Syndromic analysis of computerized emergency department patients' chief complaints: An opportunity for bioterrorism and influenza surveillance
Syndromic analysis of computerized emergency department patients' chief complaints: An opportunity for bioterrorism and influenza surveillance
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DOI：
10.1067/mem.2003.104
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发表时间：
2003-04-01
影响因子：
6.2
通讯作者：
Rice, K
中科院分区：
文献类型：
--
作者：
Irvin, CB;Nouhan, PP;Rice, K
研究目的：急诊科计算机分类日志可能有助于自动ED监控和潜在的生物恐怖事件的早期识别。本文描述了一种基于网络的监控方案及其监控的可行性。方法：开发了一个基于网络的监测程序，每天从一家大型学术性城市教学医院接收计算机化的主诉数据，并对这些数据进行综合征分析。基于预设的限制，当症状分析显示预定义症状组的患者数量增加时，基于web的监视程序发送警报电子邮件消息。利用一次流感暴发（1999年12月至2000年1月）期间的历史数据并应用炭疽症状组对该系统的可行性进行了检验。结果：基于网络的监测程序在第一周确定了流感爆发。结论：计算机分类日志可能是生物恐怖主义和流感监测的可行方法。基于网络的监控项目为其他医院提供了提供数据的机会，可能会形成一个自动化的ED计算机分类日志监控网络。
Study objective: Emergency department computerized triage logs might be useful for automated ED surveillance and potentially for early identification of bioterrorism events. We describe a Web-based surveillance program and its feasibility for surveillance.Methods: A Web-based surveillance program that receives computerized chief complaint data daily from a large academic urban teaching hospital and performs syndromic analysis on these data was developed. On the basis of preset limits, the Web-based surveillance program sends an alert e-mail message when the syndromic analysis reveals an increase in the number of patients in predefined symptom groups. The feasibility of this system was tested by using historical data during an influenza outbreak (December 1999 to January 2000) and applying the anthrax symptom group.Results: The Web-based surveillance program identified the influenza outbreak in the first week.Conclusion: Computerized triage logs might be a feasible method for bioterrorism and influenza surveillance. The Web-based nature of the surveillance program creates the opportunity for other hospitals to contribute data, potentially resulting in an automated network of ED computerized triage log surveillance.