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Emergency department visit data for rapid detection and monitoring of norovirus activity, United States.
Emerg Infect Dis. 2013 Aug; 19(8):1214-21.EI

Abstract

Noroviruses are the leading cause of gastroenteritis in the United States, but timely measures of disease are lacking. BioSense, a national-level electronic surveillance system, assigns data on chief complaints (patient symptoms) collected during emergency department (ED) visits to 78 subsyndromes in near real-time. In a series of linear regression models, BioSense visits mapped by chief complaints of diarrhea and nausea/vomiting subsyndromes as a monthly proportion of all visits correlated strongly with reported norovirus outbreaks from 6 states during 2007-2010. Higher correlations were seen for diarrhea (R = 0.828-0.926) than for nausea/vomiting (R = 0.729-0.866) across multiple age groups. Diarrhea ED visit proportions exhibited winter seasonality attributable to norovirus; rotavirus contributed substantially for children <5 years of age. Diarrhea ED visit data estimated the onset, peak, and end of norovirus season within 4 weeks of observed dates and could be reliable, timely indicators of norovirus activity.

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Authors+Show Affiliations

Rha B
Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. wif8@cdc.gov
Burrer S
No affiliation info available
Park S
No affiliation info available
Trivedi T
No affiliation info available
Parashar UD
No affiliation info available
Lopman BA
No affiliation info available

MeSH

AdolescentAdultAgedCaliciviridae InfectionsChildChild, PreschoolDiarrheaDisease OutbreaksElectronic Health RecordsEmergency Service, HospitalEpidemiological MonitoringGastroenteritisHumansInfantLinear ModelsMiddle AgedNorovirusRotavirus InfectionsSeasonsUnited StatesYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23876432

Citation

Rha, Brian, et al. "Emergency Department Visit Data for Rapid Detection and Monitoring of Norovirus Activity, United States." Emerging Infectious Diseases, vol. 19, no. 8, 2013, pp. 1214-21.
Rha B, Burrer S, Park S, et al. Emergency department visit data for rapid detection and monitoring of norovirus activity, United States. Emerg Infect Dis. 2013;19(8):1214-21.
Rha, B., Burrer, S., Park, S., Trivedi, T., Parashar, U. D., & Lopman, B. A. (2013). Emergency department visit data for rapid detection and monitoring of norovirus activity, United States. Emerging Infectious Diseases, 19(8), 1214-21. https://doi.org/10.3201/eid1908.130483
Rha B, et al. Emergency Department Visit Data for Rapid Detection and Monitoring of Norovirus Activity, United States. Emerg Infect Dis. 2013;19(8):1214-21. PubMed PMID: 23876432.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Emergency department visit data for rapid detection and monitoring of norovirus activity, United States. AU - Rha,Brian, AU - Burrer,Sherry, AU - Park,Soyoun, AU - Trivedi,Tarak, AU - Parashar,Umesh D, AU - Lopman,Benjamin A, PY - 2013/7/24/entrez PY - 2013/7/24/pubmed PY - 2014/2/12/medline KW - United States KW - biosurveillance KW - chief complaint KW - detection KW - emergency department KW - enteric infections KW - gastroenteritis KW - norovirus KW - outbreaks KW - rotavirus KW - surveillance KW - tracking KW - viruses SP - 1214 EP - 21 JF - Emerging infectious diseases JO - Emerg Infect Dis VL - 19 IS - 8 N2 - Noroviruses are the leading cause of gastroenteritis in the United States, but timely measures of disease are lacking. BioSense, a national-level electronic surveillance system, assigns data on chief complaints (patient symptoms) collected during emergency department (ED) visits to 78 subsyndromes in near real-time. In a series of linear regression models, BioSense visits mapped by chief complaints of diarrhea and nausea/vomiting subsyndromes as a monthly proportion of all visits correlated strongly with reported norovirus outbreaks from 6 states during 2007-2010. Higher correlations were seen for diarrhea (R = 0.828-0.926) than for nausea/vomiting (R = 0.729-0.866) across multiple age groups. Diarrhea ED visit proportions exhibited winter seasonality attributable to norovirus; rotavirus contributed substantially for children <5 years of age. Diarrhea ED visit data estimated the onset, peak, and end of norovirus season within 4 weeks of observed dates and could be reliable, timely indicators of norovirus activity. SN - 1080-6059 UR - https://www.unboundmedicine.com/medline/citation/23876432/Emergency_department_visit_data_for_rapid_detection_and_monitoring_of_norovirus_activity_United_States_ L2 - https://dx.doi.org/10.3201/eid1908.130483 DB - PRIME DP - Unbound Medicine ER -