Skip to Main content Skip to Navigation
Journal articles

Factors associated with single-room assignment among patients admitted through the emergency department during influenza epidemics

Abstract : Introduction: Every winter, emergency departments (EDs) face overcrowding with patients presenting influenza-like symptoms, and organisational issues such as single room assignment and droplet precautions to avoid hospital-acquired influenza. Our main objective was to assess the impact of PCR results and patient's severity on single room assignment. Methods: All patients admitted to Bichat-Claude Bernard Hospital through the ED and tested for influenza by PCR (GenXpert, Cepheid) or (FilmArray, BioMérieux) on a nasopharyngeal swab were retrospectively included during three influenza seasons (2015-2018. Results: Of 1,330 included patients, 278 (20.9%) had a positive PCR for influenza. The median time to obtain a PCR result was 19 hours, and 238 (18.3%) patients were assigned a single room. Among patients with positive and negative influenza PCR, 22.3% and 16.7% were assigned a single room (p = 0.03). The multivariable analysis was performed on the two first epidemic periods, excluding the third epidemic because of the concomitant use of influenza immune-chromatic test. Only level 1 of the Emergency severity index (ESI) (aOR, 1.9; 95% CI, 1.3-2.8; p < 0.01) was associated with single-room assignment. PCR result was not statistically associated with the decision of single room assignment (aOR, 1.4; 95%CI, 1.0-1.4; p = 0.07). Conclusion: A PCR positive for influenza was not significantly associated with single-room assignment. Less than one quarter of influenza patients were adequately assigned a single room, likely due to the long turnaround time of PCR result and other conflicting indications for single room-assignment. Accelerating biological diagnosis could improve single-room assignment.
Complete list of metadatas

Cited literature [25 references]  Display  Hide  Download

https://www.hal.inserm.fr/inserm-02974037
Contributor : Myriam Bodescot <>
Submitted on : Wednesday, October 21, 2020 - 2:58:37 PM
Last modification on : Saturday, October 24, 2020 - 3:37:12 AM

File

journal.pone.0237214.pdf
Publication funded by an institution

Identifiers

Collections

Citation

Donia Bouzid, Benoit Visseaux, Anne Perozziello, Xavier Lescure, Xavier Duval, et al.. Factors associated with single-room assignment among patients admitted through the emergency department during influenza epidemics. PLoS ONE, Public Library of Science, 2020, 15 (8), pp.e0237214. ⟨10.1371/journal.pone.0237214⟩. ⟨inserm-02974037⟩

Share

Metrics

Record views

32

Files downloads

57