Monitoring COVID-19 in Belgian general practice: A tool for syndromic surveillance based on electronic health records.

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
European Journal of General Practice Pub Date : 2024-12-01 Epub Date: 2024-01-08 DOI:10.1080/13814788.2023.2293699
Bénédicte Vos, Laura Debouverie, Kris Doggen, Nicolas Delvaux, Bert Aertgeerts, Robrecht De Schreye, Bert Vaes
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引用次数: 0

Abstract

Background: COVID-19 may initially manifest as flu-like symptoms. As such, general practitioners (GPs) will likely to play an important role in monitoring the pandemic through syndromic surveillance.

Objectives: To present a COVID-19 syndromic surveillance tool in Belgian general practices.

Methods: We performed a nationwide observational prospective study in Belgian general practices. The surveillance tool extracted the daily entries of diagnostic codes for COVID-19 and associated conditions (suspected or confirmed COVID-19, acute respiratory infection and influenza-like illness) from electronic medical records. We calculated the 7-day rolling average for these diagnoses and compared them with data from two other Belgian population-based sources (laboratory-confirmed new COVID-19 cases and hospital admissions for COVID-19), using time series analysis. We also collected data from users and stakeholders about the syndromic surveillance tool and performed a thematic analysis.

Results: 4773 out of 11,935 practising GPs in Belgium participated in the study. The curve of contacts for suspected COVID-19 followed a similar trend compared with the curves of the official data sources: laboratory-confirmed COVID-19 cases and hospital admissions but with a 10-day delay for the latter. Data were quickly available and useful for decision making, but some technical and methodological components can be improved, such as a greater standardisation between EMR software developers.

Conclusion: The syndromic surveillance tool for COVID-19 in primary care provides rapidly available data useful in all phases of the COVID-19 pandemic to support data-driven decision-making. Potential enhancements were identified for a prospective surveillance tool.

监测比利时全科医生的 COVID-19:基于电子健康记录的综合征监测工具。
背景介绍COVID-19 最初可能表现为类似流感的症状。因此,全科医生(GP)可能会在通过综合征监测来监控大流行方面发挥重要作用:介绍比利时全科医生的 COVID-19 症状监测工具:方法:我们在比利时全科诊所开展了一项全国性的前瞻性观察研究。监测工具从电子病历中提取 COVID-19 和相关疾病(疑似或确诊 COVID-19、急性呼吸道感染和流感样疾病)的每日诊断代码条目。我们计算了这些诊断的 7 天滚动平均值,并通过时间序列分析,将其与比利时其他两个基于人群的数据来源(实验室确诊的 COVID-19 新发病例和因 COVID-19 入院的病例)进行了比较。我们还从用户和利益相关者那里收集了有关综合征监测工具的数据,并进行了专题分析:比利时 11935 名执业全科医生中有 4773 人参与了研究。疑似 COVID-19 病例的联系曲线与官方数据来源的曲线相比趋势相似:COVID-19 实验室确诊病例和入院病例,但入院病例的联系曲线延迟了 10 天。数据可快速获得,对决策有用,但一些技术和方法方面的内容还有待改进,如提高 EMR 软件开发商之间的标准化程度:结论:COVID-19 在基层医疗机构的综合征监测工具可快速提供 COVID-19 大流行各阶段的有用数据,以支持数据驱动的决策。为前瞻性监测工具确定了潜在的改进措施。
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来源期刊
European Journal of General Practice
European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL
CiteScore
5.10
自引率
5.90%
发文量
31
审稿时长
>12 weeks
期刊介绍: The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.
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