Self-reported fever and measured temperature in emergency department records used for syndromic surveillance
Published Date:2012 Sep-Oct
Source:J Am Med Inform Assoc. 2012; 19(5):775-776.
Change Point Analysis
Communicable Disease Control
Detecting Disease Outbreaks And Biological Threats
Diagnostic Self Evaluation
Emergency Service, Hospital
Monitoring The Health Of Populations
Public Health Informatics
Simulation Of Complex Systems (at All Levels: Molecules To Work Groups To Organizations)
Description:Many public health agencies monitor population health using syndromic surveillance, generally employing information from emergency department (ED) visit records. When combined with other information, objective evidence of fever may enhance the accuracy with which surveillance systems detect syndromes of interest, such as influenza-like illness. This study found that patient chief complaint of self-reported fever was more readily available in ED records than measured temperature and that the majority of patients with an elevated temperature recorded also self-reported fever. Due to its currently limited availability, we conclude that measured temperature is likely to add little value to self-reported fever in syndromic surveillance for febrile illness using ED records.
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