Resource Burden at Children's Hospitals Experiencing Surge Volumes During the Spring 2009 H1N1 Influenza Pandemic.

Sills, Marion R.; Hall, Matthew; Simon, Harold K.; Fieldston, Evan S.; Walter, Nicholas; Levin, James E.; Brogan, Thomas V.; Hain, Paul D.; Goodman, Denise M.; Fritch-Levens, D. D.; Fagbuyi, Daniel B.; Mundorff, Michael B.; Libby, Anne M.; Anderson, Heather O.; Padula, William V.; Shah, Samir S.

Objectives: The objective was to describe the emergency department (ED) resource burden of the spring 2009 H1N1 influenza pandemic at U.S. children's hospitals by quantifying observed-to-expected utilization. Methods: The authors performed an ecologic analysis for April through July 2009 using data from 23 EDs in the Pediatric Health Information System (PHIS), an administrative database of widely distributed U.S. children's hospitals. All ED visits during the study period were included, and data from the 5 prior years were used for establishing expected values. Primary outcome measures included observed-to-expected ratios for ED visits for all reasons and for influenza-related illness (IRI).

UNITED States; ADRENOCORTICAL hormones; HORMONE therapy; ANTIVIRAL agents; BRONCHODILATOR agents; ANALYSIS of variance; CHILDREN'S hospitals; CLASSIFICATION; COMPUTER software; CONFIDENCE intervals; DATABASES; EMERGENCY medical services; ETHNIC groups; HOSPITAL admission & discharge; HOSPITAL emergency services; MEDICAL information storage & retrieval systems; HEALTH insurance; MEDICAL care use; NOSOLOGY; HEALTH outcome assessment; PATIENTS; PRESSURE breathing; RESEARCH funding; TIME series analysis; COMORBIDITY; DATA analysis; SECONDARY analysis; SEVERITY of illness index; CHILDREN; H1N1 influenza; DIAGNOSIS; THERAPEUTICS

Academic Emergency Medicine, 2011, Vol 18, Issue 2, p158

1069-6563

Academic Journal

10.1111/j.1553-2712.2010.00992.x