Establishing an emergency department syndromic surveillance system to support the London 2012 Olympic and Paralympic Games
Identifieur interne : 001D81 ( Main/Exploration ); précédent : 001D80; suivant : 001D82Establishing an emergency department syndromic surveillance system to support the London 2012 Olympic and Paralympic Games
Auteurs : Alex J. Elliot [Royaume-Uni] ; Helen E. Hughes [Royaume-Uni] ; Thomas C. Hughes [Royaume-Uni] ; Thomas E. Locker [Royaume-Uni] ; Tony Shannon [Royaume-Uni] ; John Heyworth [Royaume-Uni] ; Andy Wapling [Royaume-Uni] ; Mike Catchpole [Royaume-Uni] ; Sue Ibbotson [Royaume-Uni] ; Brian Mccloskey [Royaume-Uni] ; Gillian E. Smith [Royaume-Uni]Source :
- Emergency Medicine Journal [ 1472-0205 ] ; 2012-12.
English descriptors
- Teeft :
- Attendance data, Bank holidays, Coding, Coding system, Cold weather, Daily attendances, Daily basis, Data recording, Diagnosis codes, Different coding systems, Disease surveillance, Early warning, Edis, Edsss, Eld, Emerg, Emergency department, Emergency department clinicians, Emergency department data, Emergency department surveillance systems, Emergency department syndromic surveillance system, Emergency departments, Emergency medicine, Encrypted database, Further validation, Gure, Health problems, Health protection, Health protection agency, Health threats, Heat wave, High level, Highest attendances, Indicator, Infectious disease, Infectious diseases, July, Mass gatherings, Myocardial ischaemia, Olympic games, Online, Online journaldplease visit, Original article, Original article figure, Other incidents, Other surveillance systems, Outbreak, Paralympic games, Preliminary analyses, Preliminary data analyses, Public health, Public health impact, Public health surveillance, Recent years, Respiratory syndrome, Sentinel, Shop floor, Such data, Surveillance, Surveillance programme, Syndromic, Syndromic indicators, Syndromic surveillance, Syndromic surveillance system, Syndromic surveillance systems, Syndromic surveillance team, Time period, Triage, Triage category, Triage data, Triage presentation, York city.
Abstract
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.
Url:
DOI: 10.1136/emermed-2011-200684
Affiliations:
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Hughes</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Emergency Department, Oxford Radcliffe Hospitals NHS Trust, Oxford</wicri:regionArea><placeName><settlement type="city">Oxford</settlement><region type="country">Angleterre</region><region type="comté" nuts="2">Oxfordshire</region></placeName></affiliation><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>The College of Emergency Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Locker, Thomas E" sort="Locker, Thomas E" uniqKey="Locker T" first="Thomas E" last="Locker">Thomas E. Locker</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>The College of Emergency Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Emergency Department, Barnsley Hospital NHS Foundation Trust, Barnsley</wicri:regionArea><wicri:noRegion>Barnsley</wicri:noRegion></affiliation></author><author><name sortKey="Shannon, Tony" sort="Shannon, Tony" uniqKey="Shannon T" first="Tony" last="Shannon">Tony Shannon</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Emergency Department, Leeds Teaching Hospitals NHS Trust, Leeds</wicri:regionArea><wicri:noRegion>Leeds</wicri:noRegion></affiliation></author><author><name sortKey="Heyworth, John" sort="Heyworth, John" uniqKey="Heyworth J" first="John" last="Heyworth">John Heyworth</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>The College of Emergency Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Wapling, Andy" sort="Wapling, Andy" uniqKey="Wapling A" first="Andy" last="Wapling">Andy Wapling</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Emergency Preparedness, NHS London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Catchpole, Mike" sort="Catchpole, Mike" uniqKey="Catchpole M" first="Mike" last="Catchpole">Mike Catchpole</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Health Protection Services (Colindale), Health Protection Agency, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Ibbotson, Sue" sort="Ibbotson, Sue" uniqKey="Ibbotson S" first="Sue" last="Ibbotson">Sue Ibbotson</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Real-time Syndromic Surveillance Team, Health Protection Agency, Birmingham</wicri:regionArea><placeName><settlement type="city">Birmingham</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Midlands de l'Ouest</region></placeName></affiliation></author><author><name sortKey="Mccloskey, Brian" sort="Mccloskey, Brian" uniqKey="Mccloskey B" first="Brian" last="Mccloskey">Brian Mccloskey</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Health Protection Agency London, Health Protection Agency, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Smith, Gillian E" sort="Smith, Gillian E" uniqKey="Smith G" first="Gillian E" last="Smith">Gillian E. Smith</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Real-time Syndromic Surveillance Team, Health Protection Agency, Birmingham</wicri:regionArea><placeName><settlement type="city">Birmingham</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Midlands de l'Ouest</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Emergency Medicine Journal</title><title level="j" type="abbrev">Emerg Med J</title><idno type="ISSN">1472-0205</idno><idno type="eISSN">1472-0213</idno><imprint><publisher>BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</publisher><date type="published" when="2012-12">2012-12</date><biblScope unit="volume">29</biblScope><biblScope unit="issue">12</biblScope><biblScope unit="page" from="954">954</biblScope></imprint><idno type="ISSN">1472-0205</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1472-0205</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Attendance data</term><term>Bank holidays</term><term>Coding</term><term>Coding system</term><term>Cold weather</term><term>Daily attendances</term><term>Daily basis</term><term>Data recording</term><term>Diagnosis codes</term><term>Different coding systems</term><term>Disease surveillance</term><term>Early warning</term><term>Edis</term><term>Edsss</term><term>Eld</term><term>Emerg</term><term>Emergency department</term><term>Emergency department clinicians</term><term>Emergency department data</term><term>Emergency department surveillance systems</term><term>Emergency department syndromic surveillance system</term><term>Emergency departments</term><term>Emergency medicine</term><term>Encrypted database</term><term>Further validation</term><term>Gure</term><term>Health problems</term><term>Health protection</term><term>Health protection agency</term><term>Health threats</term><term>Heat wave</term><term>High level</term><term>Highest attendances</term><term>Indicator</term><term>Infectious disease</term><term>Infectious diseases</term><term>July</term><term>Mass gatherings</term><term>Myocardial ischaemia</term><term>Olympic games</term><term>Online</term><term>Online journaldplease visit</term><term>Original article</term><term>Original article figure</term><term>Other incidents</term><term>Other surveillance systems</term><term>Outbreak</term><term>Paralympic games</term><term>Preliminary analyses</term><term>Preliminary data analyses</term><term>Public health</term><term>Public health impact</term><term>Public health surveillance</term><term>Recent years</term><term>Respiratory syndrome</term><term>Sentinel</term><term>Shop floor</term><term>Such data</term><term>Surveillance</term><term>Surveillance programme</term><term>Syndromic</term><term>Syndromic indicators</term><term>Syndromic surveillance</term><term>Syndromic surveillance system</term><term>Syndromic surveillance systems</term><term>Syndromic surveillance team</term><term>Time period</term><term>Triage</term><term>Triage category</term><term>Triage data</term><term>Triage presentation</term><term>York city</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">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.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Midlands de l'Ouest</li><li>Oxfordshire</li></region><settlement><li>Birmingham</li><li>Londres</li><li>Oxford</li></settlement></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Elliot, Alex J" sort="Elliot, Alex J" uniqKey="Elliot A" first="Alex J" last="Elliot">Alex J. Elliot</name></region><name sortKey="Catchpole, Mike" sort="Catchpole, Mike" uniqKey="Catchpole M" first="Mike" last="Catchpole">Mike Catchpole</name><name sortKey="Elliot, Alex J" sort="Elliot, Alex J" uniqKey="Elliot A" first="Alex J" last="Elliot">Alex J. Elliot</name><name sortKey="Heyworth, John" sort="Heyworth, John" uniqKey="Heyworth J" first="John" last="Heyworth">John Heyworth</name><name sortKey="Hughes, Helen E" sort="Hughes, Helen E" uniqKey="Hughes H" first="Helen E" last="Hughes">Helen E. Hughes</name><name sortKey="Hughes, Thomas C" sort="Hughes, Thomas C" uniqKey="Hughes T" first="Thomas C" last="Hughes">Thomas C. Hughes</name><name sortKey="Hughes, Thomas C" sort="Hughes, Thomas C" uniqKey="Hughes T" first="Thomas C" last="Hughes">Thomas C. Hughes</name><name sortKey="Ibbotson, Sue" sort="Ibbotson, Sue" uniqKey="Ibbotson S" first="Sue" last="Ibbotson">Sue Ibbotson</name><name sortKey="Locker, Thomas E" sort="Locker, Thomas E" uniqKey="Locker T" first="Thomas E" last="Locker">Thomas E. Locker</name><name sortKey="Locker, Thomas E" sort="Locker, Thomas E" uniqKey="Locker T" first="Thomas E" last="Locker">Thomas E. Locker</name><name sortKey="Mccloskey, Brian" sort="Mccloskey, Brian" uniqKey="Mccloskey B" first="Brian" last="Mccloskey">Brian Mccloskey</name><name sortKey="Shannon, Tony" sort="Shannon, Tony" uniqKey="Shannon T" first="Tony" last="Shannon">Tony Shannon</name><name sortKey="Smith, Gillian E" sort="Smith, Gillian E" uniqKey="Smith G" first="Gillian E" last="Smith">Gillian E. Smith</name><name sortKey="Wapling, Andy" sort="Wapling, Andy" uniqKey="Wapling A" first="Andy" last="Wapling">Andy Wapling</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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