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Displaying results 529 - 536 of 899
  • Evaluation of Emergency Medical Text Processor for Pre-Processing Chief Complaint Data for Syndromic Surveillance

    Content Type: Abstract

    The goal of this project is to compare automated syn-dromic surveillance queries using raw chief complaints to those pre-processed with the Emergency Medical Text Processor (EMT-P) system.
    … data warehouse included 813,536 emergency department (ED) visits. The ED records are queried daily with 6 syndrome … METHODS This study analyzed a subset of the 1,000 ED visits which were previously sampled from the 2004 NC BEIPS … by two clinical experts who determined whether the visit met the ILI clinical case definition. Any …
  • Improving Negation Processing in Triage Notes

    Content Type: Abstract

    Emergency Department (ED) triage notes are clinical notes that expand upon the chief complaint, and are included in the AHIC minimum dataset for biosurveillance.1  Clinical notes can improve the accuracy of keyword-based syndromes but require… read more
    … a sample of NC DETECT records that included the 4432 ED visits with triage notes for 11/22/2006 and 11/23/2006. … G, Bamberger A, Friedman C. Fever Detection in Clinic Visit Notes Using a General Purpose Processor. Advances in …
  • The Day-of-the-Week Effect: A Study Across the Indiana Public Health Emergency Surveillance System

    Content Type: Abstract

    Complex, highly parameterized data models are often used to detect syndromic outbreaks. Unfortunately, such models can pose greater maintenance challenges as parameter variations increase. As such, our work focuses on whether day… read more
    … cations of chief complaint as well as the total daily visits. To compare across hospitals, we normalized the … or insignificantly across data sources. We found that visit rates by syndrome varied significantly by DoW Further, …
  • Syndromic Surveillance and Heat Wave: Is it Working?

    Content Type: Abstract

    Most of the time, health consequences of heat waves are serious. Heat wave response plans were developed for reducing health effects but even if they are very efficient it is not possible to eliminate all health consequences.… read more
    … through the Internet. Items collected for each patient visit included the diagnosis code according to ICD10, … Based on the same age groups, the daily means of patient visits and hospitalized patients were calcu- lated. The … “on alert period”. During the “on alert period”, 4,557 visits per day were recorded vs. 4,511 during the “off alert …
  • Using Public School Absentee Data to Enhance Syndromic Surveillance in Miami-Dade County, 2007

    Content Type: Abstract

    The Miami-Dade County Health Department currently utilizes Emergency Department based Syndromic surveillance data, 911 Call Center data, and more recently Public School Absenteeism data. Daily monitoring of school absenteeism… read more
    … hours of 6:00 p.m. to 11:00 p.m.; 36.3% (74 of 204) of visits to the ED among 0-17 year olds had a chief complaint … 11:00 p.m., March 11th and 12th. This apparent delay to visit the ED may signal that the GI illness was not severe …
  • Privacy Protection versus Cluster Detection in Spatial Epidemiology

    Content Type: Abstract

    With the widespread deployment of near real time population health monitoring, there is increasing focus on spatial cluster detection for identifying disease outbreaks. These spatial epidemiologic methods rely on knowledge of patient location to… read more
    … tions, significant clusters contained fewer additional ED visit points (i.e., points that were not part of the … in small circle) and few additional points from the ED visits (red dots outside small circle). However, when the … with points at zip code centroids (right), many more ED visits were included in the detected cluster. CONCLUSIONS …
  • Use of Surveillance Data to Measure the Impact of Viral Infections among Young Children

    Content Type: Abstract

    Respiratory viruses cause substantial morbidity and costly resource utilization among young children, especially during the winter months. Accurate estimates of the impact of these viruses are important in guiding prevention efforts… read more
    … extrapolation to calculate population- based rates of ED visits for influenza and RSV and associated resource … The effect of influenza on hospitalizations, outpatient visits, and courses of antibiotics I nchildren. N Engl J … admission 0.9 (0.4, 1.9) 11.8 (9.3, 14.9) Primary care visit 4.8 (3.7, 6.3) 23.2 (20.1, 26.6) Antibiotic use 3.1 …
  • How’s the Weather? Severe Weather Classifications in Syndromic Surveillance

    Content Type: Abstract

    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… read more
    … in more recent events to monitor for weather-related visits to storm-affected area emergency departments (ED’s). … in more recent events to monitor for weather-related visits to storm-affected area emergency departments (ED’s). …