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首页> 外文期刊>Canadian Journal of Emergency Medicine >Influenza assessment centres: a case study of pandemic preparedness to alleviate excess emergency department volume
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Influenza assessment centres: a case study of pandemic preparedness to alleviate excess emergency department volume

机译：流感评估中心：以大流行防范为案例的案例研究，以减轻急诊科过多的需求

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Objectives:Influenza assessment centres (IACs) were deployed to reduce emergency department (ED) volumes during the pH1N1 influenza outbreak in the Kingston, Frontenac, Lennox and Addington (KFL&A) public health region of Ontario, Canada, in the fall of 2009. We present a case study for the deployment of IACs to reduce ED visit volume during both periods of pandemic and seasonal communicable disease outbreak.Methods:An emergency department syndromic surveillance system was used to trigger the deployment of eight geographically distributed IACs and to time their staggered closure 3 weeks later. We compared actual and expected ED visit volumes in the KFL&A region to neighbouring regions where no IACs operated by time series regression analysis before, during, and after IAC operation.Results:The deployment of IACs was triggered with a rise in overall ED volume at the hospitals in the KFL&A region to a level 10% above the 6-month running average. The IACs assessed 2,284 patients during 3 weeks of operation. Thirtythree patients were admitted directly to the hospital from the IACs, bypassing the EDs. During the operation of the IACs, the hospitals in the KFL&A region experienced a modest decrease in daily visits when compared to the 3 previous weeks. Overall ED visit volume in the hospitals in the neighbouring regions increased 105% during the period of IAC operation.Conclusions:Operating stand-alone influenza IACs may reduce ED volumes during periods of increased demand, as observed during an anticipated pandemic situation.
机译：目标：2009年秋天，在加拿大安大略省金斯敦，弗伦特纳克，伦诺克斯和阿丁顿（KFL＆A）公共卫生区，部署了流感评估中心（IAC）以减少急诊室（ED）的数量。我们方法：使用急诊科的症状监测系统触发八个地理上分布的IAC的部署并确定其错开的时间，以IAC的部署为例，以减少大流行和季节性传染病暴发期间急诊就诊的数量。 3周后。我们将KFL＆A地区的实际和预期的ED访问量与IAC运行之前，期间和之后未进行时间序列回归分析的IAC进行操作的邻近区域进行了比较。 KFL＆A地区的医院水平比6个月的运行平均值高出10％。 IAC在手术3周内评估了2,284例患者。 33名患者绕过急诊科直接从IAC入院。在IAC的运营过程中，与前3周相比，KFL＆A地区的医院的每日访问量有所下降。在IAC运作期间，邻近地区医院的整体ED访视量增加了105％。结论：如预期的大流行情况所示，独立流感IAC的运行可能会在需求增加期间减少ED量。

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