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Seasonal burden of severe influenza virus infection in the critically ill patients, using the Assistance Publique-Hôpitaux de Paris clinical data warehouse: a pilot study

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العنوان:	Seasonal burden of severe influenza virus infection in the critically ill patients, using the Assistance Publique-Hôpitaux de Paris clinical data warehouse: a pilot study
المؤلفون:	Laurent Guérin, Keyvan Razazi, Pierre Trouiller, Nathanael Lapidus, Laurent Savale, Sarah Benghanem, Nicholas Heming, Muriel Fartoukh, Benjamin Planquette, Eric Maury, Jean-Luc Diehl, Yacine Tandjaoui-Lambiotte, Etienne de Montmollin, F. Carrat, Virginie Lemiale, Antoine Vieillard-Baron, Jean-Damien Ricard, Jonathan Marey, Morgane Faure, Alain Combes, Guillaume Voiriot
المساهمون:	Service de Réanimation et USC Médico-Chirurgicale = Médecine intensive réanimation [CHU Tenon], CHU Tenon [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), AP-HP Hôpital Bicêtre (Le Kremlin-Bicêtre), Infection, Anti-microbiens, Modélisation, Evolution (IAME (UMR_S_1137 / U1137)), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité)-Université Sorbonne Paris Nord, CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Unité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Research Unit on Cardiovascular and Metabolic Diseases (ICAN), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU)-Institut de Cardiométabolisme et Nutrition = Institute of Cardiometabolism and Nutrition [CHU Pitié Salpêtrière] (IHU ICAN), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-CHU Pitié-Salpêtrière [AP-HP], Service de Pneumologie et Réanimation Médicale [CHU Pitié-Salpêtrière] (Département ' R3S '), Medical Intensive Care Unit [Paris] (Medical-ICU), AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Hôpital Avicenne [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Hôpital Ambroise Paré [AP-HP], Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, Service de Réanimation Médicale [CHU Saint-Antoine], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Saint-Antoine [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Sorbonne Université (SU), Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), Hôpital Européen Georges Pompidou [APHP] (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), CHU Henri Mondor, Hopital Saint-Louis [AP-HP] (AP-HP), AP-HP - Hôpital Antoine Béclère [Clamart], Centre de Référence de l’Hypertension Pulmonaire Sévère [CHU Le Kremlin Bicêtre], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-AP-HP Hôpital Bicêtre (Le Kremlin-Bicêtre), Hôpital Raymond Poincaré [AP-HP], Université de Versailles Saint-Quentin-en-Yvelines - UFR Sciences de la santé Simone Veil (UVSQ Santé), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Service de pneumologie [CHU Cochin], Hôpital Cochin [AP-HP], Service de santé publique [CHU Saint-Antoine], Michel Djibré, Jean Louis Teboul, Jonathan Messika, Alexandre Demoule, Jean Paul Mira, Jean-François Timsit, Yves Cohen, Bernard Page, Armand Mekontso Dessap, Elie Azoulay, Olivier Sanchez, Marc Humbert, Djillali Annane, Nicolas Roche, HAL-SU, Gestionnaire
المصدر:	Annals of Intensive Care Annals of Intensive Care, 2021, 11 (1), pp.117. ⟨10.1186/s13613-021-00884-8⟩ Annals of Intensive Care, Vol 11, Iss 1, Pp 1-11 (2021)
بيانات النشر:	Springer Science and Business Media LLC, 2021.
سنة النشر:	2021
مصطلحات موضوعية:	0301 basic medicine, medicine.medical_specialty, 030106 microbiology, Epidemic, Context (language use), Critical Care and Intensive Care Medicine, Assistance Publique-Hôpitaux de Paris (AP-HP) clinical data warehouse, 03 medical and health sciences, 0302 clinical medicine, Intensive care, Anesthesiology, medicine, Flu season, 030212 general & internal medicine, [SDV.MHEP] Life Sciences [q-bio]/Human health and pathology, RC86-88.9, business.industry, Research, Medical record, Mortality rate, Medical emergencies. Critical care. Intensive care. First aid, Emergency department, Prognosis, Influenza, Critical care, Life support, Emergency medicine, business, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
الوصف:	Purpose At the critical care level, the flu surveillance system is limited in France, with heterogeneous regional modalities of implementation. Materials, patients and methods We aimed at assessing the relevance of the Assistance Publique-Hôpitaux de Paris (AP-HP) clinical data warehouse for estimating the burden of the influenza epidemic on medical adult critical care units of the AP-HP, and outcome of patients during the flu season 2017–2018. This exploratory multi-site epidemiological study comprised all consecutive adult stays (n = 320) in 18 medical intensive care units (ICU) or intermediate care wards (ICW) for probable or confirmed Influenza virus infection during the 2017–2018 flu season. Results Patients admitted to ICU/ICW had low vaccination coverage (21%), required life support in 60% of cases, stayed in the ICU for a median of 8 days, and had high 28-day mortality rate (19.7%; 95% confidence interval 15.5–24.5). Early prognostic factors included age, core temperature, the acute organ failures score, and the early administration of antiviral therapy. Conclusions Data directly extracted from the electronic medical records stored in the data warehouse provide detailed clinical, care pathway and prognosis information. The real-time availability should enable to detect and assess the burden of the most severe cases. By a firmer and more acute monitoring and adjustment of care and patient management, hospitals could generate more ICU/ICW capacities, sensitize their emergency department and contribute to the recommendations from health authorities. This pilot study is of particular relevance in the context of emerging epidemics of severe acute respiratory diseases.
وصف الملف:	application/pdf
تدمد:	2110-5820
URL الوصول:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1405901e9effb2db5b29a01ff73eff02 https://doi.org/10.1186/s13613-021-00884-8
حقوق:	OPEN
رقم الأكسشن:	edsair.doi.dedup.....1405901e9effb2db5b29a01ff73eff02
قاعدة البيانات:	OpenAIRE

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تدمد:	21105820