Winter virus season impact on acute dyspnoea in the emergency department
Winter virus season impact on acute dyspnoea in the emergency department
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DOI：
10.1111/crj.13081
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发表时间：
2019-09-10
影响因子：
1.7
通讯作者：
Balan, Frederic
中科院分区：
文献类型：
--
作者：
Christiaens, Hanae;Charpentier, Sandrine;Balan, Frederic
目的比较冬季病毒流行季节（WVS）和冬季病毒流行季节（WVS）急诊呼吸困难的流行病学特征。方法本研究为单中心回顾性队列研究。纳入了2016年9月（非WVS期间）和2017年1月（WVS期间）因呼吸困难到Rangueil大学医院（图卢兹，法国）艾德就诊的所有患者。主要终点是最终诊断。患者的医疗概况、护理持续时间、严重性和未来作为次要终点进行研究。结果共研究395例患者，其中流感非高峰期125例，流感高峰期270例。WVS期间因呼吸困难就诊的患者发生率显著增加（非WVS期间艾德就诊率为4.2%，WVS期间为8.4%，P < 0.001）。在WVS期间因呼吸困难就诊于艾德的患者年龄明显较大，医学背景更广泛，疾病更严重。这些患者中的大多数（54%）住院治疗，主要是在老年病科。结论在WVS期间，因呼吸困难就诊的患者发生率增加了一倍，患者年龄更大，病史更复杂。这一耗时的人群很大程度上需要住院治疗，这可能是流行病期间急诊室人满为患的原因之一。
Objective To compare the epidemiology of dyspnoea presented to emergency departments (EDs) during and of winter virus season (WVS). Methods 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. Results 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. Conclusion 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.