使用替代指标自动监测严重急性呼吸道感染,荷兰,2017 年至 2023 年:概念验证研究。

IF 9.9 2区 医学 Q1 INFECTIOUS DISEASES Eurosurveillance Pub Date : 2024-07-01 DOI:10.2807/1560-7917.ES.2024.29.27.2300657
Maaike C Swets, Annabel Niessen, Emilie P Buddingh, Ann Ctm Vossen, Karin Ellen Veldkamp, Irene K Veldhuijzen, Mark Gj de Boer, Geert H Groeneveld
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引用次数: 0

摘要

背景有效的大流行准备需要强有力的严重急性呼吸道感染(SARI)监测。然而,根据症状识别 SARI 患者非常耗时。AimWe aimed to compare the number of RT-PCR tests, contact and droplet precaution labels and SARI-related International Classification of Disease (ICD)-10 codes and evaluate their use as surveillance indicators.方法2017年1月1日至2023年4月30日(含)期间在莱顿大学医学中心住院的各年龄组患者均符合纳入条件。我们使用临床数据收集工具从电子病历中提取数据。对于每个监测指标,我们绘制了每周的绝对计数、每周的发病比例以及三个监测指标之间的相关性。在 COVID-19 大流行之前和期间,三个监测指标总体上遵循相似的模式。接触和飞沫预防标签与 ICD-10 诊断代码之间的相关性最高(皮尔逊相关系数:0.84)。三种监测指标各有利弊。ICD-10 诊断代码是合适的,但会造成报告延迟。接触和飞沫预防标签是 SARI 自动监测的可行选择,因为这些标签反映了 SARI 发病率的趋势,而且可以实时提供。
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Use of proxy indicators for automated surveillance of severe acute respiratory infection, the Netherlands, 2017 to 2023: a proof-of-concept study.

BackgroundEffective pandemic preparedness requires robust severe acute respiratory infection (SARI) surveillance. However, identifying SARI patients based on symptoms is time-consuming. Using the number of reverse transcription (RT)-PCR tests or contact and droplet precaution labels as a proxy for SARI could accurately reflect the epidemiology of patients presenting with SARI.AimWe aimed to compare the number of RT-PCR tests, contact and droplet precaution labels and SARI-related International Classification of Disease (ICD)-10 codes and evaluate their use as surveillance indicators.MethodsPatients from all age groups hospitalised at Leiden University Medical Center between 1 January 2017 up to and including 30 April 2023 were eligible for inclusion. We used a clinical data collection tool to extract data from electronic medical records. For each surveillance indicator, we plotted the absolute count for each week, the incidence proportion per week and the correlation between the three surveillance indicators.ResultsWe included 117,404 hospital admissions. The three surveillance indicators generally followed a similar pattern before and during the COVID-19 pandemic. The correlation was highest between contact and droplet precaution labels and ICD-10 diagnostic codes (Pearson correlation coefficient: 0.84). There was a strong increase in the number of RT-PCR tests after the start of the COVID-19 pandemic.DiscussionAll three surveillance indicators have advantages and disadvantages. ICD-10 diagnostic codes are suitable but are subject to reporting delays. Contact and droplet precaution labels are a feasible option for automated SARI surveillance, since these reflect trends in SARI incidence and may be available real-time.

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来源期刊
Eurosurveillance
Eurosurveillance INFECTIOUS DISEASES-
CiteScore
32.70
自引率
2.10%
发文量
430
审稿时长
3-8 weeks
期刊介绍: Eurosurveillance is a European peer-reviewed journal focusing on the epidemiology, surveillance, prevention, and control of communicable diseases relevant to Europe.It is a weekly online journal, with 50 issues per year published on Thursdays. The journal includes short rapid communications, in-depth research articles, surveillance reports, reviews, and perspective papers. It excels in timely publication of authoritative papers on ongoing outbreaks or other public health events. Under special circumstances when current events need to be urgently communicated to readers for rapid public health action, e-alerts can be released outside of the regular publishing schedule. Additionally, topical compilations and special issues may be provided in PDF format.
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