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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Presentation and management of critically ill patients with influenza A (H1N1): a UK perspective. | Available online http ccforum.eom content 13 6 426 Letter Presentation and management of critically ill patients with influenza A H1N1 a UK perspective Joyce HY Yeung1 Mark Bailey1 Gavin D Perkins1 2 and Fang Gao Smith1 2 1 Heart of England NHS Foundation Trust Birmingham Heartlands Hospital Bordersley Green East Birmingham B9 5SS UK 2University of Warwick Warwick Medical School Clinical Trials Unit Gibbet Hill Road Coventry CV4 7AL UK Corresponding author Fang Gao Smith Fang.gao@warwick.ac.uk Published 19 November 2009 This article is online at http ccforum.com content 13 6 426 2009 BioMed Central Ltd Critical Care 2009 13 426 doi 10.1186 cc8151 See related research by Rello et al. http ccforum.com content 13 5 R148 We read with interest the recent report from Spain 1 and would like to report the presentation and management of patients with H1N1 on our intensive care unit. As of September 2009 over 254 000 people have been affected worldwide with at least 2 800 deaths. The UK has one of the highest numbers of confirmed cases in Europe 2 . Between June and September 2009 there were 78 confirmed cases of H1N1 flu admitted to Birmingham Heartlands Hospital. These patients were predominantly young median 30.5 years interquartile range 23 to 53 and female 79.5 10 16 patients were pregnant 19 24.3 patients had chronic lung disease and 24 30.8 patients had no underlying medical problems. Seven patients three male four female developed rapidly progressive respiratory failure and required intensive care admission. Compared with the Spanish study our patients were similarly young median age 35 years interquartile range 30 to 48 . Four out of seven patients were of ethnic minority. The presentation was similar with fever n 7 respiratory symptoms n 7 flu-like illness n 5 gastrointestinal upset n 2 and confusion n 1 . Co-morbidities included obesity body mass index 30 to 35 n 3 chronic respiratory illness n 2 ischaemic heart disease n 2 and diabetes mellitus n 1 . These seven
