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H1N1 Influenza 2009: A descriptive study of the response of an influenza assessment clinic collaborating with an emergency...
research team<br />Mr Jamie Ranse1,2<br />Mr Shane Lenson3<br />Mr Matthew Luther4<br />Dr Lily Xiao1<br />1. University o...
overview<br />Background	<br />Aims<br />Method<br />Results<br />Discussion<br />
background<br />In June 2009 the WHO elevated their pandemic index to Phase 6.<br />Worldwide as at February 2010:<br />21...
background: emergency departments<br />30% increase in patient presentations<br />Change in function<br />Strategies<br />...
background: influenza assessment clinic<br />Opened based on ED demand / trigger points<br />First day clinic on 26th May ...
aim<br />This study described the profile of patients presenting to the IAC and ED with influenza-like symptoms, and teste...
method<br />Design<br />This study was retrospective in nature, utilising a descriptive study design<br />Setting<br />Cal...
method<br />Sample and population <br />Non-probability purposive sampling <br />All patients that presented to the Calvar...
method: data collection<br />Data collection<br />Retrospectively from an existing ED patient information system<br />IAC ...
method<br />Data analysis<br />Demographic characteristics for Descriptive statistics<br />t-test for interval data<br />M...
results<br />Frequency of presentations<br />
results<br />Frequency of presentations<br />
results<br />Frequency of presentations<br />
results<br />Demographics<br />
results<br />Admissions and discharges<br />
results<br />Admissions and discharges<br />
results<br />Admissions and discharges<br />
results<br />Caseload<br />
discussion<br />Increase in patient presentations on average of 36 per day; similar to the Victorian experience of a 30% i...
discussion<br />Patients who presented to the ED were younger (M=23) than the IAC (M=30)<br />Few of the patients that pre...
discussion<br />A sustainable IAC like model needs to exist<br />Test models during seasonal influenza periods, rather tha...
limitations<br />A single Australian IAC and ED<br />Results may differ in differing influenza strains <br />Did not provi...
moreinformation?<br />				Australasian Emergency Nursing Journal<br />Australian Journal of Emergency Management<br />
H1N1 Influenza 2009: A descriptive study of the response of an influenza assessment clinic collaborating with an emergency...
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H1N1 2009 influenza (human swine influenza): A descriptive study of the response of an influenza assessment clinic collaborating with an emergency department in Australia

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Paper presented at the 8th International Conference for Emergency Nurses, Canberra, Australia, 16th October 2010.

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H1N1 2009 influenza (human swine influenza): A descriptive study of the response of an influenza assessment clinic collaborating with an emergency department in Australia

  1. 1. H1N1 Influenza 2009: A descriptive study of the response of an influenza assessment clinic collaborating with an emergency department in Australia<br />Jamie Ranse<br />LecturerDisciplines of Nursing and MidwiferyFaculty of Health <br />University of Canberra<br />Phone: +61 (0)2 6201 5380Fax: +61 (0)2 6201 5128<br />Email: jamie.ranse@canberra.edu.au <br />Blog: www.jamieranse.com<br />Twitter: jamieranse<br />
  2. 2. research team<br />Mr Jamie Ranse1,2<br />Mr Shane Lenson3<br />Mr Matthew Luther4<br />Dr Lily Xiao1<br />1. University of Canberra<br />2. Flinders University<br />3. Royal College of Nursing, Australia <br />4. Calvary Health Care ACT<br />Research Grant<br />ACT Health: Practice Development Grant<br />
  3. 3. overview<br />Background <br />Aims<br />Method<br />Results<br />Discussion<br />
  4. 4. background<br />In June 2009 the WHO elevated their pandemic index to Phase 6.<br />Worldwide as at February 2010:<br />213 countries<br />16,455 deaths<br />Australia as at February 2010:<br />37,700+ cases<br />13% hospitalised (M = 31 yrs)<br />14% of these required ICU (M= 40yrs)<br />191 deaths (M=48 yrs)<br />
  5. 5. background: emergency departments<br />30% increase in patient presentations<br />Change in function<br />Strategies<br />Separate triage areas<br />Surge clinics<br />Influenza Assessment Clinic (IAC)<br />
  6. 6. background: influenza assessment clinic<br />Opened based on ED demand / trigger points<br />First day clinic on 26th May 2009<br />Monday – Friday; 0900 – 1700<br />Surge outside business hours<br />Collocated<br />
  7. 7. aim<br />This study described the profile of patients presenting to the IAC and ED with influenza-like symptoms, and tested the relationships that influenced the collaboration between the IAC and ED.<br />
  8. 8. method<br />Design<br />This study was retrospective in nature, utilising a descriptive study design<br />Setting<br />Calvary Hospital is a 334 bed community hospital in the city of Canberra, in the Australian Capital Territory<br />The public ED has approximately 45,000 presentations per annum<br />Canberra is an inland city of approximately 350,000 people<br />
  9. 9. method<br />Sample and population <br />Non-probability purposive sampling <br />All patients that presented to the Calvary Hospital IAC and ED during the period of 3 June 2009 to 3 July 2009<br />Sample included all presentations from the above population that presented with influenza-like symptoms, and included a total of 1106 persons<br />
  10. 10. method: data collection<br />Data collection<br />Retrospectively from an existing ED patient information system<br />IAC utilised an existing ED patient information system<br />An independent identifying code, as a data collection and patient tracking tool. <br />Date, time, complaint, disposition and demographic information.<br />
  11. 11. method<br />Data analysis<br />Demographic characteristics for Descriptive statistics<br />t-test for interval data<br />Mann-Whitney U test for ordinal data<br />Chi-square test for nominal data<br />Protection of human participants<br />Approved by a human research ethics committee <br />
  12. 12. results<br />Frequency of presentations<br />
  13. 13. results<br />Frequency of presentations<br />
  14. 14. results<br />Frequency of presentations<br />
  15. 15. results<br />Demographics<br />
  16. 16. results<br />Admissions and discharges<br />
  17. 17. results<br />Admissions and discharges<br />
  18. 18. results<br />Admissions and discharges<br />
  19. 19. results<br />Caseload<br />
  20. 20. discussion<br />Increase in patient presentations on average of 36 per day; similar to the Victorian experience of a 30% increase <br />Patients presented in the AM<br />Research should explore factors that influence patient presentation times<br />IAC on a surge basis<br />
  21. 21. discussion<br />Patients who presented to the ED were younger (M=23) than the IAC (M=30)<br />Few of the patients that presented were over the age of 65 (N=24/1106; 2.2%)<br />Need to report nationally (ILS)<br />
  22. 22. discussion<br />A sustainable IAC like model needs to exist<br />Test models during seasonal influenza periods, rather than a reactive composition during a pandemic response.<br />Prospective data collection<br />
  23. 23. limitations<br />A single Australian IAC and ED<br />Results may differ in differing influenza strains <br />Did not provide epidemiological information about the attack rate of confirmed H1N1 2009 <br />
  24. 24. moreinformation?<br /> Australasian Emergency Nursing Journal<br />Australian Journal of Emergency Management<br />
  25. 25. H1N1 Influenza 2009: A descriptive study of the response of an influenza assessment clinic collaborating with an emergency department in Australia<br />Jamie Ranse<br />LecturerDisciplines of Nursing and MidwiferyFaculty of Health <br />University of Canberra<br />Phone: +61 (0)2 6201 5380Fax: +61 (0)2 6201 5128<br />Email: jamie.ranse@canberra.edu.au <br />Blog: www.jamieranse.com<br />Twitter: jamieranse<br />

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