Details:

Alternative Title:
Am J Public Health
Personal Author:
Tomasallo, Carrie D. ; Hanrahan, Lawrence P. ; Tandias, Aman ; Chang, Timothy S. ; Cowan, Kelly J. ; ... More +
Tomasallo, Carrie D. ; Hanrahan, Lawrence P. ; Tandias, Aman ; Chang, Timothy S. ; Cowan, Kelly J. ; Guilbert, Theresa W. Less -
Description:
Objectives

This study compares a statewide telephone health survey and EHR data from a large Wisconsin health system to estimate asthma prevalence in Wisconsin.

Methods

Frequency tables and logistic regression models were developed for children and adults using Wisconsin Behavioral Risk Factor Surveillance Survey (BRFSS) and University of Wisconsin primary care clinic data. Adjusted odds ratios (OR) from each model were compared.

Results

Between 2007 and 2009, the EHR database contained 376,000 patients (30,000 with asthma) compared to 23,000 (1,850 with asthma) responding to the BRFSS telephone survey. Adjusted ORs for asthma were similar in magnitude and direction for the majority of covariates, including gender, age, and race between survey and EHR models. The EHR data had greater statistical power to detect associations than survey data, especially in pediatric and ethnic populations, due to larger sample sizes.

Conclusions

EHRs can be used to estimate asthma prevalence in Wisconsin adults and children. EHR data may improve public health chronic disease surveillance using high quality data at the local level to better identify areas of disparity, risk factors, and guide education and healthcare interventions.


Subject:
[+]
Adolescent
Adult
Article
Asthma
Child
Cross-Sectional Studies
Electronic Health Records
Female
Humans
Male
Population Surveillance
Prevalence
Public Health
Risk Factors
Telephone
Wisconsin

Source:
Am J Public Health. 104(1):e65-e73
Pubmed ID:
24228643
Pubmed Central ID:
PMC3895403
Document Type:
Journal Article
Funding:
UL1 TR000427/TR/NCATS NIH HHS/United States ; U58 CD001316/CD/ODCDC CDC HHS/United States ; 5U90TP517002-10/TP/OPHPR CDC HHS/United States ; T32 GM008692/GM/NIGMS NIH HHS/United States ; UL1 RR025011/RR/NCRR NIH HHS/United States ; ... More +
UL1 TR000427/TR/NCATS NIH HHS/United States ; U58 CD001316/CD/ODCDC CDC HHS/United States ; 5U90TP517002-10/TP/OPHPR CDC HHS/United States ; T32 GM008692/GM/NIGMS NIH HHS/United States ; UL1 RR025011/RR/NCRR NIH HHS/United States ; U38 EH000951/EH/NCEH CDC HHS/United States ; 5U58CD001316-03/CD/ODCDC CDC HHS/United States ; F30 HL112491/HL/NHLBI NIH HHS/United States ; 5U38EH000951-02/EH/NCEH CDC HHS/United States ; U90 TP517002/TP/OPHPR CDC HHS/United States Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:0aaca19431c9e442c5df970784848dc0bf5660b91bc7375c3a4bb6f21507b42d
File Type:

Supporting Files

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