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Syndromes

Tracking emergency department (ED) asthma visits is an important part of asthma surveillance, as ED visits can be preventable and may represent a failure of asthma control efforts. When using limited clinical ED datasets for secondary purposes such as public health surveillance, it is important to employ a standard approach to operationally defining ED visits attributable to asthma. The prevailing approach uses only the primary ICD-9-CM diagnosis assigned to the ED visit; however, doing so may underestimate the public health impact of asthma. We conducted this pilot study to determine the value of including ED visits with asthma-related diagnoses in secondary or tertiary positions. For example, for an ED visit with a primary diagnosis of upper respiratory infection and secondary diagnosis of asthma, it is possible that the infection triggered the asthma exacerbation and the visit could be attributed to both infection and asthma.

 

Objective

Determine operational definition of ED visits attributable to asthma for public health surveillance purposes.

Referenced File
Submitted by elamb on
  • Why the syndrome was created? This syndrome was created to monitor Lyme disease related emergency room visits using regular expressions in R. 
  • Syndromic surveillance system (e.g., ESSENCE, R STUDIO, RODS, etc.) Data collected from Epicenter, but parsed and analysed in R/Rstudio
  • Data sources the syndrome was used on (e.g., Emergency room, EMS, Air Quality, etc.) Emergency room and Urgent Care
Submitted by Anonymous on
  • Why the syndrome was created? This syndrome was created to monitor tick related emergency room visits using regular expressions in R. 
  • Syndromic surveillance system (e.g., ESSENCE, R STUDIO, RODS, etc.) Data collected from Epicenter, but parsed and analysed in R/Rstudio
  • Data sources the syndrome was used on (e.g., Emergency room, EMS, Air Quality, etc.) Emergency room and Urgent Care
Submitted by Anonymous on

A step-wise article on developing this syndrome definition can be found in the April 2019 NSSP Update https://www.cdc.gov/nssp/news.html

This syndrome is an initial attempt at an improved Drowning and Submersion query in NSSP ESSENCE. It was developed starting with the existing ESSENCE SubSyndrome for DrowningOrSubmersion.

Submitted by ZSteinKS on

The following syndrome was developed to explore emergency department visit records involving people experiencing homelessness. Trends over time, patient demographics, geographic distribution, and primary reasons for seeking care were explored. Additionally, we have been using this definition, in combination with other illness/injury specific definitions to assess the trends in among people experiencing homelessness (e.g., cold-related illness among people experiencing homelessness during record low temperatures).

Submitted by Anonymous on

This syndrome is a work-in-progress and was created to experiment with Chief Complaint text indicating a language barrier between medical professionals and patient and/or an interpreter is needed to provide medical care.

This was developed on the NSSP ESSENCE CCQV data in the Processed Chief Complaint field. I suspect Triage Notes would also contain this type of information if you receive that field.

Submitted by ZSteinKS on

This syndrome was created to monitor emergency room visits related to opioid abuse in Suburban Cook County, IL. It is adapted from CDC’s Opioid Overdose v2 syndrome, and expanded to include terms for opioid withdrawal, injection site infections, and patients with underlying opiate abuse or dependence disorders, as well as unintentional overdose with opioids.

Submitted by Anonymous on

The objective of this report is to describe the variation of symptoms being detected as respiratory or influenza-like illness (ILI) syndrome using nurse advice call center (NACC) data and emergency department (ED) chief complaint data compared to laboratory data from one hospital.

Referenced File
Submitted by elamb on

To determine sensitivity and specificity of syndromic surveillance of influenza based on data from SOS Medecins, a healthcare network of emergency general practitioners (GP) in Bordeaux, France.

Referenced File
Submitted by elamb on
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