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Pandemic Influenza and Excess Intensive-Care Workload
This article provides estimates for peak demand for healthcare workers during an epidemic or pandemic, factoring in healthcare worker absenteeism and using estimates from published epidemiologic models on the expected evolution of pandemic influenza in relation to the impact on peak surge capacity of healthcare facilities and intensive care units. The article shows that even during the peak of a pandemic, all patients requiring hospital and ICU admission can be served, including those who have non-influenza-related conditions. Please Note: This record has been imported to the HSDL as part of the LLIS Consolidation project and has not yet been reviewed by HSDL staff. Some information may be incomplete, missing, or inaccurate. For more information on the LLIS Consolidation project, please see here: [http://www.hsdl.org/?llis]
Centers for Disease Control and Prevention (U.S.)
Nap, Raoul E.; Andriessen, Maarten P.H.M.; Meessen, Nico E.L. . . .
2008-10
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Pandemic Influenza and Hospital Resources
"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 (≈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 semi-structured 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."
Emerging Infectious Diseases
Nap, Raoul E.; Andriessen, Maarten P.H.M.; Meessen, Nico E.L. . . .
2007-11
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