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| ID | Type | Description | Link |
|---|---|---|---|
| 1969303 v 0 | Other Identifier | CNIL |
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Epidemics and infectious diseases in general, punctuate much of the activity of an emergency service. The impact of winter infections is particularly important to vulnerable populations such as infant during bronchiolitis epidemics and the elderly during seasonal influenza. Each year, these epidemic phenomena lead to disorganization of emergency services and healthcare teams by lack of anticipation and organizational measures in particular to manage the approval of emergency services for the most vulnerable populations requiring hospitalization.
For 2 years, the pediatric emergency department of St Etienne University Hospital has a decision support tool for the periods of winter epidemics. Through a retrospective analysis of Passages of Emergency summary, this tool provides an estimate of infants with bronchiolitis flow day to day, and the availability in real time of an abnormally high flow of patients to pediatric emergencies. These data can help to affirm that the epidemic begins in this hospital.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| patients < 24 months or 60 years with bronchiolitis or ARF | ARF = Acute Renal Failure |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| data retrieval | Other | data retrieval with the Hospital Information System |
|
| Measure | Description | Time Frame |
|---|---|---|
| build a predictive tool | a tool with different levels of alerts of the influx of people aged to emergencies during winter epidemics. Variables in the model : activity database in emergency services, computer data, virology database and average length of stay. | at inclusion |
| Measure | Description | Time Frame |
|---|---|---|
| Difference between the estimated date and the effective date of the activity peak on the average length of stay of patients in the hospital of Saint Etienne | at inclusion | |
| Difference between the estimated date and the effective date of the activity peak on the average length of stay of patients in the other hospitals |
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Inclusion Criteria:
Exclusion Criteria:
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child < 24 months with bronchiolitis or elderly < 60 years with acute renal failure
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| Name | Affiliation | Role |
|---|---|---|
| Olivier MORY, MD | Centre Hospitalier Universitaire de Saint Etienne | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Grenoble (adult emergency service) | Grenoble | 38000 | France | |||
| CHU de Grenoble (pediatric service) |
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| at inclusion |
| Comparison virological databases with clinical diagnosis of patients | at inclusion |
| Percentage of elderly staying more than 10 hours in the emergency services. | at inclusion |
| Grenoble |
| 38000 |
| France |
| CHU de Lyon (adult emergency service) | Lyon | 69000 | France |
| CHU de Lyon (laboratory of virology) | Lyon | 69000 | France |
| CHU de Lyon HFME (pediatric service) | Lyon | 69000 | France |
| CHU de Saint Etienne (adult emergency service) | Saint-Etienne | 42055 | France |
| CHU de Saint Etienne (Pediatric service) | Saint-Etienne | 42055 | France |
| CH de Valence (adult emergency service) | Valence | 26000 | France |
| CH de Valence (pediatric service) | Valence | 26000 | France |
| CH de Villefranche (adult emergency service) | Villefranche-sur-Saône | 69655 | France |
| CH de Villefranche (pediatric service) | Villefranche-sur-Saône | 69655 | France |
| ID | Term |
|---|---|
| D001988 | Bronchiolitis |
| D058186 | Acute Kidney Injury |
| ID | Term |
|---|---|
| D001991 | Bronchitis |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
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