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基于电子健康记录的算法,用于监测呼吸系统病毒性疾病
Emerging infectious diseases
|May 23, 2024
概括
一个新的自动化系统,呼吸道病毒样疾病 (RAVIOLI) 监测,增强了超越传统流感样疾病 (ILI) 方法的多种呼吸道病毒的跟踪. 这种先进的方法为病毒性呼吸道疾病的趋势提供了更广泛,更敏感和更具体的见解.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 传统的病毒性呼吸道疾病监测通常集中在单个病原体上,如流感.
- 现有的方法,如流感类疾病 (ILI) 监测,需要发烧,可能会错过共循环的病毒.
- 需要更全面的监测系统来监测各种呼吸道病毒威胁.
研究的目的:
- 开发和评估一种自动化系统,用于监测多种病原体的呼吸道病毒性疾病 (RAVIOLI).
- 将RAVIOLI系统的有效性与传统的ILI监控方法进行比较.
- 提高呼吸道病毒病监测的范围,细粒度,敏感性和特异性.
主要方法:
- 开发了一个自动化系统,使用电子健康记录 (EHR) 集成实验室测试和综合症标准.
- 定义RAVIOLI综合征使用呼吸道病毒检测,阳性病毒检测或发烧的诊断代码.
- 在美国马萨诸塞州 (2015-2024) 的三个实践小组的电子健康记录数据上,追溯地应用了RAVIOLI标准.
主要成果:
- 观察到明显的年度冬季高峰 (2015-2019) 主要是由于流感.
- 鉴定了来自SARS-CoV-2 (2020-2024年),RSV (2021年中期,2022年底) 和复发性流感 (2022年底,2023年) 的周期性峰值.
- 拉维奥利监测显示比传统的ILI监测更高的比率和更明显的波动.
结论:
- 自动化的RAVIOLI系统有效地监测了多种病原体的呼吸道病毒性疾病的趋势.
- 与传统的ILI方法相比,RAVIOLI提供了一种更全面,更敏感的监控方法.
- 该系统提高了跟踪各种呼吸道病毒威胁的细粒度和特异性.
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