Hospitalization rates among dialysis patients during Hurricane Katrina.

Abstract:

INTRODUCTION:Dialysis centers struggled to maintain continuity of care for dialysis patients during and immediately following Hurricane Katrina's landfall on the US Gulf Coast in August 2005. However, the impact on patient health and service use is unclear. PROBLEM:The impact of Hurricane Katrina on hospitalization rates among dialysis patients was estimated. METHODS:Data from the United States Renal Data System were used to identify patients receiving dialysis from January 1, 2001 through August 29, 2005 at clinics that experienced service disruptions during Hurricane Katrina. A repeated events duration model was used with a time-varying Hurricane Katrina indicator to estimate trends in hospitalization rates. Trends were estimated separately by cause: surgical hospitalizations, medical, non-renal-related hospitalizations, and renal-related hospitalizations. RESULTS:The rate ratio for all-cause hospitalization associated with the time-varying Hurricane Katrina indicator was 1.16 (95% CI, 1.05-1.29; P = .004). The ratios for cause-specific hospitalization were: surgery, 0.84 (95% CI, 0.68-1.04; P = .11); renal-related admissions, 2.53 (95% CI, 2.09-3.06); P < .001), and medical non-renal related, 1.04 (95% CI, 0.89-1.20; P = .63). The estimated number of excess renal-related hospital admissions attributable to Katrina was 140, representing approximately three percent of dialysis patients at the affected clinics. CONCLUSIONS:Hospitalization rates among dialysis patients increased in the month following the Hurricane Katrina landfall, suggesting that providers and patients were not adequately prepared for large-scale disasters.

journal_name

Prehosp Disaster Med

authors

Howard D,Zhang R,Huang Y,Kutner N

doi

10.1017/S1049023X12000945

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

325-9

issue

4

eissn

1049-023X

issn

1945-1938

pii

S1049023X12000945

journal_volume

27

pub_type

杂志文章
  • Making disaster care count: consensus formulation of measures of effectiveness for natural disaster acute phase medical response.

    abstract:INTRODUCTION:No standard exists for provision of care following catastrophic natural disasters. Host nations, funders, and overseeing agencies need a method to identify the most effective interventions when allocating finite resources. Measures of effectiveness are real-time indicators that can be used to link early ac...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X14000922

    authors: Daftary RK,Cruz AT,Reaves EJ,Burkle FM,Christian MD,Fagbuyi DB,Garrett AL,Kapur GB,Sirbaugh PE

    更新日期:2014-10-01 00:00:00

  • Profile of emergency medical dispatch calls for breathing problems within the medical priority dispatch system protocol.

    abstract:INTRODUCTION:A common chief complaint to emergency dispatch communication centers worldwide is "breathing problems". The chief complaint of breathing problems represents a wide spectrum of underlying diseases, patient conditions, and onset types. The current debate is on the potential ability of a dispatch protocol to ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00006142

    authors: Clawson J,Olola C,Heward A,Patterson B,Scott G

    更新日期:2008-09-01 00:00:00

  • Terrorists Use of Ambulances for Terror Attacks: A Review.

    abstract:INTRODUCTION:Using an ambulance as an attack modality offers many advantages to a terrorist organization. Ambulances can carry more explosives than most vehicles and can often bypass security. Yet, studies examining how terrorist organizations have incorporated ambulances into their attacks are lacking. STUDY OBJECTIV...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X20001260

    authors: Jasani GN,Alfalasi R,Cavaliere GA,Ciottone GR,Lawner BJ

    更新日期:2021-02-01 00:00:00

  • Prevalence of radioactive signals from surveillance of an emergency department.

    abstract:INTRODUCTION:Since the 11 September 2001 terrorist attacks in the United States, concerns have been raised regarding the threat of a radiological terrorist weapon. Although the probability of the employment of a nuclear device is remote, the potential of a radiological dispersal device (RDD) or "dirty bomb" is of conce...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00003836

    authors: Guyette F,Suyama J,Rosen J,Allswede M

    更新日期:2006-07-01 00:00:00

  • Disaster Metrics: A Comprehensive Framework for Disaster Evaluation Typologies.

    abstract::Introduction The frequency of disasters is increasing around the world with more people being at risk. There is a moral imperative to improve the way in which disaster evaluations are undertaken and reported with the aim of reducing preventable mortality and morbidity in future events. Disasters are complex events and...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X17006471

    authors: Wong DF,Spencer C,Boyd L,Burkle FM,Archer F

    更新日期:2017-10-01 00:00:00

  • Women's Mental Health and Intimate Partner Violence Following Natural Disaster: A Scoping Review.

    abstract::Introduction Survivors of natural disasters in the United States experience significant health ramifications. Women particularly are vulnerable to both post-disaster posttraumatic stress disorder (PTSD) and depression, and research has documented that these psychopathological sequelae often are correlated with increas...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/S1049023X16000911

    authors: Bell SA,Folkerth LA

    更新日期:2016-12-01 00:00:00

  • Terrorism in Indonesia.

    abstract::Indonesia has had its share of natural and manmade disasters. From 1997 to 2002, Indonesia has experienced 90 incidents of terrorist bomb attacks. In 13 (14.4%) of the terrorist attacks, the bombs did not explode. A total of 224 persons have been killed, and 340 persons have been injured. Most of those killed or injur...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00000832

    authors: Pusponegoro AD

    更新日期:2003-04-01 00:00:00

  • Building the Tower of Babel: cross-border urgent medical assistance in Belgium, Germany and The Netherlands.

    abstract::The border area between Germany, Belgium, and The Netherlands includes a substantial number of cooperative forms in the urgent medical assistance sector. Collaboration usually takes place in densely populated areas with cities or villages situated on or in proximity to the border. In some regions, definitive borders a...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00001837

    authors: Post GB

    更新日期:2004-07-01 00:00:00

  • Panel 2.10: reproductive, mental, and child health.

    abstract::This is a summary of the presentations and discussion of Panel 2.10, Reproductive, Mental, and Child Health of the Conference, Health Aspects of the Tsunami Disaster in Asia, convened by the World Health Organization (WHO) in Phuket, Thailand, 04-06 May 2005. The topics discussed included issues related to reproductiv...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00003058

    authors: Sahu S,Musani A,Schaller J,Pairojkul S,Senanayake MP,Brenny P,Rosati MJ,Dakkak H

    更新日期:2005-11-01 00:00:00

  • Out-of-hospital cardiac arrest locations in a rural community: where should we place AEDs?

    abstract::Early defibrillation improves survival for patients suffering cardiac arrest from ventricular fibrillation (VF) or ventricular tachycardia (VT). Automated external defibrillators (AEDs) should be placed in locations in which there is a high incidence of out-of-hospital cardiac arrest (OOHCA). The study objective was t...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00001977

    authors: Portner ME,Pollack ML,Schirk SK,Schlenker MK

    更新日期:2004-10-01 00:00:00

  • The esophageal detector device: accuracy and reliability in difficult airway settings.

    abstract:INTRODUCTION:The esophageal detector device (EDD) recently has been found to assess endotracheal (ET) tube placement accurately. This study describes the reliability of the EDD in determining the position of the ET tube in clinical airway situations that are difficult. METHODS:This was a prospective, randomized, singl...

    journal_title:Prehospital and disaster medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1017/s1049023x00042369

    authors: Kapsner CE,Seaberg DC,Stengel C,Ilkhanipour K,Menegazzi J

    更新日期:1996-01-01 00:00:00

  • What is the Optimal Age for Students to Receive Cardiopulmonary Resuscitation Training?

    abstract:OBJECTIVES:Training students has been proven to be the optimal way to deliver cardiopulmonary resuscitation (CPR) skills. However, it is somehow unknown whether or not the current recommendations appropriate for Caucasian students are also suitable for East Asian students. The purpose of this study is to explore the be...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X1800047X

    authors: He DX,Huang KS,Yang YI,Jiang W,Yang NL,Yang H

    更新日期:2018-08-01 00:00:00

  • Future considerations for the medical management of nerve-agent intoxication.

    abstract::The use of chemical warfare agents against civilians and unprotected troops in international conflicts or by terrorists against civilians is considered to be a real threat, particularly following the terrorist attacks on 11 September 2001 against the World Trade Center in New York and against the Pentagon in Washingto...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/s1049023x00001072

    authors: Aas P

    更新日期:2003-07-01 00:00:00

  • Hospital responses to acute-onset disasters: a review.

    abstract:INTRODUCTION:Hospitals the world over have been involved in disasters, both internal and external. These two types of disasters are independent, but not mutually exclusive. Internal disasters are isolated to the hospital and occur more frequently than do external disasters. External disasters affect the community as we...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Milsten A

    更新日期:2000-01-01 00:00:00

  • Managing Disaster-Related Health Risk: A Process for Prevention.

    abstract::In 1994, the first World Conference on Natural Disaster Reduction held in Yokohama, Japan affirmed that "Disaster prevention, mitigation, and preparedness are better than disaster response in achieving the goals and objectives of the decade. Disaster response alone is not sufficient, as it yields only temporary result...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X18000419

    authors: Keim M

    更新日期:2018-06-01 00:00:00

  • Mass-gathering Medicine: Risks and Patient Presentations at a 2-day Electronic Dance Music Event - Year Two.

    abstract::Turris SA , Camporese M , Gutman SJ , Lund A . Mass-gathering medicine: risks and patient presentations at a 2-day electronic dance music event - year two. Prehosp Disaster Med. 2016;31(6):687-688. ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X16000856

    authors: Turris SA,Camporese M,Gutman SJ,Lund A

    更新日期:2016-12-01 00:00:00

  • What have we learned? Coordination.

    abstract::This paper outlines each aspect of coordination as it relates to the responses made by various organizations in the disaster-affected areas. It is a synthesis of the presentations and discussions pertaining to coordination during the Conference, Health Aspects of the Tsunami Disaster in Asia, convened by the World Hea...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00003150

    authors: Oyegbite K

    更新日期:2005-11-01 00:00:00

  • Evacuation Preparedness in the Event of Fire in Intensive Care Units in Sweden: More is Needed.

    abstract::Introduction Hospitals, including intensive care units (ICUs), can be subject to threat from fire and require urgent evacuation. Hypothesis The hypothesis was that the current preparedness for ICU evacuation for fire in the national public hospital system in a wealthy country was very good, using Sweden as model. MET...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X17000152

    authors: Löfqvist E,Oskarsson Å,Brändström H,Vuorio A,Haney M

    更新日期:2017-06-01 00:00:00

  • Global uptake of the Humanitarian Accountability Partnership over its first ten years.

    abstract:INTRODUCTION:Accountability in the delivery of humanitarian aid has become increasingly important and emphasized by the humanitarian community. The Humanitarian Accountability Partnership (HAP) was created in 2003 in order to improve accountability in the humanitarian sector. HAP acts as a self-regulatory body to the h...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X14000673

    authors: Foran MP,Williams AR

    更新日期:2014-08-01 00:00:00

  • Pneumonia Prevention during a Humanitarian Emergency: Cost-effectiveness of Haemophilus Influenzae Type B Conjugate Vaccine and Pneumococcal Conjugate Vaccine in Somalia.

    abstract:BACKGROUND:Pneumonia is a leading cause of death among children less than five years old during humanitarian emergencies. Haemophilus influenzae type b (Hib) and Streptococcus pneumoniae are the leading causes of bacterial pneumonia. Vaccines for both of these pathogens are available to prevent pneumonia. Problem This ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X15004781

    authors: Gargano LM,Hajjeh R,Cookson ST

    更新日期:2015-08-01 00:00:00

  • Regional Birth Outcomes after the 2011 Great East Japan Earthquake and Tsunami in Miyagi Prefecture.

    abstract:OBJECTIVES:This study was aimed to analyze post-disaster birth outcomes in coastal and inland regions of Miyagi Prefecture, Japan. METHODS:Primary data sets were compiled from birth records of obstetric facilities and 12,808 patients were analyzed for baseline birth outcomes by region. Regional risk analysis of the lo...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X18000183

    authors: Sugawara J,Iwama N,Hoshiai T,Tokunaga H,Nishigori H,Metoki H,Okamura K,Yaegashi N

    更新日期:2018-04-01 00:00:00

  • Self-Perception of Theoretical Knowledge and Practical Skills by Primary Health Care Physicians in Life-Threatening Emergencies.

    abstract:OBJECTIVES:The goal of this study was to find out the training received in Urgent and Emergency Medicine (UEM) by the Primary Health Care (PHC) physicians of Asturias (Spain), as well as their perception of their own theoretical knowledge and practical skills in a series of procedures employed in life-threatening emerg...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X18000808

    authors: Cernuda Martínez JA,Castro Delgado R,Ferrero Fernández E,Arcos González P

    更新日期:2018-10-01 00:00:00

  • Improvised Neonatal Care-Realizing the Gaps in a Disaster Zone.

    abstract::The treatment of newborns in a disaster zone can be extremely challenging. The effects of the disaster combine with local health care disparity to give these neonates little chance of survival in the event of even minor complications. Rescue teams arriving at such locations must be prepared to handle and to aid these ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X15005403

    authors: Mendlovic J,Albukrek D,Dagan D,Merin O,Weiser G

    更新日期:2016-02-01 00:00:00

  • The incident command system in disasters: evaluation methods for a hospital-based exercise.

    abstract:OBJECTIVES:No universally accepted methods for objective evaluation of the function of the Incident Command System (ICS) in disaster exercises currently exist. An ICS evaluation method for disaster simulations was derived and piloted. METHODS:A comprehensive variable list for ICS function was created and four distinct...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00002090

    authors: Thomas TL,Hsu EB,Kim HK,Colli S,Arana G,Green GB

    更新日期:2005-01-01 00:00:00

  • Mechanical Ventilation with Room Air is Feasible in a Moderate Acute Respiratory Distress Syndrome Pig Model - Implications for Disaster Situations and Low-Income Nations.

    abstract:INTRODUCTION:Patients with respiratory failure are usually mechanically ventilated, mostly with fraction of inspired oxygen (FiO2) > 0.21. Minimizing FiO2 is increasingly an accepted standard. In underserved nations and disasters, salvageable patients requiring mechanical ventilation may outstrip oxygen supplies. STUD...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X20001016

    authors: Halpern P,Goldvaser M,Yacov G,Rosner A,Wenger A,Bachar K,Katalan S

    更新日期:2020-12-01 00:00:00

  • Evaluation of Bacterial Contamination on Prehospital Ambulances Before and After Disinfection.

    abstract:BACKGROUND:The contamination of the environment, ambulance equipment, and staff hands consequently are major factors which create nosocomial infections in emergency patients. The contamination of equipment and devices plays an important role in nosocomial infections. OBJECTIVES:The aim of this study was to determine t...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X1800095X

    authors: Farhadloo R,Goodarzi Far J,Azadeh MR,Shams S,Parvaresh-Masoud M

    更新日期:2018-12-01 00:00:00

  • Sharing international experiences in disasters: summary and action plan.

    abstract:INTRODUCTION:The discussions in this theme provided an opportunity to share specific experiences with disasters that occurred outside of the Asia-Pacific Rim. METHODS:Details of the methods used are provided in the preceding paper. The chairs moderated all presentations and produced a summary that was presented to an ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00025565

    authors: Andrews RA,Austin C,Brown R,Chen YZ,Engindeniz Z,Girouard R,Leaman P,Masellis M,Nakayama S,Polentsov YO,Suserud BO

    更新日期:2001-01-01 00:00:00

  • Planning for resilience in hospital internal disaster.

    abstract::This article seeks to clarify the terminology and methods of planning to avert hospital internal disaster. It differentiates "crisis" from "disaster" in the in-hospital setting. Preparedness, as contrasted with mitigation, is meant to reduce the likelihood that a crisis will turn into a disaster. Though there are some...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/s1049023x00001230

    authors: Sternberg E

    更新日期:2003-10-01 00:00:00

  • Comparative analysis of traumatic deaths in Nigeria.

    abstract:INTRODUCTION:The number of deaths due to trauma from road traffic accidents (RTAs), and from the use of firearms either for homicide or armed robbery, ethnic conflicts, and other events, such as flooding, explosions from petroleum products, and religious violence, is on the rise in Nigeria. This preliminary study is a ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00002454

    authors: Ehikhamenor EE,Ojo MA

    更新日期:2005-05-01 00:00:00

  • Reliability of telecommunications systems following a major disaster: survey of secondary and tertiary emergency institutions in Miyagi Prefecture during the acute phase of the 2011 Great East Japan Earthquake.

    abstract:INTRODUCTION:Telecommunication systems are important for sharing information among health institutions to successfully provide medical response following disasters. HYPOTHESIS/PROBLEM:The aim of this study was to clarify the problems associated with telecommunication systems in the acute phase of the Great East Japan ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X14000119

    authors: Kudo D,Furukawa H,Nakagawa A,Abe Y,Washio T,Arafune T,Sato D,Yamanouchi S,Ochi S,Tominaga T,Kushimoto S

    更新日期:2014-04-01 00:00:00