Academic Journal
Diagnostic Performance of Electronic Syndromic Surveillance Systems in Acute Care ; A Systematic Review
| العنوان: | Diagnostic Performance of Electronic Syndromic Surveillance Systems in Acute Care ; A Systematic Review |
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| المؤلفون: | Kashiouris, M., O’Horo, J.C., Pickering, B.W., Herasevich, V. |
| المصدر: | Applied Clinical Informatics ; volume 04, issue 02, page 212-224 ; ISSN 1869-0327 |
| بيانات النشر: | Georg Thieme Verlag KG |
| سنة النشر: | 2013 |
| الوصف: | Summary Context: Healthcare Electronic Syndromic Surveillance (ESS) is the systematic collection, analysis and interpretation of ongoing clinical data with subsequent dissemination of results, which aid clinical decision-making. Objective: To evaluate, classify and analyze the diagnostic performance, strengths and limitations of existing acute care ESS systems. Data Sources: All available to us studies in Ovid MEDLINE, Ovid EMBASE, CINAHL and Scopus databases, from as early as January 1972 through the first week of September 2012. Study Selection: Prospective and retrospective trials, examining the diagnostic performance of inpatient ESS and providing objective diagnostic data including sensitivity, specificity, positive and negative predictive values. Data Extraction: Two independent reviewers extracted diagnostic performance data on ESS systems, including clinical area, number of decision points, sensitivity and specificity. Positive and negative likelihood ratios were calculated for each healthcare ESS system. A likelihood matrix summarizing the various ESS systems performance was created. Results: The described search strategy yielded 1639 articles. Of these, 1497 were excluded on abstract information. After full text review, abstraction and arbitration with a third reviewer, 33 studies met inclusion criteria, reporting 102,611 ESS decision points. The yielded I2 was high (98.8%), precluding meta-analysis. Performance was variable, with sensitivities ranging from 21% –100% and specificities ranging from 5%-100%. Conclusions: There is significant heterogeneity in the diagnostic performance of the available ESS implements in acute care, stemming from the wide spectrum of different clinical entities and ESS systems. Based on the results, we introduce a conceptual framework using a likelihood ratio matrix for evaluation and meaningful application of future, frontline clinical decision support systems. Citation: Kashiouris M, O’Horo JC, Pickering BW, Herasevich V. Diagnostic performance of electronic syndromic ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.4338/aci-2012-12-ra-0053 |
| DOI: | 10.4338/ACI-2012-12-RA-0053.pdf |
| الاتاحة: | http://dx.doi.org/10.4338/aci-2012-12-ra-0053 http://www.thieme-connect.de/products/ejournals/pdf/10.4338/ACI-2012-12-RA-0053.pdf |
| رقم الانضمام: | edsbas.C41A620E |
| قاعدة البيانات: | BASE |
| DOI: | 10.4338/aci-2012-12-ra-0053 |
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