OSCOUR National Newsletter, February 23–March 1, 2015

Overall Trends: The number of emergency department visits is declining across all age groups (-4%, -12,402 visits). This decline is particularly pronounced among children under 15 years of age (-8%, -6,307 visits). Hospitalizations following visits are also decreasing across all age groups (-3%, -1,761 hospitalizations) and particularly among those over 75 (-5%, -1,145 hospitalizations). The number of visits across all age groups remains higher than those observed in 2013 and 2014 during the same period.

Trends in the Most Common ConditionsThe main conditions across all age groups are generally stable or declining. This decline is particularly marked among children under 15 and applies to all diagnoses. Excluding trauma, the main conditions seen in emergency departments among children aged 2–14 remain ENT infections, abdominal pain, isolated fever, and influenza/flu-like syndrome. Among adults over 75, visits for acute bronchitis and pneumonia show the sharpest declines (22% and 234 fewer visits, and 14% and 436 fewer visits, respectively).

Trends in Seasonal IndicatorsWith 3,513 visits over the past week, emergency department visits for influenza/flu-like illness have decreased significantly compared to the previous week (-27%, -1,297 visits) but remain significantly higher than in the previous two years. Among those aged 75 and older, the number of visits is also declining (-21%, -98 visits). Hospitalizations are also down across all age groups, primarily among those aged 75 and older (-25%, -69 hospitalizations) and among children under 2 years of age (-39%, or -39 hospitalizations). At the regional level, flu-related emergency department activity is decreasing in all regions. Emergency department visits for acute bronchitis, pneumonia, and asthma are down across all age groups by 25% (-734 visits), 15% (-902 visits), and 10% (-197 visits), respectively. However, for the two indicators—acute bronchitis and pneumonia—activity remains significantly higher than in the two previous years during this period. Hospitalizations among those aged 75 and older for these two indicators are also declining (by 20%, or 122 hospitalizations, and 12%, or 287 hospitalizations, respectively). Visits for gastroenteritis are stable across all age groups except among those aged 75 and older (+19%, or 14 visits). An increase in visits for this indicator is observed mainly in southwestern France. Emergency department visits for the other seasonal indicators (ENT infections, bronchiolitis, and isolated fever) are stable or declining across all age groups, at levels comparable to the previous two years.

Publishing year: 4

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