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Displaying results 1 - 8 of 8
  • Investigating Syndromic Peaks Using Remotely Available Electronic Medical Records

    Content Type: Abstract

    One limitation of syndromic surveillance systems based on emergency department (ED) data is the time and expense to investigate peak signals, especially when that involves phone calls or visits to the hospital. Many EDs use electronic medical… read more
    … signals, especially when that involves phone calls or visits to the hospital. Many EDs use electronic medical … (EMRs) which are available remotely in real time. This may facilitate the investigation of peak signals. Document … or absence of selected pertinent data elements for each visit, and also to assign each visit to one or more defined …
  • The Utility of Patient Chief Complaint and ICD 9 Classifiers for the Influenza Sub-Syndrome

    Content Type: Abstract

    In order to detect influenza outbreaks, the New York State Department of Health emergency department (ED) syndromic surveillance system uses patients’ chief complaint (CC) to assign visits to respiratory and fever syndromes… read more
    … system uses patients’ chief complaint (CC) to assign visits to respiratory and fever syndromes. Recently, the … of flu. Our own experience was that although flu may be a com- mon presentation in the ED during the flu season, it is … 23% (18%-28%) 60% (51%-69%) PPV CORRECTED (95% CIS) 31% (26%-36%) 79% (72%-86%) False positive CC were usually due to …
  • Medicaid Prescription Data for Detection of Influenza-Like Illness

    Content Type: Abstract

    The New York State (NYS) Medicaid Program provides healthcare for 34% of the population in New York City (NYC) and 4%-20% in each of the 57 county populations up-state. Prescription data are collected through the sub-mission of claims forms to the… read more
    … (Week 40, in early October, 2003, to Week 20, in late May, 2004), 37 of 57 upstate counties and all 5 counties of … (Week 40, in early October, 2003, to Week 20, in late May, 2004), 37 of 57 upstate counties and all 5 counties of …
  • Performance of Sub-Syndrome Chief Complaint Classifiers for the GI Syndrome

    Content Type: Abstract

    The Centers for Disease Control and Prevention BioSense project has developed chief complaint (CC) and ICD9 sub-syndrome classifiers for the major syndromes for early event detection and situational awareness. This has the potential to… read more
    … a retrospective study of emergency department (ED) visits at four New York State hospitals from May 1, 2005 to April 30, 2007. These hospitals have annual ED visits ranging from 24,000 to 33,000 and have electronic … the older age groups. Three physicians then assigned the visits nonexclusively to the sub-syndromes by electronic …
  • Detection of Carbon Monoxide Poisoning in Chief Complaint Data

    Content Type: Abstract

    Following an Oct 12-13, 2006 snowstorm, almost 400,000 homes in western New York lost power, some for up to 12 days. News reports said that emergency rooms saw many patients with CO exposure; 3 deaths were attributed to CO poisoning. As part of NYS… read more
    … 3 days after the storm, identification of CO-related visits in real time was not feasible. Retrospectively, … included in both. Results From Oct 13 to 20, 302 people visited EDs with complaints of CO exposure and/or SPARCS 0 … received CO-related diagnoses. The daily number of ED visits with CO-related CCs closely followed the epidemic …
  • The utility of inpatient data obtained from regional health information organizations for pneumonia and influenza surveillance

    Content Type: Abstract

    Hospital discharge data received by public health agencies has a reporting lag time of greater than six months. This data is often used retrospectively to conduct surveillance to assess severity of illness and outcome, and for… read more
    … of five acute-care facilities. Methods Inpatient data for visit dates between 1 June and 29 October 2009 were selected … RHIO A data. Patients were matched by facility, date of visit, gender, month and year of birth, and zip code of … days, and 96% within 30 days of discharge. There were 26,514 matched patients, who accounted for 99% of the SPARCS …
  • The Performance of Sub-Syndrome Chief Complaint Classifiers for the GI and RESP Syndromes

    Content Type: Abstract

    The Centers for Disease Control and Prevention BioSense has developed chief complaint (CC) and ICD9 sub syndrome classifiers for the major syndromes for early event detection and situational awareness. The prevalence of these sub… read more
    … of a CC classifier. Methods: A retrospective study of ED visits at four New York State hospitals from May 1, 2005 to … PPV NPV Chest Pain 6.71% 0.56 0.99 0.77 0.97 Dyspnea 6.70% 0.48 0.98 0.62 0.96 Asthma 2.22% 0.45 0.99 0.67 0.99 … 1.00 Pleurisy 0.22% 0.02 1.00 0.22 1.00 Resp Failure 0.26% 0.00 1.00 0.08 1.00 Table 2 – Gastrointestinal …
  • The New York State Department of Health’s Syndromic Surveillance System

    Content Type: Abstract

    The New York State Department of Health (NYSDOH) Syndromic Surveillance System consists of five components: 1. Emergency Department (ED) Phone Call System monitors unusual events or clusters of illnesses in the EDs of participating hospitals;… read more
    … Sys- tem is located on the NYSDOH Secure Health Com- merce System. Data is accessed via the NYSDOH Syndromic … counts and promotional counts. Individual hospitals may view ED data for their hospital only, and Local Health …