Evaluation of Heat-related Illness Surveillance Based on Chief Complaint Data from New Jersey Hospital Emergency Rooms

نویسندگان

  • Michael Berry
  • Jerald Fagliano
  • Stella Tsai
  • Katharine McGreevy
  • Andrew Walsh
  • Teresa Hamby
چکیده

Methods Data on NJ hospital emergency room visits were evaluated using two data sources: 1) the EpiCenter syndromic surveillance system of emergency room visits; and 2) the Uniform Bill-Patient Summaries (UB) system containing diagnosis data on all hospital visits. Three years of data (2009-2011) were selected, for the time window of May 1 to September 30. The UB data used for matching with the EpiCenter data were limited to facilities participating in EpiCenter during the evaluation period. (EpiCenter facilities captured about 1/3 of all heat-related diagnoses in 2009, increasing to about 2/3 in 2011.) The ICD-9 codes of interest included 992.0-992.9 and external cause of injury codes E900.0 and E900.9. We evaluated the sensitivity and positive predictive value (PPV) of the EpiCenter algorithm in relation to the patients’ eventual diagnoses coded in the UB data.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

How’s the Weather? Severe Weather Classifications in Syndromic Surveillance

Introduction Hurricane ‘Superstorm’ Sandy struck New Jersey on October 29, 2012, causing harm to the health of New Jersey residents and billions of dollars of damage to businesses, transportation, and infrastructure. Monitoring health outcomes for increased illness and injury due to a severe weather event is important in measuring the severity of conditions and the efficacy of state response, a...

متن کامل

HAI Surveillance Enhancement within EpiCenter by Utilization of Triage Notes

Introduction In New Jersey, Health Monitoring Systems Inc.’s (HMS) EpiCenter collects chief complaint data for syndromic surveillance from 79 of 80 emergency departments (ED). Using keyword algorithms, these visits are classified into syndrome categories for monitoring unusual health events. HAIs are infections that patients acquire while they are receiving treatment for a health condition in a...

متن کامل

Modeling and Syndromic Surveillance for Estimating Weather-Induced Heat-Related Illness

This paper compares syndromic surveillance and predictive weather-based models for estimating emergency department (ED) visits for Heat-Related Illness (HRI). A retrospective time-series analysis of weather station observations and ICD-coded HRI ED visits to ten hospitals in south eastern Ontario, Canada, was performed from April 2003 to December 2008 using hospital data from the National Ambul...

متن کامل

Analysis of Heat Illness using Michigan Emergency Department Syndromic Surveillance

Introduction The MSSS, described elsewhere (1), has been in use since 2003 and records Emergency Department (ED) chief complaint data along with the patient’s age, gender and zip code in real time. There were 85/139 hospital EDs enrolled in MSSS as of June 2012, capturing 77% of the annual hospital ED visits in Michigan. The MSSS is used routinely during the influenza season for situational awa...

متن کامل

We conducted a retrospective study to ascertain the potential of free-text chief complaints collected in pediatric emergency

We conducted a retrospective study to ascertain the potential of free-text chief complaints collected in pediatric emergency departments to serve as surveillance data for early detection of outbreaks. detection from such data and both suffered from either methodological limitations or very small sample size. 4,5 The present study attempts to measure performance characteristics of a biosurveilla...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 5  شماره 

صفحات  -

تاریخ انتشار 2013