geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

The PAndemic INfluenza Triage in the Emergency Department (PAINTED) pilot cohort study


, : The PAndemic INfluenza Triage in the Emergency Department (PAINTED) pilot cohort study. Health Technology Assessment 19(3): V-Xxi, 1-69

Research needs to be undertaken rapidly in the event of an influenza pandemic to develop and evaluate triage methods for people presenting to the emergency department with suspected pandemic influenza. We aimed to pilot a research study to be undertaken in a pandemic to identify the most accurate triage method for patients presenting to the emergency department with suspected pandemic influenza. The objectives of the pilot study were to develop a standardised clinical assessment form and secure online database; test both using data from patients with seasonal influenza; seek clinician views on the usability of the form; and obtain all regulatory approvals required for the main study. Study methods were piloted using an observational cohort study and clinician views were sought using qualitative, semistructured interviews. Six acute hospital emergency departments. Patients attending the emergency department with suspected seasonal influenza during winter 2012-13 and clinicians working in the emergency departments. Adverse events up to 30 days were identified, but analysis of the pilot data was limited to descriptive reporting of patient flow, data completeness and patient characteristics. Some 165 patients were identified, of whom 10 withdrew their data, leaving 155 (94%) for analysis. Follow-up data were available for 129 of 155 (83%), with 50 of 129 (39%) being admitted to hospital. Three cases (2%) were recorded as having suffered an adverse outcome. There appeared to be variation between the hospitals, allowing for small numbers. Three of the hospitals identified 150 of 165 (91%) of the patients, and all 10 withdrawing patients were at the same hospital. The proportion with missing follow-up data varied from 8% to 31%, and the proportion admitted varied from 4% to 85% across the three hospitals with meaningful numbers of cases. All of the deaths were at one hospital. There was less variation between hospitals in rates of missing data, and for most key variables missing rates were between 5% and 30%. Higher missing rates were recorded for blood pressure (39%), inspired oxygen (43%), capillary refill (36%) and Glasgow Coma Scale score (43%). Chest radiography was performed in 51 of 118 cases, and electrocardiography in 40 of 111 cases with details recorded. Blood test results were available for 32 of 155 cases. The qualitative interviews revealed generally positive views towards the standardised assessment form. Concerns about lack of space for free text were raised but counterbalanced by appreciation that it fitted on to one A4 page. A number of amendments were suggested but only three of these were suggested by more than one participant, and no suggestions were made by more than two participants. A standardised assessment form is acceptable to clinicians and could be used to collect research data in an influenza pandemic, but analysis may be limited by missing data. An observational cohort study to identify the most accurate triage method for predicting severe illness in emergency department attendees with suspected pandemic influenza is set up and ready to activate if, or when, a pandemic occurs. Current Controlled Trials ISRCTN56149622. This project was funded by the NIHR Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 19, No. 3. See the NIHR Journals Library website for further project information.

US$19.90

PMID: 25587699

DOI: 10.3310/hta19030


Other references

Gunckel, L., H., 1978: Chilean species of the genus Salicornia Linneo (Chenopodiaceae). Noticiario mensual Museo Nacional de Historia Natural 22(259): 7-8

Arndt, W., 1937: Scwamme. Pax & Arndt. Die Rohstoffe des Tierreichs Berlin : 1: 1577-2000

Selyatitskaya, V.G.; Pinkhasov, B.B.; Karapetyan, A.R.; Kuz'minova, O.I., 2015: Adipokines and a risk for metabolic disturbances in different types of female obesity. Цель исследования. Изучить влияние адипонектина и лептина на развитие метаболических нарушений у женщин с андроидным и гиноидным тип...

Kuffler, D.P., 2016: Improving the ability to eliminate wounds and pressure ulcers. Pressure ulcers can be initiated by as little as 2 hours of constant pressure on the ski, that blocks blood circulation causing the skin and underlying tissues to die, leading to an open wound that never heals, but continues to grow in diameter an...

Huzl, F.; Joachimsthaler, J.; Sykora, J.; Syblik, J., 1960: Lead poisoning in ceramic industry. Pracovni Lekarstvi 12: 256-259

Bosnea, D.; Apetrei, C.; Covic, A.; Covic, M., 2000: The evaluation of noninvasive samples for detecting anti-cytomegalovirus IgG antibodies. Patients admitted in dialysis centers are at greatest risk to achieve blood-borne infections. One of the most frequent is the cytomegalovirus infection, acquired from transfused blood products. The aim of our study was to determine the prevalence...

Leo, S.; Bianchi, K.; Brini, M.; Rizzuto, R., 2005: Mitochondrial calcium signalling in cell death - Delivered on 1 July 2004 at the 29th FEBS Congress in Warsaw. The development of targeted probes (based on the molecular engineering of luminescent or fluorescent proteins) has allowed the specific measurement of [Ca2+] in intracellular organelles or cytoplasmic subdomains. This approach gave novel informati...

Fournioux, J.C.; Bessis, R., 1984: Physiology of vine growth: foliar influences. Either all or half of the shoots of vines of the cv. Pinot Noir were defoliated systematically from bud break onwards. Defoliation of all shoots reduced shoot length, due to shortened internodes, although leaf initiation continued for a longer per...

Miller M.F.; Johnson K.G., 1977: Ichnofossils of the Tully clastic correlatives in eastern New York State. Pages (A-2, 1-29 [B-2, 1-29] 1977

Chatham, P.M.; Tibbals, C.J.; Harrington, M.E., 1993: The MMPI and the MCMI in the evaluation of narcissism in a clinical sample. Narcissistic and nonnarcissistic groups of psychiatric patients (n = 35 in each group) were formed on the basis of a criterion comprised of clinical judgment and scores on the Narcissistic Personality Inventory and compared on the Minnesota Multip...