This syndrome was created to query NSSP ESSENCE on CO Poisoning and Exposure
Kansas just made CO Poisoning a mandatory reportable disease, but this was done so rapidly that hospital didn't have the chance to get reporting measures/alerts in place so many of our CO Poisonings went unreported. This set of queries was created to find these cases through EDs and then educate/remind hospitals of the legislation changes.
Using the chief complaint field from our established syndromic ED system, we developed definitions for potentially preventable oral health visits (OHV) and examined patterns in 2009-2011 data. Under the widest definition, OHV comprised about 1% of ED visits. Adults ages 18 to 29 had markedly higher OHV than other ages, as did certain neighborhoods/EDs. We found more than half of OHV occurred during daytime hours, suggesting opportunities for targeted outreach and education. With some caveats, syndromic ED data provide a useful complement to other oral health surveillance strategies.
Objective
To utilize an established syndromic reporting system for surveil- lance of potentially preventable emergency department (ED) oral health visits (OHV) in New York City (NYC).
Early detection of rarely occurring but potentially harmful diseases such as bio-threat agents (e.g., anthrax), chemical agents (e.g., sarin), and naturally occurring diseases (e.g., meningitis) is critical for rapid initiation of treatment, infection control measures, and emergency response plans. To facilitate clinicians’ ability to detect these diseases, various syndrome definitions have been developed. Due to the rarity of these diseases, standard statistical methodologies for validating syndrome definitions are not applicable.
Objective
To develop and test a novel syndrome definition validation approach for rarely occurring diseases.
NYC EDs saw nearly 4 million visits in 2011. Studies have demon- strated that non-urgent visits can account for more than 50% of vis- its to EDs. Designed to provide rapid diagnosis and first-line treatment of serious illness, EDs often function as a primary care site due to their accessibility. Unfortunately, use of EDs for primary care may affect their ability to meet the needs of severely ill patients.
Objective
To develop a syndrome classification based on patient chief com- plaint to (1) estimate the proportion of primary care-related emer- gency department (ED) visits in New York City (NYC) hospitals and (2) explore predictors of such visits.
This is a preliminary Chronic Pain-Related Syndrome, created to search relevant ICD10 and a few key terms in emergency department visits in ESSENCE. The codes and terms are specific to non-cancer related chronic pain with exclusions of cases receiving cancer-related ICD10.
ICD10 codes were selected by translating the following ICD9 codes for Chronic Pain contained in this PDF (https://www.cdc.gov/drugoverdose/pdf/pdo_guide_to_icd-9-cm_and_icd-10_c…)
The homelessness syndrome was developed to identify emergency department visits in ESSENCE for patients who are experiencing homelessness or housing insecurity. The syndrome is intended for use with chief complaint, triage notes, and discharge diagnosis codes (ICD-10 CM). The definition heavily relies on diagnosis codes primarily used by non-critical access hospitals and artificial exclusion of critical access facilities should be considered when data are interpreted.
This query is used to assess trends in hypothermia or cold exposure in emergency department visits in ESSENCE. The query captures cold exposure, hypothermia, and frost bite using chief complaint, triage note, and discharge diagnosis code (ICD-10CM). The query does not exclude hypothermia related to an underlying medical condition.
The attached query was developed to track medication refill encounters in emergency departments in ESSENCE during evacuations or extended mass gathering events. The query was initially developed for use with the chief complaint, triage note, and discharge diagnosis code (ICD-10 CM).
This syndrome was created to help capture tree-related injuries during severe weather events. Extreme weather events require extensive tree removal and disposal, activities associated with severe injury risks among workers and residents.
Syndromic Surveillance System – EpiCenter
Data Source – Emergency Department visits
Fields Used – Chief complaint
This syndrome was created to enhance current occupational health surveillance methods. Current data sources have a lag time of at least three months and estimates are often under-reported. Employing a real-time, independent data source could enhance classification of work-related injuries and illnesses, leading to a better understanding of the burden of non-fatal work-related injuries and illnesses, and allow for quicker intervention.
Syndromic Surveillance System – EpiCenter
Data Source – Emergency Department visits
Fields Used – Chief complaint