A concept for routine emergency-care data-based syndromic surveillance in Europe

Ziemann A, Rosenkoetter N, Riesgo LG-C, Schrell S, Kauhl B, Vergeiner G, Fischer M, Lippert FK, Krämer A, Brand H, Krafft T (2014)
Epidemiology and Infection 142(11): 2433-2446.

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Abstract
We developed a syndromic surveillance (SyS) concept using emergency dispatch, ambulance and emergency-department data from different European countries. Based on an inventory of sub-national emergency data availability in 12 countries, we propose framework definitions for specific syndromes and a SyS system design. We tested the concept by retrospectively applying cumulative sum and spatio-temporal cluster analyses for the detection of local gastrointestinal outbreaks in four countries and comparing the results with notifiable disease reporting. Routine emergency data was available daily and electronically in 11 regions, following a common structure. We identified two gastrointestinal outbreaks in two countries; one was confirmed as a norovirus outbreak. We detected 1/147 notified outbreaks. Emergency-care data-based SyS can supplement local surveillance with near real-time information on gastrointestinal patients, especially in special circumstances, e. g. foreign tourists. It most likely cannot detect the majority of local gastrointestinal outbreaks with few, mild or dispersed cases.
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Ziemann A, Rosenkoetter N, Riesgo LG-C, et al. A concept for routine emergency-care data-based syndromic surveillance in Europe. Epidemiology and Infection. 2014;142(11):2433-2446.
Ziemann, A., Rosenkoetter, N., Riesgo, L. G. - C., Schrell, S., Kauhl, B., Vergeiner, G., Fischer, M., et al. (2014). A concept for routine emergency-care data-based syndromic surveillance in Europe. Epidemiology and Infection, 142(11), 2433-2446.
Ziemann, A., Rosenkoetter, N., Riesgo, L. G. - C., Schrell, S., Kauhl, B., Vergeiner, G., Fischer, M., Lippert, F. K., Krämer, A., Brand, H., et al. (2014). A concept for routine emergency-care data-based syndromic surveillance in Europe. Epidemiology and Infection 142, 2433-2446.
Ziemann, A., et al., 2014. A concept for routine emergency-care data-based syndromic surveillance in Europe. Epidemiology and Infection, 142(11), p 2433-2446.
A. Ziemann, et al., “A concept for routine emergency-care data-based syndromic surveillance in Europe”, Epidemiology and Infection, vol. 142, 2014, pp. 2433-2446.
Ziemann, A., Rosenkoetter, N., Riesgo, L.G.-C., Schrell, S., Kauhl, B., Vergeiner, G., Fischer, M., Lippert, F.K., Krämer, A., Brand, H., Krafft, T.: A concept for routine emergency-care data-based syndromic surveillance in Europe. Epidemiology and Infection. 142, 2433-2446 (2014).
Ziemann, A., Rosenkoetter, N., Riesgo, L. Garcia-Castrillo, Schrell, S., Kauhl, B., Vergeiner, G., Fischer, M., Lippert, F. K., Krämer, Alexander, Brand, H., and Krafft, T. “A concept for routine emergency-care data-based syndromic surveillance in Europe”. Epidemiology and Infection 142.11 (2014): 2433-2446.
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2 Citations in Europe PMC

Data provided by Europe PubMed Central.

Why and when citizens call for emergency help: an observational study of 211,193 medical emergency calls.
Moller TP, Ersboll AK, Tolstrup JS, Ostergaard D, Viereck S, Overton J, Folke F, Lippert F., Scand J Trauma Resusc Emerg Med 23(), 2015
PMID: 26530307
Meeting the International Health Regulations (2005) surveillance core capacity requirements at the subnational level in Europe: the added value of syndromic surveillance.
Ziemann A, Rosenkotter N, Riesgo LG, Fischer M, Kramer A, Lippert FK, Vergeiner G, Brand H, Krafft T., BMC Public Health 15(), 2015
PMID: 25879869

29 References

Data provided by Europe PubMed Central.

Local implementation of a syndromic influenza surveillance system using emergency department data in Santander, Spain.
Schrell S, Ziemann A, Garcia-Castrillo Riesgo L, Rosenkotter N, Llorca J, Popa D, Krafft T; SIDARTHa Project Consortium., J Public Health (Oxf) 35(3), 2013
PMID: 23620543
Gastrointestinal disease outbreak detection using multiple data streams from electronic medical records.
Greene SK, Huang J, Abrams AM, Gilliss D, Reed M, Platt R, Huang SS, Kulldorff M., Foodborne Pathog. Dis. 9(5), 2012
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AUTHOR UNKNOWN, Morbidity and Mortality Weekly Report 54(), 2005

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