Winter virus season impact on acute dyspnoea in the emergency department.
Upper respiratory infection
dyspnoea
emergency department
epidemiology
Journal
The clinical respiratory journal
ISSN: 1752-699X
Titre abrégé: Clin Respir J
Pays: England
ID NLM: 101315570
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
received:
01
06
2019
revised:
15
08
2019
accepted:
16
08
2019
pubmed:
10
9
2019
medline:
17
3
2020
entrez:
10
9
2019
Statut:
ppublish
Résumé
To compare the epidemiology of dyspnoea presented to emergency departments (EDs) during and of winter virus season (WVS). This is a monocentric retrospective cohort study. All patients attending to the ED of the Rangueil University Hospital (Toulouse, France) for dyspnoea in September 2016 (off WVS period) and January 2017 (during WVS period) were included. The primary endpoint was the final diagnosis. The patients' medical profiles, care duration, seriousness and futures were studied as secondary endpoints. A total of 395 patients were studied: 125 patients during off-peak influenza season and 270 patients during the peak influenza season. The incidence of patients attending because of dyspnoea increased significantly during WVS (4.2% of ED presentations during the off WVS period versus 8.4% during the WVS period, P < 0.001). Patients attending the ED because of dyspnoea during WVS period were significantly older with more extensive medical backgrounds and more serious diseases. Most of those patients were hospitalized (54%), and largely in the geriatrics department. The incidence of patients attending because of dyspnoea doubled during the WVS period, with patients who were older and had more complex histories. This time-consuming population largely requires hospitalization and may be one of the causes of the emergency department's overcrowding during epidemics.
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
722-727Informations de copyright
© 2019 John Wiley & Sons Ltd.
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