Pandemic Influenza and Hospital Resources

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Nap, Raoul E. ; Andriessen, Maarten P.H.M. ; Meessen, Nico E.L. ; van der Werf, Tjip S.
• Description:
  Using estimates from the Centers for Disease Control and Prevention, the World Health Organization, and published models of the expected evolution of pandemic influenza, we modeled the surge capacity of healthcare facility and intensive care unit (ICU) requirements over time in northern Netherlands (approximately 1.7 million population). We compared the demands of various scenarios with estimates of maximum ICU capacity, factoring in healthcare worker absenteeism as well as reported and realistic estimates derived from semistructured telephone interviews with key management in ICUs in the study area. We show that even during the peak of the pandemic, most patients requiring ICU admission may be served, even those who have non-influenza-related conditions, provided that strong indications and decision-making rules are maintained for admission as well as for continuation (or discontinuation) of life support. Such a model should be integral to a preparedness plan for a pandemic with a new human-transmissible agent.
• Subjects:
  Absenteeism Adolescent Adult Aged Animals Birds Child Child, Preschool Disease Outbreaks Health Care Costs Health Facilities Health Manpower Humans Infant Influenza, Human Influenza A Virus Influenza In Birds Middle Aged Netherlands Research Space Simulation

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• Source:
  Emerg Infect Dis. 13(11):1714-1719.
• Document Type:
  Journal Article
• Volume:
  13
• Issue:
  11
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:09c882f5d0e45b35e82da5da5737f90c8e4625f77a3373b7c5c8711614d89364
• Download URL:
  https://stacks.cdc.gov/view/cdc/16700/cdc_16700_DS1.pdf
• File Type:
  [PDF - 396.63 KB ]