Inpatient Capacity at Children’s Hospitals during Pandemic (H1N1) 2009 Outbreak, United States

Quantifying how close hospitals came to exhausting capacity during the outbreak of pandemic influenza A (H1N1) 2009 can help the health care system plan for more virulent pandemics. This ecologic analysis used emergency department (ED) and inpatient data from 34 US children's hospitals. For the...

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Main Authors: Marion R. Sills, Matthew Hall, Evan S. Fieldston, Paul D. Hain, Harold K. Simon, Thomas V. Brogan, Daniel B. Fagbuyi, Michael B. Mundorff, Samir S. Shah
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2011-09-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/17/9/10-1950_article
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author Marion R. Sills
Matthew Hall
Evan S. Fieldston
Paul D. Hain
Harold K. Simon
Thomas V. Brogan
Daniel B. Fagbuyi
Michael B. Mundorff
Samir S. Shah
author_facet Marion R. Sills
Matthew Hall
Evan S. Fieldston
Paul D. Hain
Harold K. Simon
Thomas V. Brogan
Daniel B. Fagbuyi
Michael B. Mundorff
Samir S. Shah
author_sort Marion R. Sills
collection DOAJ
description Quantifying how close hospitals came to exhausting capacity during the outbreak of pandemic influenza A (H1N1) 2009 can help the health care system plan for more virulent pandemics. This ecologic analysis used emergency department (ED) and inpatient data from 34 US children's hospitals. For the 11-week pandemic (H1N1) 2009 period during fall 2009, inpatient occupancy reached 95%, which was lower than the 101% occupancy during the 2008–09 seasonal influenza period. Fewer than 1 additional admission per 10 inpatient beds would have caused hospitals to reach 100% occupancy. Using parameters based on historical precedent, we built 5 models projecting inpatient occupancy, varying the ED visit numbers and admission rate for influenza-related ED visits. The 5 scenarios projected median occupancy as high as 132% of capacity. The pandemic did not exhaust inpatient bed capacity, but a more virulent pandemic has the potential to push children’s hospitals past their maximum inpatient capacity.
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spelling doaj.art-ce9db4c59e104c2e8a982d2c073fab7e2022-12-22T03:43:24ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592011-09-011791685168110.3201/eid1709.101950Inpatient Capacity at Children’s Hospitals during Pandemic (H1N1) 2009 Outbreak, United StatesMarion R. SillsMatthew HallEvan S. FieldstonPaul D. HainHarold K. SimonThomas V. BroganDaniel B. FagbuyiMichael B. MundorffSamir S. ShahQuantifying how close hospitals came to exhausting capacity during the outbreak of pandemic influenza A (H1N1) 2009 can help the health care system plan for more virulent pandemics. This ecologic analysis used emergency department (ED) and inpatient data from 34 US children's hospitals. For the 11-week pandemic (H1N1) 2009 period during fall 2009, inpatient occupancy reached 95%, which was lower than the 101% occupancy during the 2008–09 seasonal influenza period. Fewer than 1 additional admission per 10 inpatient beds would have caused hospitals to reach 100% occupancy. Using parameters based on historical precedent, we built 5 models projecting inpatient occupancy, varying the ED visit numbers and admission rate for influenza-related ED visits. The 5 scenarios projected median occupancy as high as 132% of capacity. The pandemic did not exhaust inpatient bed capacity, but a more virulent pandemic has the potential to push children’s hospitals past their maximum inpatient capacity.https://wwwnc.cdc.gov/eid/article/17/9/10-1950_articlehospital bed capacityinfluenza A virus(H1N1) subtypepandemic (H1N1) 2009childpandemic
spellingShingle Marion R. Sills
Matthew Hall
Evan S. Fieldston
Paul D. Hain
Harold K. Simon
Thomas V. Brogan
Daniel B. Fagbuyi
Michael B. Mundorff
Samir S. Shah
Inpatient Capacity at Children’s Hospitals during Pandemic (H1N1) 2009 Outbreak, United States
Emerging Infectious Diseases
hospital bed capacity
influenza A virus
(H1N1) subtype
pandemic (H1N1) 2009
child
pandemic
title Inpatient Capacity at Children’s Hospitals during Pandemic (H1N1) 2009 Outbreak, United States
title_full Inpatient Capacity at Children’s Hospitals during Pandemic (H1N1) 2009 Outbreak, United States
title_fullStr Inpatient Capacity at Children’s Hospitals during Pandemic (H1N1) 2009 Outbreak, United States
title_full_unstemmed Inpatient Capacity at Children’s Hospitals during Pandemic (H1N1) 2009 Outbreak, United States
title_short Inpatient Capacity at Children’s Hospitals during Pandemic (H1N1) 2009 Outbreak, United States
title_sort inpatient capacity at children s hospitals during pandemic h1n1 2009 outbreak united states
topic hospital bed capacity
influenza A virus
(H1N1) subtype
pandemic (H1N1) 2009
child
pandemic
url https://wwwnc.cdc.gov/eid/article/17/9/10-1950_article
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