The National Capitol Region's Emergency Department syndromic surveillance system: do chief complaint and discharge diagnosis yield different results?

doi:10.3201/eid0903.020363

. 2003 Mar;9(3):393-6.

doi: 10.3201/eid0903.020363.

The National Capitol Region's Emergency Department syndromic surveillance system: do chief complaint and discharge diagnosis yield different results?

Elizabeth M Begier¹, Denise Sockwell, Leslie M Branch, John O Davies-Cole, LaVerne H Jones, Leslie Edwards, Julie A Casani, David Blythe

Affiliations

PMID: 12643841
PMCID: PMC2958546
DOI: 10.3201/eid0903.020363

The National Capitol Region's Emergency Department syndromic surveillance system: do chief complaint and discharge diagnosis yield different results?

Elizabeth M Begier et al. Emerg Infect Dis. 2003 Mar.

. 2003 Mar;9(3):393-6.

doi: 10.3201/eid0903.020363.

Authors

Elizabeth M Begier¹, Denise Sockwell, Leslie M Branch, John O Davies-Cole, LaVerne H Jones, Leslie Edwards, Julie A Casani, David Blythe

Affiliation

¹ Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.

PMID: 12643841
PMCID: PMC2958546
DOI: 10.3201/eid0903.020363

Abstract

We compared syndromic categorization of chief complaint and discharge diagnosis for 3,919 emergency department visits to two hospitals in the U.S. National Capitol Region. Agreement between chief complaint and discharge diagnosis was good overall (kappa=0.639), but neurologic and sepsis syndromes had markedly lower agreement than other syndromes (kappa statistics 0.085 and 0.105, respectively).

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**Figure**
National Capitol Region’s emergency department algorithm for syndrome assignment, United States.

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References

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[1] Crook LD, Tempest B. Plague: a clinical review of 27 cases. Arch Intern Med. 1992;152:1253–6. 10.1001/archinte.152.6.1253 - DOI - PubMed

[2] Crook LD, Tempest B. Plague: a clinical review of 27 cases. Arch Intern Med. 1992;152:1253–6. 10.1001/archinte.152.6.1253 - DOI - PubMed

[3] Jernigan JA, Stephens DS, Ashford DA, Omenaca C, Topiel MS, Galbraith M, et al. Bioterrorism-related inhalational anthrax: the first 10 cases reported in the United States. Emerg Infect Dis. 2001;7:933–44. 10.3201/eid0706.010604 - DOI - PMC - PubMed

[4] Jernigan JA, Stephens DS, Ashford DA, Omenaca C, Topiel MS, Galbraith M, et al. Bioterrorism-related inhalational anthrax: the first 10 cases reported in the United States. Emerg Infect Dis. 2001;7:933–44. 10.3201/eid0706.010604 - DOI - PMC - PubMed

[5] Centers for Disease Control and Prevention. Recognition of illness associated with the intentional release of a biologic agent. MMWR Morb Mortal Wkly Rep. 2001;50:893–7. - PubMed

[6] Centers for Disease Control and Prevention. Recognition of illness associated with the intentional release of a biologic agent. MMWR Morb Mortal Wkly Rep. 2001;50:893–7. - PubMed

[7] Szklo M, Nieto FJ. Epidemiology, beyond the basics. Gaithersburg (MD): Aspen Publishers; 2000.

[8] Szklo M, Nieto FJ. Epidemiology, beyond the basics. Gaithersburg (MD): Aspen Publishers; 2000.

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The National Capitol Region's Emergency Department syndromic surveillance system: do chief complaint and discharge diagnosis yield different results?

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The National Capitol Region's Emergency Department syndromic surveillance system: do chief complaint and discharge diagnosis yield different results?

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