Medical care capacity for influenza outbreaks, Los Angeles.
Medical care capacity for influenza outbreaks, Los Angeles.
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DOI：
10.3201/eid0806.010370
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发表时间：
2002-06
影响因子：
11.8
通讯作者：
Fukuda K
中科院分区：
文献类型：
--
作者：
Glaser CA;Gilliam S;Thompson WW;Dassey DE;Waterman SH;Saruwatari M;Shapiro S;Fukuda K
1997年12月，媒体报道了洛杉矶县医院人满为患和“过去二十年来最严重的[流感疫情]”。我们发现，1997-98年流感季节的肺炎和流感死亡率、住院率和索赔率明显高于前六个季节。所研究的流感季节期间，紧急医疗服务（EMS）分流时间（当急诊科无法接收入院病人时）达到高峰；在1993-94年至1997-98年期间，每个季节的紧急医疗服务转诊时数也有所增加，这表明流感季节期间的医疗服务能力有所下降。在研究的七个流感季节中，获得许可的床位数量减少了12%，而拉丁美洲和加勒比地区的人口增加了5%。我们的研究结果表明，卫生保健系统处理流感季节患者就诊的能力正在减弱。
In December 1997, media reported hospital overcrowding and “the worst [flu epidemic] in the past two decades” in Los Angeles County (LAC). We found that rates of pneumonia and influenza deaths, hospitalizations, and claims were substantially higher for the 1997–98 influenza season than the previous six seasons. Hours of emergency medical services (EMS) diversion (when emergency departments could not receive incoming patients) peaked during the influenza seasons studied; the number of EMS diversion hours per season also increased during the seasons 1993–94 to 1997–98, suggesting a decrease in medical care capacity during influenza seasons. Over the seven influenza seasons studied, the number of licensed beds decreased 12%, while the LAC population increased 5%. Our findings suggest that the capacity of health-care systems to handle patient visits during influenza seasons is diminishing.
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影响因子：
6.4
作者：
Nordin, J;Mullooly, J;Nichol, KL
通讯作者：
Nichol, KL
影响因子：
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作者：
MCBEAN, AM;BABISH, JD;WARREN, JL
通讯作者：
WARREN, JL
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作者：
Derlet, RW;Richards, JR
通讯作者：
Richards, JR
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作者：
Meltzer MI;Cox NJ;Fukuda K
通讯作者：
Fukuda K
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作者：
Cox, NJ;Fukuda, K
通讯作者：
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