1. * * Results Background Methods Conclusions
Evaluation of the Utility of Syndromic Surveillance for Rhinovirus Using Florida’s Syndromic Surveillance System (ESSENCE-FL )
Electronic Surveillance System for the Early Notification of Community-based Epidemics-Florida
Heather Rubino PhD, Janet Hamilton MPH, David Atrubin MPH, Allison Culpepper BS - Florida Department of Health
Results
Background
Rhinovirus surveillance in Florida relies on incomplete and/or untimely data from:
National Respiratory and Enteric Surveillance System (incomplete, some-what timely)
Hospital discharge data (HDD) from the Agency for Health Care Administration; (complete, not timely)
The number of emergency department (ED) visits with a chief complaint of discharge diagnosis (CCDD) of rhinovirus has increased since 2013:
HDD facilities:
2,358 patients identified with a rhinovirus diagnosis
74% were admitted
Six of these 10 hospitals are large children’s hospitals!
5x3
ESSENCE-FL facilities:
581 visits identified
98.7% identified from DDs *
Correlation of HDD and SyS surveillance for rhinovirus has improved! (coincides with more facilities sending data to ESSENCE-FL via HL7)
Number of Visits *
Research questions:
Are these increases in CCDDs for rhinovirus representative of a true increase in disease?
Can syndromic surveillance (SyS) be used for rhinovirus surveillance?
Methods
HDD queried for any diagnosis of Rhinovirus
Query used: ICD-9 codes 079.3
Top 10 diagnosing rhinovirus hospitals retained for analysis
ESSENCE-FL queried for Rhinovirus-associated CCDDs:
Query used: ^rhinov^
Facilities were matched to the retained HDD facilities
Conclusions
1- Comparing data from the state HDD to data captured in SyS can be used to evaluate the utility of existing syndromic surveillance systems for disease surveillance.
2- Previous analyses demonstrated that syndromic surveillance (SyS) for RSV is strong but SyS for rhinovirus needs further evaluation.