Establishing an emergency department syndromic surveillance system to support the London 2012 Olympic and Paralympic Games
Establishing an emergency department syndromic surveillance system to support the London 2012 Olympic and Paralympic Games
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DOI：
10.1136/emermed-2011-200684
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发表时间：
2012-12-01
影响因子：
3.1
通讯作者：
Smith, Gillian E.
中科院分区：
文献类型：
--
作者：
Elliot, Alex J.;Hughes, Helen E.;Smith, Gillian E.
背景 2012 年伦敦奥运会和残奥会是一场群众集会活动，将带来重大的公共卫生挑战。健康保护局与急诊医学学院合作，建立了急诊科哨兵症状监测系统 (EDSSS)，以支持奥运会的公共卫生监测要求。 方法 本可行性研究评估了 EDSSS 在监测社区疾病指标方面的有用性。根据患者人口统计数据（年龄、性别、部分邮政编码）、分诊编码和诊断代码，对来自英格兰六个急诊科的每日匿名就诊数据进行了分析。使用每次就诊期间记录的诊断代码的汇总来制定通用和特定症状指标。 结果 记录了超过 339 000 次就诊（2010 年 7 月 26 日至 2011 年 7 月 25 日）。工作日 10:00 至 11:00 以及周末 12:00 至 13:00 之间的出席人数最高。每个急诊科的平均每日就诊人数为 257 人（范围 38-435）。制定的症状指标包括：呼吸道、胃肠道、心脏、急性呼吸道感染、胃肠炎和心肌缺血。通过其他流感监测系统监测，呼吸道和急性呼吸道感染指标在 2010 年 12 月达到峰值，与全国流感活动同时发生。结论 EDSSS 的建立是为了为 2012 年伦敦奥运会提供增强的监测系统。需要进一步验证数据；然而，这项初步描述性研究的结果表明，有可能识别社区内异常和/或严重的传染病爆发或其他影响公共卫生的事件。
Background The London 2012 Olympic and Paralympic Games is a mass gathering event that will present a major public health challenge. The Health Protection Agency, in collaboration with the College of Emergency Medicine, has established the Emergency Department Sentinel Syndromic Surveillance System (EDSSS) to support the public health surveillance requirements of the Games.Methods This feasibility study assesses the usefulness of EDSSS in monitoring indicators of disease in the community. Daily counts of anonymised attendance data from six emergency departments across England were analysed by patient demographics (age, gender, partial postcode), triage coding and diagnosis codes. Generic and specific syndromic indicators were developed using aggregations of diagnosis codes recorded during each attendance.Results Over 339 000 attendances were recorded (26 July 2010 to 25 July 2011). The highest attendances recorded on weekdays between 10:00 and 11:00 and on weekends between 12:00 and 13:00. The mean daily attendance per emergency department was 257 (range 38-435). Syndromic indicators were developed including: respiratory, gastrointestinal, cardiac, acute respiratory infection, gastroenteritis and myocardial ischaemia. Respiratory and acute respiratory infection indicators peaked during December 2010, concomitant with national influenza activity, as monitored through other influenza surveillance systems.Conclusions The EDSSS has been established to provide an enhanced surveillance system for the London 2012 Olympics. Further validation of the data will be required; however, the results from this initial descriptive study demonstrate the potential for identifying unusual and/or severe outbreaks of infectious disease, or other incidents with public health impact, within the community.