Evidence map›Paper›PMID 25886745›Full record

ArticleBMC infectious diseases2015

Assessing the use of hospital staff influenza-like absence (ILA) for enhancing hospital preparedness and national surveillance.

Lydia N Drumright, Simon D W Frost, Alex J Elliot, Mike Catchpole, Richard G Pebody, Mark Atkins, John Harrison, Penny Parker, Alison H Holmes

Abstract read
In one paragraph

Article in BMC infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Lydia N DrumrightDepartment of Medicine, University of Cambridge, Cambridge, UK. lnd23@medschl.cam.ac.uk.
Simon D W FrostDepartment of Veterinary Medicine, University of Cambridge, Cambridge, UK. sdf22@cam.ac.uk.
Alex J ElliotReal-time Syndromic Surveillance Team, Public Health England, Birmingham, UK. alex.elliot@phe.gov.uk.
Mike CatchpoleCentre for Infectious Disease Surveillance and Control, Public Health England, London, UK. mike.catchpole@ecdc.europa.eu.
Richard G PebodyCentre for Infectious Disease Surveillance and Control, Public Health England, London, UK. richard.pebody@phe.gov.uk.
Mark AtkinsDepartment of Virology, Imperial College Healthcare NHS Trust, London, UK. m.atkins@imperial.ac.uk.
John HarrisonDepartment of Occupational Health, Imperial College Healthcare NHS Trust, London, UK. john.harrison@imperial.nhs.uk.
Penny ParkerDepartment of Human Resources, Imperial College Healthcare NHS Trust, London, UK. penny.parker@imperial.nhs.uk.
Alison H HolmesNational Centre for Infection Prevention and Management and National Institute for Health Research Health Protection Research Unit in Healthcare Associated Infection and Antimicrobial Resistance Imperial College London, London, UK. alison.holmes@imperial.ac.uk.

Funding

Department of Health CDF-2011-04-017Medical Research Council G0800777
6 · The paper itself

Abstract

backgroundEarly warning and robust estimation of influenza burden are critical to inform hospital preparedness and operational, treatment, and vaccination policies. Methods to enhance influenza-like illness (ILI) surveillance are regularly reviewed. We investigated the use of hospital staff 'influenza-like absences' (hospital staff-ILA), i.e. absence attributed to colds and influenza, to improve capture of influenza dynamics and provide resilience for hospitals.

methodsNumbers and rates of hospital staff-ILA were compared to regional surveillance data on ILI primary-care presentations (15-64 years) and to counts of laboratory confirmed cases among hospitalised patients from April 2008 to April 2013 inclusive. Analyses were used to determine comparability of the ILI and hospital-ILA and how systems compared in early warning and estimating the burden of disease.

resultsAmong 20,021 reported hospital-ILA and 4661 community ILI cases, correlations in counts were high and consistency in illness measurements was observed. In time series analyses, both hospital-ILA and ILI showed similar timing of the seasonal component. Hospital-ILA data often commenced and peaked earlier than ILI according to a Bayesian prospective alarm algorithm. Hospital-ILA rates were more comparable to model-based estimates of 'true' influenza burden than ILI.

conclusionsHospital-ILA appears to have the potential to be a robust, yet simple syndromic surveillance method that could be used to enhance estimates of disease burden and early warning, and assist with local hospital preparedness.

Indexed as

AbsenteeismEpidemiological MonitoringQuality ImprovementAdolescentAdultAlgorithmsCivil DefenseFemaleHumansInfluenza A Virus, H1N1 SubtypeInfluenza, HumanMaleMiddle AgedPersonnel, HospitalPrimary Health CareProspective Studies

Identifiers

PMID25886745
PMCPMC4381490

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.