开拓思维:重新审视基于医疗记录的健康监测
Vanderson S Sampaio1,2,3, Rafael Lopes1, Mina Cintho Ozahata1
1Instituto Todos pela Saúde, São Paulo, Brazil.
Antimicrobial stewardship & healthcare epidemiology : ASHE
|November 29, 2023
概括
实时电子医疗记录数据可以增强流行病检测. 这项研究使用"发烧"作为一个哨兵事件来识别重叠的COVID-19和流感A疫情,改善公共卫生监测.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗信息学 医疗信息学
背景情况:
- 当前的健康信息系统在实时流行病检测方面面临着挑战.
- 数据输入和可用性的延迟阻碍了有效的疾病监测,正如COVID-19大流行期间所见的那样.
- 电子医疗记录 (EMR) 提供了及时健康监测数据的潜在来源.
研究的目的:
- 建议和验证使用EMR数据进行实时健康监测的补充方法.
- 为当地卫生监测系统人员提供及时的洞察力,以检测流行病.
- 评估使用EMR数据用于识别重叠的传染病爆发的可行性.
主要方法:
- 利用来自巴西南方城市圣凯塔诺的EMR数据作为概念证明.
- 用"发烧"这个词作为一个哨兵事件,使用正则表达式来检测发烧性疾病.
- 包括特定的传染病术语在字典中映射到"发烧",并分析了患者投诉中的术语频率.
主要成果:
- 成功检测到COVID-19 Omicron BA.1亚型和流感A病毒的重叠爆发.
- 通过分析私人实验室和公共COVID-19监测系统的数据来验证这些发现.
- 证明了EMR数据能够为疫情检测提供及时信息的能力.
结论:
- 从EMR中获得的及时信息对于公共卫生和流行病学研究中的有效决策至关重要.
- 电子电磁记录数据可以作为现有健康监测系统的宝贵补充工具.
- 确保数据质量和安全性对于成功将EMR数据整合到健康监测中至关重要.
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