scholarly journals Validation of the Michigan’s Public Health Syndromic System Using Electronic Medical Records

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Sandhya Swarnavel ◽  
Jim Collins ◽  
Corrine Miller
Keyword(s):  
Public Health ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Situational Awareness ◽  
Communicable Disease ◽  
Tertiary Hospital ◽  
Chief Complaint ◽  
Automated Classification ◽  
Chief Complaints

Michigan has been collecting chief complaint data from emergency departments statewide to support situational awareness activities related to communicable disease since 2004. We validated the syndromic system by comparing the chief complaint data to the electronic medical records (EMR) of a tertiary hospital in southeast Michigan to better understand the utility of the system for non-communicable disease situations.Findings of this study will help determine the accuracy of the automated classification of data based on chief complaints. This study can add confidence in planning for public health preparedness activities and situational awareness.

scholarly journals Use of Emergency Department Data to Monitor and Respond to an Increase in Opioid Overdoses in New Hampshire, 2011-2015

2017 ◽  
Vol 132 (1_suppl) ◽  
pp. 73S-79S ◽  
Author(s):  
Elizabeth R. Daly ◽  
Kenneth Dufault ◽  
David J. Swenson ◽  
Paul Lakevicius ◽  
Erin Metcalf ◽  
...  
Keyword(s):  
Public Health ◽  
Emergency Department ◽  
New Hampshire ◽  
Syndromic Surveillance ◽  
Situational Awareness ◽  
The United States ◽  
Chief Complaint ◽  
Public Health Response ◽  
Syndromic Surveillance System ◽  
Icd Codes

Objectives: Opioid-related overdoses and deaths in New Hampshire have increased substantially in recent years, similar to increases observed across the United States. We queried emergency department (ED) data in New Hampshire to monitor opioid-related ED encounters as part of the public health response to this health problem. Methods: We obtained data on opioid-related ED encounters for the period January 1, 2011, through December 31, 2015, from New Hampshire’s syndromic surveillance ED data system by querying for (1) chief complaint text related to the words “fentanyl,” “heroin,” “opiate,” and “opioid” and (2) opioid-related International Classification of Diseases ( ICD) codes. We then analyzed the data to calculate frequencies of opioid-related ED encounters by age, sex, residence, chief complaint text values, and ICD codes. Results: Opioid-related ED encounters increased by 70% during the study period, from 3300 in 2011 to 5603 in 2015; the largest increases occurred in adults aged 18-29 and in males. Of 20 994 total opioid-related ED visits, we identified 18 554 (88%) using ICD code alone, 690 (3%) using chief complaint text alone, and 1750 (8%) using both chief complaint text and ICD code. For those encounters identified by ICD code only, the corresponding chief complaint text included varied and nonspecific words, with the most common being “pain” (n = 3335, 18%), “overdose” (n = 1555, 8%), “suicidal” (n = 816, 4%), “drug” (n = 803, 4%), and “detox” (n = 750, 4%). Heroin-specific encounters increased by 827%, from 4% of opioid-related encounters in 2011 to 24% of encounters in 2015. Conclusions: Opioid-related ED encounters in New Hampshire increased substantially from 2011 to 2015. Data from New Hampshire’s ED syndromic surveillance system provided timely situational awareness to public health partners to support the overall response to the opioid epidemic.

scholarly journals Low ALT values amongst hospitalized patients are associated with increased risk of hypoglycemia and overall mortality: a retrospective, big-data analysis of 51 831 patients

QJM ◽  
2020 ◽  
Author(s):  
E Itelman ◽  
A Segev ◽  
L Ahmead ◽  
E Leibowitz ◽  
M Agbaria ◽  
...  
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Cohort Analysis ◽  
Surrogate Marker ◽  
Tertiary Hospital ◽  
Big Data Analysis ◽  
Hospitalized Patients ◽  
Retrospective Cohort Analysis ◽  
Increased Risk ◽  
Overall Mortality

Summary Background Sarcopenia and frailty influence clinical patients’ outcomes. Low alanine aminotransferase (ALT) serum activity is a surrogate marker for sarcopenia and frailty. In-hospital hypoglycemia is associated, also with worse clinical outcomes. Aim We evaluated the association between low ALT, risk of in-hospital hypoglycemia and subsequent mortality. Design This was a retrospective cohort analysis. Methods We included patients hospitalized in a tertiary hospital between 2007 and 2019. Patients’ data were retrieved from their electronic medical records. Results The cohort included 51 831 patients (average age 70.88). The rate of hypoglycemia was 10.8% (amongst diabetics 19.4% whereas in non-diabetics 8.3%). The rate of hypoglycemia was higher amongst patients with ALT < 10 IU/l in the whole cohort (14.3% vs. 10.4%, P < 0.001) as well as amongst diabetics (24.6% vs. 18.8%, P < 0.001). Both the overall and in-hospital mortality were higher in the low ALT group (57.7% vs. 39.1% P < 0.001 and 4.3% vs. 3.2%, P < 0.001). A propensity score matching, after which a regression model was performed, showed that patients with ALT levels < 10 IU/l had higher risk of overall mortality (HR = 1.21, CI 1.13–1.29, P < 0.001). Conclusions Low ALT values amongst hospitalized patients are associated with increased risk of in-hospital hypoglycemia and overall mortality.

scholarly journals Best Paper Selection

2017 ◽  
Vol 26 (01) ◽  
pp. 70-71
Keyword(s):  
Public Health ◽  
Data Mining ◽  
Quality Control ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Systematic Approach ◽  
Biomedical Data ◽  
Control Methods ◽  
Data Quality Control ◽  
Health Records

Chen J, Podchiyska T, Altman R. OrderRex: clinical order decision support and outcome predictions by data-mining electronic medical records. J Am Med Inform Assoc 2016;23:339-48 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5009921/ Miotto R, Li L, Kidd BA, Dudley JT. Deep Patient: An Unsupervised Representation to Predict the Future of Patients from the Electronic Health Records. Sci Rep 2016;6:26094 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4869115/ Prasser F, Kohlmayer F, Kuhn KA. The Importance of Context: Risk-based De-identification of Biomedical Data. Methods Inf Med 2016;55:347-55 https://methods.schattauer.de/en/contents/archivestandard/issue/2382/manuscript/25994.ht Saez C, Zurriaga O, Perez-Panades J, Melchor I, Robles M, Garcia-Gomez JM. Applying probabilistic temporal and multisite data quality control methods to a public health mortality registry in Spain: a systematic approach to quality control of repositories. J Am Med Inform Assoc 2016;23:1085-95 https://academic.oup.com/jamia/article-lookup/doi/10.1093/jamia/ocw010

scholarly journals Classification of Childhood Glaucoma in Patients of a Government Tertiary Hospital in Manila, Philippines using the Childhood Glaucoma Research Network System

2021 ◽  
Vol 55 (1) ◽  
Author(s):  
Martin Joseph B. Babaran ◽  
Nilo Vincent DG. FlorCruz
Keyword(s):  
Medical Records ◽  
Classification Scheme ◽  
Surgical Intervention ◽  
Open Angle Glaucoma ◽  
Tertiary Hospital ◽  
Research Network ◽  
Network System ◽  
Limited Information

Background. Childhood glaucoma is a rare multifactorial disease with limited information regarding the demographics and characteristics in the Filipino setting. It can be categorized via the Childhood Glaucoma Research Network Classification scheme. Objective. Determine the clinical classification of patients diagnosed with childhood glaucoma in the ophthalmology service of a government tertiary hospital in Manila, Philippines. Methods. Medical records of all patients ≤16 years-old referred to Glaucoma Section of Philippine General Hospital from January 2015 to December 2017 were reviewed retrospectively and classified. Results. One-hundred four (104) eyes in 77 children were classified. Glaucoma associated with acquired conditions was the most prevalent in 44.2% of the patients with trauma consisting of 19.5% of all patients. Primary childhood glaucoma consisted of 15.6% and juvenile open-angle glaucoma was diagnosed in 5.2%. Glaucoma following cataract surgery was noted in 7.8% of patients. Trabeculectomy was the primary surgical intervention in 22.2% of eyes, with 78.9% of eyes reaching an IOP control of <21mmHg on final follow-up. Conclusion. Glaucoma associated with acquired conditions was the most common childhood glaucoma in the patient population. Trabeculectomy was the most common surgery done. Trauma was the most prevalent cause of glaucoma from acquired conditions.

scholarly journals Accuracy of claim data in the identification and classification of adults with congenital heart diseases in electronic medical records

2019 ◽  
Vol 112 (1) ◽  
pp. 31-43 ◽  
Author(s):  
Sarah Cohen ◽  
Anne-Sophie Jannot ◽  
Laurence Iserin ◽  
Damien Bonnet ◽  
Anita Burgun ◽  
...  
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Claim Data ◽  
Congenital Heart Diseases
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