Impacts of rapid flu clinic services at an emergency department during the pandemic flu season

研究成果: Article

3 引文 (Scopus)

摘要

Background: We performed an assessment of an independent rapid flu clinic service (RFCS) unit, which was set up outside the emergency department (ED) during the 2009 H1N1 pandemic season. The unit was able to relieve the crowding of regular ambulatory and emergency services. Methods: Between August and December 2009, a total of 6,152 patients with influenza-like illness were enrolled in this observational retrospective study. Patients with positive influenza tests were interviewed to evaluate the efficiency of RFCS. Results: The mean length of stay (LOS) for the RFCS was 50 minutes, which was shorter than the LOS for ambulatory services (1 hour) and regular ED services (3.5 hours). Overall, 88% of patients were satisfied with the RFCS. Of 6,152 patients receiving flu tests, 1,235 (20%) had a positive result. Fever (odds ratio [OR], 4.28, 95% confidence interval [CI]: 3.11-5.89), fever combined with cough and sore throat (OR, 2.52; 95% CI: 2.18-2.92), fever combined with sore throat (OR, 2.42; 95% CI: 2.13-2.75), history of contacting confirmed flu patients within 7 days (OR, 2.40; 95% CI: 2.07-2.78), fever combined with cough (OR, 2.19; 95% CI: 1.92-2.47), sore throat (OR, 2.03, 95% CI: 1.79-2.30); and cough (OR, 1.91, 95% CI: 1.69-2.17) were significantly associated with positive influenza tests. Conclusion: Setting up the RFSC was beneficial to health care facilities during a pandemic flu season.

原文English
頁(從 - 到)165-169
頁數5
期刊American Journal of Infection Control
40
發行號2
DOIs
出版狀態Published - 2012 三月 1

指紋

Pandemics
Hospital Emergency Service
Odds Ratio
Confidence Intervals
Pharyngitis
Fever
Cough
Human Influenza
Length of Stay
Health Facilities
Observational Studies
Emergencies
Retrospective Studies
Delivery of Health Care

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

引用此文

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title = "Impacts of rapid flu clinic services at an emergency department during the pandemic flu season",
abstract = "Background: We performed an assessment of an independent rapid flu clinic service (RFCS) unit, which was set up outside the emergency department (ED) during the 2009 H1N1 pandemic season. The unit was able to relieve the crowding of regular ambulatory and emergency services. Methods: Between August and December 2009, a total of 6,152 patients with influenza-like illness were enrolled in this observational retrospective study. Patients with positive influenza tests were interviewed to evaluate the efficiency of RFCS. Results: The mean length of stay (LOS) for the RFCS was 50 minutes, which was shorter than the LOS for ambulatory services (1 hour) and regular ED services (3.5 hours). Overall, 88{\%} of patients were satisfied with the RFCS. Of 6,152 patients receiving flu tests, 1,235 (20{\%}) had a positive result. Fever (odds ratio [OR], 4.28, 95{\%} confidence interval [CI]: 3.11-5.89), fever combined with cough and sore throat (OR, 2.52; 95{\%} CI: 2.18-2.92), fever combined with sore throat (OR, 2.42; 95{\%} CI: 2.13-2.75), history of contacting confirmed flu patients within 7 days (OR, 2.40; 95{\%} CI: 2.07-2.78), fever combined with cough (OR, 2.19; 95{\%} CI: 1.92-2.47), sore throat (OR, 2.03, 95{\%} CI: 1.79-2.30); and cough (OR, 1.91, 95{\%} CI: 1.69-2.17) were significantly associated with positive influenza tests. Conclusion: Setting up the RFSC was beneficial to health care facilities during a pandemic flu season.",
author = "Shih, {Hsin I.} and Ho, {Tzong Shiann} and Chang, {Chia Ming} and Hsu, {Hsiang Chin} and Wang, {Shih Min} and Liu, {Ching Chuan} and Ko, {Wen Chien} and Wu, {Yi Hui} and Chiu, {Yen Ling} and Sheu, {Bor Shyang} and Chi, {Chih Hsien}",
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T1 - Impacts of rapid flu clinic services at an emergency department during the pandemic flu season

AU - Shih, Hsin I.

AU - Ho, Tzong Shiann

AU - Chang, Chia Ming

AU - Hsu, Hsiang Chin

AU - Wang, Shih Min

AU - Liu, Ching Chuan

AU - Ko, Wen Chien

AU - Wu, Yi Hui

AU - Chiu, Yen Ling

AU - Sheu, Bor Shyang

AU - Chi, Chih Hsien

PY - 2012/3/1

Y1 - 2012/3/1

N2 - Background: We performed an assessment of an independent rapid flu clinic service (RFCS) unit, which was set up outside the emergency department (ED) during the 2009 H1N1 pandemic season. The unit was able to relieve the crowding of regular ambulatory and emergency services. Methods: Between August and December 2009, a total of 6,152 patients with influenza-like illness were enrolled in this observational retrospective study. Patients with positive influenza tests were interviewed to evaluate the efficiency of RFCS. Results: The mean length of stay (LOS) for the RFCS was 50 minutes, which was shorter than the LOS for ambulatory services (1 hour) and regular ED services (3.5 hours). Overall, 88% of patients were satisfied with the RFCS. Of 6,152 patients receiving flu tests, 1,235 (20%) had a positive result. Fever (odds ratio [OR], 4.28, 95% confidence interval [CI]: 3.11-5.89), fever combined with cough and sore throat (OR, 2.52; 95% CI: 2.18-2.92), fever combined with sore throat (OR, 2.42; 95% CI: 2.13-2.75), history of contacting confirmed flu patients within 7 days (OR, 2.40; 95% CI: 2.07-2.78), fever combined with cough (OR, 2.19; 95% CI: 1.92-2.47), sore throat (OR, 2.03, 95% CI: 1.79-2.30); and cough (OR, 1.91, 95% CI: 1.69-2.17) were significantly associated with positive influenza tests. Conclusion: Setting up the RFSC was beneficial to health care facilities during a pandemic flu season.

AB - Background: We performed an assessment of an independent rapid flu clinic service (RFCS) unit, which was set up outside the emergency department (ED) during the 2009 H1N1 pandemic season. The unit was able to relieve the crowding of regular ambulatory and emergency services. Methods: Between August and December 2009, a total of 6,152 patients with influenza-like illness were enrolled in this observational retrospective study. Patients with positive influenza tests were interviewed to evaluate the efficiency of RFCS. Results: The mean length of stay (LOS) for the RFCS was 50 minutes, which was shorter than the LOS for ambulatory services (1 hour) and regular ED services (3.5 hours). Overall, 88% of patients were satisfied with the RFCS. Of 6,152 patients receiving flu tests, 1,235 (20%) had a positive result. Fever (odds ratio [OR], 4.28, 95% confidence interval [CI]: 3.11-5.89), fever combined with cough and sore throat (OR, 2.52; 95% CI: 2.18-2.92), fever combined with sore throat (OR, 2.42; 95% CI: 2.13-2.75), history of contacting confirmed flu patients within 7 days (OR, 2.40; 95% CI: 2.07-2.78), fever combined with cough (OR, 2.19; 95% CI: 1.92-2.47), sore throat (OR, 2.03, 95% CI: 1.79-2.30); and cough (OR, 1.91, 95% CI: 1.69-2.17) were significantly associated with positive influenza tests. Conclusion: Setting up the RFSC was beneficial to health care facilities during a pandemic flu season.

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