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Displaying results 1 - 8 of 10
  • 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 …
  • The evaluation of influenza surveillance data elements for the health information exchange minimum data set

    Content Type: Abstract

    The American Health Information Community Harmonized Use Case for the Biosurveillance minimum data set (MDS) was implemented to establish data exchange between regional health information organizations (RHIOs) and the New York State Department of… read more
    … for emergency department (ED), in-patient, and outpatient visits. Compare the characteristics of patients meeting the … for emergency department (ED), in-patient, and outpatient visits. Compare the characteristics of patients meeting the … surveillance. Methods In-patient, outpatient, and ED visit data from one hospital in RHIO A between June and …
  • ICD9 as a Surrogate for Chart Review in the Validation of a Chief Complaint Syndromic Surveillance System

    Content Type: Abstract

    The existing New York State Department of Health emergency department syndromic surveillance system has used patient’s chief complaint (CC) for assigning to six syndrome categories (Respiratory, Fever, Gastrointestinal, Neurological, Rash, Asthma… read more
    … process and allow us to survey a much larger sample of visits. Document … us O pe n w ou nd M ot or v eh ic le tra ffi c U rin ar y tra ct in fe ct io n Fe ve r N au se a an d vo m iti ng S … analyses that combine data across age categories may mask potentially important sub-syndrome activity among …
  • 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 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 …
  • A Pilot Study of Aberration Detection Algorithms with Simulated Data

    Content Type: Abstract

    To evaluate four algorithms with varying baseline periods and adjustment for day of week for anomaly detection in syndromic surveillance data.   read more
    … for detecting anomalies in daily emergency depart- ment visit data for 130 hospitals with 6 syndrome categories. …