%) had some underlying medical condition. Of the 1144 patients, 412 (36%) had RT-PCR confirmed 2009 H1N1 infection, and 732 (64%) were not confirmed. The mean age of patients with 2009 H1N1 infection was higher than those not infected (median age: 7.4 vs 4.1 years; p&lt;.001). Laboratory-confirmed 2009 pandemic H1N1 influenza patients had more underlying high-risk conditions (OR: 2.21 [1.65-2.96]), suffered from pneumonia in less cases (OR: 0.33 [0.23-0.49]) and were admitted to hospital in less cases (OR: 0.19 [0.14-0.24]). In our emergency department, we identified an important increase in the number of visits (12%) and admissions (5.7%) compared to the previous year, 2008. The 2009 pandemic H1N1 influenza caused significant morbidity but the mortality was not significant. The majority of children with laboratory-confirmed 2009 H1N1 virus had uncomplicated illnesses despite the increased presence of high-risk conditions.</description><identifier>EISSN: 1695-9531</identifier><identifier>DOI: 10.1016/j.anpedi.2011.01.006</identifier><identifier>PMID: 21420916</identifier><language>spa</language><publisher>Spain</publisher><subject>Child ; Child, Preschool ; Emergency Service, Hospital ; Female ; Hospitals ; Humans ; Influenza A Virus, H1N1 Subtype ; Influenza, Human - epidemiology ; Male ; Pandemics ; Prospective Studies</subject><ispartof>Anales de pediatría (Barcelona, Spain : 2003), 2011-07, Vol.75 (1), p.13-20</ispartof><rights>Copyright © 2010 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21420916$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lera Carballo, E</creatorcontrib><creatorcontrib>Wörner, N T</creatorcontrib><creatorcontrib>Sancosmed Ron, M</creatorcontrib><creatorcontrib>Fàbregas Martori, A</creatorcontrib><creatorcontrib>Casquero Cossío, A</creatorcontrib><creatorcontrib>Cebrián Rubio, R</creatorcontrib><title>Impact of the 2009 influenza A (H1N1) virus pandemic on the emergency department of a tertiary hospital</title><title>Anales de pediatría (Barcelona, Spain : 2003)</title><addtitle>An Pediatr (Barc)</addtitle><description>The 2009 H1N1 influenza A virus infection pandemic was an important challenge for public health systems worldwide. A prospective study including all patients with an influenza-like illness, with microbiological criteria for 2009 H1N1 virus, from July to December 2009 seen in the paediatric emergency department. Viral testing was performed using multiplex real-time reverse transcription polymerase chain reaction (RT-PCR). We analysed the number of visits to, and hospital admissions from, our emergency department. We compared patients with laboratory-confirmed 2009 H1N1 virus with non-confirmed ones. A total of 1144 patients with microbiological criteria were identified. Of these, 513 (44.8%) were admitted to hospital, 12 of them (1%) to the PICU and 3 (0.3%) died. The majority of the patients (824; 72%) had some underlying medical condition. Of the 1144 patients, 412 (36%) had RT-PCR confirmed 2009 H1N1 infection, and 732 (64%) were not confirmed. The mean age of patients with 2009 H1N1 infection was higher than those not infected (median age: 7.4 vs 4.1 years; p&lt;.001). Laboratory-confirmed 2009 pandemic H1N1 influenza patients had more underlying high-risk conditions (OR: 2.21 [1.65-2.96]), suffered from pneumonia in less cases (OR: 0.33 [0.23-0.49]) and were admitted to hospital in less cases (OR: 0.19 [0.14-0.24]). In our emergency department, we identified an important increase in the number of visits (12%) and admissions (5.7%) compared to the previous year, 2008. The 2009 pandemic H1N1 influenza caused significant morbidity but the mortality was not significant. The majority of children with laboratory-confirmed 2009 H1N1 virus had uncomplicated illnesses despite the increased presence of high-risk conditions.</description><subject>Child</subject><subject>Child, Preschool</subject><subject>Emergency Service, Hospital</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Influenza A Virus, H1N1 Subtype</subject><subject>Influenza, Human - epidemiology</subject><subject>Male</subject><subject>Pandemics</subject><subject>Prospective Studies</subject><issn>1695-9531</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNo1kF1LwzAYhYMgbk7_gUju1IvVfDRpcjlE3WDojV6XtH2zZbRpbFJh_nrHnHDg3Dw8HA5CN5RklFD5uMuMD9C4jBFKM3IIkWdoSqUWcy04naDLGHeEMCVZcYEmjOaMaCqnaLPqgqkT7i1OW8CMEI2dt-0I_sfgBb5f0jf6gL_dMEYcjG-gczXu_ZGGDoYN-HqPGwhmSB34o8ngBENyZtjjbR-DS6a9QufWtBGuTz1Dny_PH0_L-fr9dfW0WM8DzUmaS1lLy7gVAmotJa9EVRTMFLQSllW11lIXxiqhmCKyyYWxnBdNBcRKaW1l-Azd_XnD0H-NEFPZuVhD2xoP_RhLpRhRuebqQN6eyLHqoCnD4LrD4vL_G_4LtUJlRw</recordid><startdate>201107</startdate><enddate>201107</enddate><creator>Lera Carballo, E</creator><creator>Wörner, N T</creator><creator>Sancosmed Ron, M</creator><creator>Fàbregas Martori, A</creator><creator>Casquero Cossío, A</creator><creator>Cebrián Rubio, R</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201107</creationdate><title>Impact of the 2009 influenza A (H1N1) virus pandemic on the emergency department of a tertiary hospital</title><author>Lera Carballo, E ; Wörner, N T ; Sancosmed Ron, M ; Fàbregas Martori, A ; Casquero Cossío, A ; Cebrián Rubio, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p140t-66c6f23f55ec9663b5b772a71b5f2bc99697af8582806d45af337dbe0f66ffba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2011</creationdate><topic>Child</topic><topic>Child, Preschool</topic><topic>Emergency Service, Hospital</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Influenza A Virus, H1N1 Subtype</topic><topic>Influenza, Human - epidemiology</topic><topic>Male</topic><topic>Pandemics</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lera Carballo, E</creatorcontrib><creatorcontrib>Wörner, N T</creatorcontrib><creatorcontrib>Sancosmed Ron, M</creatorcontrib><creatorcontrib>Fàbregas Martori, A</creatorcontrib><creatorcontrib>Casquero Cossío, A</creatorcontrib><creatorcontrib>Cebrián Rubio, R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Anales de pediatría (Barcelona, Spain : 2003)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lera Carballo, E</au><au>Wörner, N T</au><au>Sancosmed Ron, M</au><au>Fàbregas Martori, A</au><au>Casquero Cossío, A</au><au>Cebrián Rubio, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of the 2009 influenza A (H1N1) virus pandemic on the emergency department of a tertiary hospital</atitle><jtitle>Anales de pediatría (Barcelona, Spain : 2003)</jtitle><addtitle>An Pediatr (Barc)</addtitle><date>2011-07</date><risdate>2011</risdate><volume>75</volume><issue>1</issue><spage>13</spage><epage>20</epage><pages>13-20</pages><eissn>1695-9531</eissn><abstract>The 2009 H1N1 influenza A virus infection pandemic was an important challenge for public health systems worldwide. A prospective study including all patients with an influenza-like illness, with microbiological criteria for 2009 H1N1 virus, from July to December 2009 seen in the paediatric emergency department. Viral testing was performed using multiplex real-time reverse transcription polymerase chain reaction (RT-PCR). We analysed the number of visits to, and hospital admissions from, our emergency department. We compared patients with laboratory-confirmed 2009 H1N1 virus with non-confirmed ones. A total of 1144 patients with microbiological criteria were identified. Of these, 513 (44.8%) were admitted to hospital, 12 of them (1%) to the PICU and 3 (0.3%) died. The majority of the patients (824; 72%) had some underlying medical condition. Of the 1144 patients, 412 (36%) had RT-PCR confirmed 2009 H1N1 infection, and 732 (64%) were not confirmed. The mean age of patients with 2009 H1N1 infection was higher than those not infected (median age: 7.4 vs 4.1 years; p&lt;.001). Laboratory-confirmed 2009 pandemic H1N1 influenza patients had more underlying high-risk conditions (OR: 2.21 [1.65-2.96]), suffered from pneumonia in less cases (OR: 0.33 [0.23-0.49]) and were admitted to hospital in less cases (OR: 0.19 [0.14-0.24]). In our emergency department, we identified an important increase in the number of visits (12%) and admissions (5.7%) compared to the previous year, 2008. The 2009 pandemic H1N1 influenza caused significant morbidity but the mortality was not significant. The majority of children with laboratory-confirmed 2009 H1N1 virus had uncomplicated illnesses despite the increased presence of high-risk conditions.</abstract><cop>Spain</cop><pmid>21420916</pmid><doi>10.1016/j.anpedi.2011.01.006</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier EISSN: 1695-9531
ispartof Anales de pediatría (Barcelona, Spain : 2003), 2011-07, Vol.75 (1), p.13-20
issn 1695-9531
language spa
recordid cdi_proquest_miscellaneous_882084938
source ScienceDirect Journals
subjects Child
Child, Preschool
Emergency Service, Hospital
Female
Hospitals
Humans
Influenza A Virus, H1N1 Subtype
Influenza, Human - epidemiology
Male
Pandemics
Prospective Studies
title Impact of the 2009 influenza A (H1N1) virus pandemic on the emergency department of a tertiary hospital
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-10T13%3A30%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20of%20the%202009%20influenza%20A%20(H1N1)%20virus%20pandemic%20on%20the%20emergency%20department%20of%20a%20tertiary%20hospital&rft.jtitle=Anales%20de%20pediatr%C3%ADa%20(Barcelona,%20Spain%20:%202003)&rft.au=Lera%20Carballo,%20E&rft.date=2011-07&rft.volume=75&rft.issue=1&rft.spage=13&rft.epage=20&rft.pages=13-20&rft.eissn=1695-9531&rft_id=info:doi/10.1016/j.anpedi.2011.01.006&rft_dat=%3Cproquest_pubme%3E882084938%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-p140t-66c6f23f55ec9663b5b772a71b5f2bc99697af8582806d45af337dbe0f66ffba3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=882084938&rft_id=info:pmid/21420916&rfr_iscdi=true