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Evaluating the Increased Burden of Cardiorespiratory Illness Visits to Adult Emergency Departments During Flu and Bronchiolitis Outbreaks in the Pediatric Population: Retrospective Multicentric Time Series Analysis

Authors :
Benoit Morel
Guillaume Bouleux
Alain Viallon
Maxime Maignan
Luc Provoost
Jean-Christophe Bernadac
Sarah Devidal
Sylvie Pillet
Aymeric Cantais
Olivier Mory
Source :
JMIR Public Health and Surveillance, Vol 8, Iss 3, p e25532 (2022)
Publication Year :
2022
Publisher :
JMIR Publications, 2022.

Abstract

BackgroundCardiorespiratory decompensation (CRD) visits have a profound effect on adult emergency departments (EDs). Respiratory pathogens like respiratory syncytial virus (RSV) and influenza virus are common reasons for increased activity in pediatric EDs and are associated with CRD in the adult population. Given the seasonal aspects of such challenging pathology, it would be advantageous to predict their variations. ObjectiveThe goal of this study was to evaluate the increased burden of CRD in adult EDs during flu and bronchiolitis outbreaks in the pediatric population. MethodsAn ecological study was conducted, based on admissions to the adult ED of the Centre Hospitalier Universitaire (CHU) of Grenoble and Saint Etienne from June 29, 2015 to March 22, 2020. The outbreak periods for bronchiolitis and flu in the pediatric population were defined with a decision-making support tool, PREDAFLU, used in the pediatric ED. A Kruskal-Wallis variance analysis and a Spearman monotone dependency were performed in order to study the relationship between the number of adult ED admissions for the International Classification of Diseases (ICD)-10 codes related to cardiorespiratory diagnoses and the presence of an epidemic outbreak as defined with PREDAFLU. ResultsThe increase in visits to the adult ED for CRD and the bronchiolitis and flu outbreaks had a similar distribution pattern (CHU Saint Etienne: χ23=102.7, P

Details

Language :
English
ISSN :
23692960
Volume :
8
Issue :
3
Database :
Directory of Open Access Journals
Journal :
JMIR Public Health and Surveillance
Publication Type :
Academic Journal
Accession number :
edsdoj.2314ecd710de4086bcc7acf42559a58f
Document Type :
article
Full Text :
https://doi.org/10.2196/25532