Broadening Access to Medical Care During a Severe Influenza Pandemic: The CDC Nurse Triage Line Project

Koonin, Lisa M.; Hanfling, Dan

doi:10.1089/bsp.2013.0012

Cited by 17 publications

(15 citation statements)

References 18 publications

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“…For example, the implementation of nurse triage telephone lines to facilitate antiviral prescribing could help reduce treatment delays [48, 49] and pre-dispensing of antivirals to individuals at high-risk of complications from influenza has also been suggested as a means of ensuring timely treatment of those most at risk of severe outcomes [50]. Temporary vaccination clinics were used to increase coverage during the 2009 H1N1 pandemic vaccination campaign and such dispensing points could also be considered for antiviral distribution [51].…”

Section: Discussionmentioning

confidence: 99%

Estimating the United States Demand for Influenza Antivirals and the Effect on Severe Influenza Disease During a Potential Pandemic

O’Hagan

Wong

Campbell

et al. 2015

Clinical Infectious Diseases

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Following the detection of a novel influenza strain, A(H7N9), we modeled the use of antiviral treatment in the United States to mitigate severe disease across a range of hypothetical pandemic scenarios. Our outcomes were total demand for antiviral (neuraminidase inhibitor) treatment and the number of hospitalizations and deaths averted. The model included estimates of attack rate, healthcare-seeking behavior, prescription rates, adherence, disease severity, and the potential effect of antivirals on the risks of hospitalization and death. Based on these inputs, the total antiviral regimens estimated to be available in the United States (as of April 2013) were sufficient to meet treatment needs for the scenarios considered. However, distribution logistics were not examined and should be addressed in future work. Treatment was estimated to avert many severe outcomes (5,200–248,000 deaths; 4,800–504,000 hospitalizations); however, large numbers remained (25,000–425,000 deaths; 583,000–3,700,000 hospitalizations), suggesting that the impact of combinations of interventions should be examined.

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Section: Discussionmentioning

confidence: 99%

Estimating the United States Demand for Influenza Antivirals and the Effect on Severe Influenza Disease During a Potential Pandemic

O’Hagan

Wong

Campbell

et al. 2015

Clinical Infectious Diseases

Self Cite

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“…Previous strategies include installation of nationwide nurse-staffed telephone triage lines, with the aim of reducing the increased demands for health care advice and assessment during a pandemic. Such measures were successful in triaging callers and providing clinical advice, including information about ongoing flu pandemics (6,11,12). During the wake of the current COVID-19 pandemic, the Copenhagen EMS implemented a system aimed at diverting mild COVID-19-related calls to the EMS.…”

Section: Introductionmentioning

confidence: 99%

Strategies to Handle Increased Demand in the COVID-19 Crisis: A Coronavirus EMS Support Track and a Web-Based Self-Triage System

Jensen¹,

Holgersen²,

Jespersen³

et al. 2020

Prehospital Emergency Care

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Background: In emergencies, such as the COVID-19 pandemic, there is an increased need for contact with emergency medical services (EMS), and call volume might surpass capacity. The Copenhagen EMS operates two telephone line the 1-1-2 emergency number and the 1813 medical helpline. A separate coronavirus support track was implemented on the 1813 medical helpline and a web-based self-triage (web triage) system was created to reduce non-emergency call volume. The aim of this paper is to present call volume and the two measures implemented to handle the increased call volume to the Copenhagen EMS. Methods: This is a cross sectional observational study. Call volume and queue time is presented in the first month of the COVID-19 pandemic (27th

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“…had the same aim of reducing call volume to the EMS [13]. One of the unresolved questions in the publication was whether the alternative call lines played a prominent role in a pandemic response to meet patients' needs and reduce the surge in healthcare facilities [13]. In Copenhagen, the coronavirus hotline managed almost the same number of calls as the EMS in the peak of the surge around March 11.…”

Section: Discussionmentioning

confidence: 99%

Strategies to Handle Increased Demand in the COVID-19 Crisis a Corona Telephone Hotline and a Web-based Self-triage System

Jensen¹,

Holgersen

Jespersen

et al. 2020

Preprint

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BackgroundIn emergencies, such as the COVID-19 pandemic, there is an increased need for contact withemergency medical services (EMS), and call volume might surpass capacity. Thus, the Copenhagen EMS in Denmark implemented a separate coronavirus hotline followed by a web-based self-triage system to reduce nonemergency call volume. The aim of this paper is to present the two measures implemented to handle the increased call volume to the Copenhagen EMSfromthose with mild or no relevant COVID-19 symptoms.MethodsThis is a cross sectional observational study monitoring call volume in the first month of the COVID-19 pandemic in accumulated callnumbers, compared to the equivalent numbers during one month from the year before (2019). A coronavirus hotline and web-based self-triage system arepresented in absolute numbers of users.ResultsIn the first month of the COVID-19 pandemic in Copenhagen, emergency medical dispatch centers were extensively overloaded with more than 10.800 calls, resulting in significantly prolonged queue time (mean time in minutes:12:02; CI: 11:55-12:09)) compared to 2019 (mean time in minutes02:23; CI: 02:22-02:25) and thereby limiting access to emergency assistance and triage for citizens. The introduction of the coronavirus hotline showed reduced call volume and queue time to the EMS. The web-based self-triage system was used more than 107.000 times. However, no correlation between call volume and the use of a web-based self-triage systemwas observed.ConclusionsCreating a coronavirus hotlinestaffed by healthcare personnelseemed to have an impact on call volume and potentially relieved the strain in resources, while the web-based self-triage system was widely used and could be further developed to reach itsfull potential. Other EMS organizations can implement these measures to enhance capacity in a future epidemic.

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Broadening Access to Medical Care During a Severe Influenza Pandemic: The CDC Nurse Triage Line Project

Cited by 17 publications

References 18 publications

Estimating the United States Demand for Influenza Antivirals and the Effect on Severe Influenza Disease During a Potential Pandemic

Estimating the United States Demand for Influenza Antivirals and the Effect on Severe Influenza Disease During a Potential Pandemic

Strategies to Handle Increased Demand in the COVID-19 Crisis: A Coronavirus EMS Support Track and a Web-Based Self-Triage System

Strategies to Handle Increased Demand in the COVID-19 Crisis a Corona Telephone Hotline and a Web-based Self-triage System

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