BMC Med Inform Decis Mak - Accuracy of automatic syndromic classification of coded emergency department diagnoses in identifying mental health-related presentations for public health surveillance.

Tópicos

{ case(1353) use(1143) diagnosi(1136) }
{ use(976) code(926) identifi(902) }
{ inform(2794) health(2639) internet(1427) }
{ treatment(1704) effect(941) patient(846) }
{ model(2341) predict(2261) use(1141) }
{ record(1888) medic(1808) patient(1693) }
{ framework(1458) process(801) describ(734) }
{ learn(2355) train(1041) set(1003) }
{ detect(2391) sensit(1101) algorithm(908) }
{ extract(1171) text(1153) clinic(932) }
{ intervent(3218) particip(2042) group(1664) }
{ monitor(1329) mobil(1314) devic(1160) }
{ featur(3375) classif(2383) classifi(1994) }
{ medic(1828) order(1363) alert(1069) }
{ assess(1506) score(1403) qualiti(1306) }
{ search(2224) databas(1162) retriev(909) }
{ state(1844) use(1261) util(961) }
{ data(2317) use(1299) case(1017) }
{ imag(1057) registr(996) error(939) }
{ chang(1828) time(1643) increas(1301) }
{ general(901) number(790) one(736) }
{ studi(1410) differ(1259) use(1210) }
{ perform(1367) use(1326) method(1137) }
{ health(3367) inform(1360) care(1135) }
{ time(1939) patient(1703) rate(768) }
{ structur(1116) can(940) graph(676) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ activ(1452) weight(1219) physic(1104) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ measur(2081) correl(1212) valu(896) }
{ studi(2440) review(1878) systemat(933) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ data(3963) clinic(1234) research(1004) }
{ ehr(2073) health(1662) electron(1139) }
{ first(2504) two(1366) second(1323) }
{ patient(1821) servic(1111) care(1106) }
{ high(1669) rate(1365) level(1280) }
{ result(1111) use(1088) new(759) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ motion(1329) object(1292) video(1091) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ howev(809) still(633) remain(590) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ activ(1138) subject(705) human(624) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ implement(1333) system(1263) develop(1122) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

CKGROUND: Syndromic surveillance in emergency departments (EDs) may be used to deliver early warnings of increases in disease activity, to provide situational awareness during events of public health significance, to supplement other information on trends in acute disease and injury, and to support the development and monitoring of prevention or response strategies. Changes in mental health related ED presentations may be relevant to these goals, provided they can be identified accurately and efficiently. This study aimed to measure the accuracy of using diagnostic codes in electronic ED presentation records to identify mental health-related visits.METHODS: We selected a random sample of 500 records from a total of 1,815,588 ED electronic presentation records from 59 NSW public hospitals during 2010. ED diagnoses were recorded using any of ICD-9, ICD-10 or SNOMED CT classifications. Three clinicians, blinded to the automatically generated syndromic grouping and each other's classification, reviewed the triage notes and classified each of the 500 visits as mental health-related or not. A "mental health problem presentation" for the purposes of this study was defined as any ED presentation where either a mental disorder or a mental health problem was the reason for the ED visit. The combined clinicians' assessment of the records was used as reference standard to measure the sensitivity, specificity, and positive and negative predictive values of the automatic classification of coded emergency department diagnoses. Agreement between the reference standard and the automated coded classification was estimated using the Kappa statistic.RESULTS: Agreement between clinician's classification and automated coded classification was substantial (Kappa = 0.73. 95% CI: 0.58 - 0.87). The automatic syndromic grouping of coded ED diagnoses for mental health-related visits was found to be moderately sensitive (68% 95% CI: 46%-84%) and highly specific at 99% (95% CI: 98%-99.7%) when compared with the reference standard in identifying mental health related ED visits. Positive predictive value was 81% (95% CI: 0.57 - 0.94) and negative predictive value was 98% (95% CI: 0.97-0.99).CONCLUSIONS: Mental health presentations identified using diagnoses coded with various classifications in electronic ED presentation records offers sufficient accuracy for application in near real-time syndromic surveillance.

Resumo Limpo

ckground syndrom surveil emerg depart ed may use deliv earli warn increas diseas activ provid situat awar event public health signific supplement inform trend acut diseas injuri support develop monitor prevent respons strategi chang mental health relat ed present may relev goal provid can identifi accur effici studi aim measur accuraci use diagnost code electron ed present record identifi mental healthrel visitsmethod select random sampl record total ed electron present record nsw public hospit ed diagnos record use icd icd snome ct classif three clinician blind automat generat syndrom group other classif review triag note classifi visit mental healthrel mental health problem present purpos studi defin ed present either mental disord mental health problem reason ed visit combin clinician assess record use refer standard measur sensit specif posit negat predict valu automat classif code emerg depart diagnos agreement refer standard autom code classif estim use kappa statisticresult agreement clinician classif autom code classif substanti kappa ci automat syndrom group code ed diagnos mental healthrel visit found moder sensit ci high specif ci compar refer standard identifi mental health relat ed visit posit predict valu ci negat predict valu ci conclus mental health present identifi use diagnos code various classif electron ed present record offer suffici accuraci applic near realtim syndrom surveil

Resumos Similares

Med Decis Making - Continuously rethinking the definition of influenza for surveillance systems: a Dependent Bayesian Expert System. ( 0,742811059904182 )
J Am Med Inform Assoc - Explaining accesses to electronic medical records using diagnosis information. ( 0,682051872717153 )
J Biomed Inform - Automatic detection of patients with invasive fungal disease from free-text computed tomography (CT) scans. ( 0,638245938723958 )
Appl Clin Inform - The contribution of the vaccine adverse event text mining system to the classification of possible Guillain-Barr? syndrome reports. ( 0,63471143853583 )
AMIA Annu Symp Proc - Text Classification towards Detecting Misdiagnosis of an Epilepsy Syndrome in a Pediatric Population. ( 0,633942462164948 )
Int J Med Inform - Artificial intelligence techniques applied to the development of a decision-support system for diagnosing celiac disease. ( 0,601956564253092 )
J Telemed Telecare - Agreement on diagnoses of mental health problems between an online clinical assignment and a routine clinical assignment. ( 0,598833098173577 )
Comput Math Methods Med - Computerized neuropsychological assessment in aging: testing efficacy and clinical ecology of different interfaces. ( 0,597555442148899 )
BMC Med Inform Decis Mak - Sixteen years of ICPC use in Norwegian primary care: looking through the facts. ( 0,596704265704867 )
Health Informatics J - Tuberculosis-Diagnostic Expert System: an architecture for translating patients information from the web for use in tuberculosis diagnosis. ( 0,59315764475323 )
IEEE Trans Vis Comput Graph - The Five W's for Information Visualization with Application to Healthcare Informatics. ( 0,592022119160548 )
IEEE J Biomed Health Inform - Content Based Image Retrieval by Metric Learning from Radiology Reports: Application to Interstitial Lung Diseases. ( 0,580583153069719 )
Methods Inf Med - Automated classification of free-text pathology reports for registration of incident cases of cancer. ( 0,58050729632767 )
J Am Med Inform Assoc - Use of the International Classification of Diseases, 9th revision, coding in identifying chronic hepatitis B virus infection in health system data: implications for national surveillance. ( 0,576747425347585 )
Comput Math Methods Med - Prediagnosis of obstructive sleep apnea via multiclass MTS. ( 0,571688501111852 )
Med Decis Making - Correlates of diagnostic accuracy in patients with nonspecific complaints. ( 0,571118319640533 )
Med Decis Making - Bayesian processing of context-dependent text: reasons for appointments can improve detection of influenza. ( 0,570647331527044 )
Methods Inf Med - Long-term impact of physician encoding on detail and number of recorded diagnoses. Support by a speciality specific list of diseases. ( 0,561916095524309 )
J. Med. Internet Res. - Older adult experience of online diagnosis: results from a scenario-based think-aloud protocol. ( 0,55066169134845 )
Telemed J E Health - Help is in your pocket: the potential accuracy of smartphone- and laptop-based remotely guided resuscitative telesonography. ( 0,546466887152529 )
Comput Math Methods Med - Deep learning based syndrome diagnosis of chronic gastritis. ( 0,543816968975744 )
J. Med. Internet Res. - A smartphone client-server teleradiology system for primary diagnosis of acute stroke. ( 0,543264257121178 )
J Med Syst - Chinese Acupuncture Expert System (CAES)-a useful tool to practice and learn medical acupuncture. ( 0,543158305961248 )
J Am Med Inform Assoc - Finding falls in ambulatory care clinical documents using statistical text mining. ( 0,543151047423874 )
Artif Intell Med - Case-based reasoning support for liver disease diagnosis. ( 0,542876475294514 )
Telemed J E Health - High quantity but limited quality in healthcare applications intended for HIV-infected patients. ( 0,540435690791556 )
Methods Inf Med - Automated volumes-of-interest identification for classical and atypical Parkinsonian syndrome differentiation using T2' MR imaging. ( 0,538684921987382 )
AMIA Annu Symp Proc - Data model for personalized patient health guidelines: an exploratory study. ( 0,537760038297034 )
Artif Intell Med - Biomedical visual data analysis to build an intelligent diagnostic decision support system in medical genetics. ( 0,537747556516813 )
J Telemed Telecare - Telemedicine for corneal disease in rural Nepal. ( 0,535218652432231 )
AMIA Annu Symp Proc - Developing predictive models using electronic medical records: challenges and pitfalls. ( 0,535141416571754 )
Artif Intell Med - Unveiling relevant non-motor Parkinson's disease severity symptoms using a machine learning approach. ( 0,534855291634383 )
Artif Intell Med - A knowledge-based clinical toxicology consultant for diagnosing multiple exposures. ( 0,534582096016116 )
AMIA Annu Symp Proc - Measuring the Information Gain of Diagnosis vs. Diagnosis Category Coding. ( 0,534409298091096 )
Med Biol Eng Comput - Shoulder impingement revisited: evolution of diagnostic understanding in orthopedic surgery and physical therapy. ( 0,533698509833309 )
Methods Inf Med - Development of ICF code selection tools for mental health care. ( 0,533252924811647 )
BMC Med Inform Decis Mak - Automated identification of pneumonia in chest radiograph reports in critically ill patients. ( 0,532169139805103 )
J Telemed Telecare - Telecytology for rapid assessment of cytological specimens. ( 0,532144300376712 )
Int J Med Inform - Functionalities and input methods for recording food intake: a systematic review. ( 0,528717112180307 )
J Telemed Telecare - The accuracy of mobile teleradiology in the evaluation of chest X-rays. ( 0,526484225947752 )
Int J Med Inform - Using electronic medical records to determine the diagnosis of clinical depression. ( 0,525994440358601 )
J Biomed Inform - Classifying obstructive sleep apnea using smartphones. ( 0,52536811425857 )
Comput Methods Programs Biomed - The methodology of Dynamic Uncertain Causality Graph for intelligent diagnosis of vertigo. ( 0,524217124807601 )
J Telemed Telecare - Dynamic telecytopathology for on-site preliminary diagnosis of endoscopic ultrasound-guided fine needle aspiration of pancreatic masses. ( 0,522048449447962 )
Artif Intell Med - A knowledge-based clinical toxicology consultant for diagnosing single exposures. ( 0,521995437154157 )
Med Decis Making - Exploring the impact of expertise, clinical history, and visual search on electrocardiogram interpretation. ( 0,521576110113179 )
BMC Med Inform Decis Mak - Development and validation of an algorithm to recalibrate mental models and reduce diagnostic errors associated with catheter-associated bacteriuria. ( 0,519501178588573 )
IEEE J Biomed Health Inform - Complexity index from a personalized wearable monitoring system for assessing remission in mental health. ( 0,518763969183499 )
J. Med. Internet Res. - Consumers' use of web-based information and their decisions about multiplex genetic susceptibility testing. ( 0,51612852462653 )
AMIA Annu Symp Proc - Development and Evaluation of Reference Standards for Image-based Telemedicine Diagnosis and Clinical Research Studies in Ophthalmology. ( 0,515713690240281 )
J Am Med Inform Assoc - Evaluating the state of the art in disorder recognition and normalization of the clinical narrative. ( 0,513307472151369 )
J Telemed Telecare - A prospective study of mobile phones for dermatology in a clinical setting. ( 0,512413842434662 )
Telemed J E Health - Assessment of static telecytological diagnoses' reproducibility in cervical smears prepared by means of liquid-based cytology. ( 0,511828849369869 )
Int J Comput Assist Radiol Surg - Content-based image-retrieval system in chest computed tomography for a solitary pulmonary nodule: method and preliminary experiments. ( 0,510933511077483 )
Comput. Biol. Med. - Computational diagnosis and risk evaluation for canine lymphoma. ( 0,510854204854006 )
J Telemed Telecare - A preliminary study of the contribution of telemicroscopy to the diagnosis and management of skin tumours in teledermatology. ( 0,509773542042273 )
Artif Intell Med - A preclustering-based ensemble learning technique for acute appendicitis diagnoses. ( 0,509204828796308 )
J Med Syst - Usability evaluation of Laboratory and Radiology Information Systems integrated into a hospital information system. ( 0,508094240292936 )
Comput. Biol. Med. - A Bayesian network decision model for supporting the diagnosis of dementia, Alzheimers disease and mild cognitive impairment. ( 0,507614218984038 )
AMIA Annu Symp Proc - Development and validation of an electronic phenotyping algorithm for chronic kidney disease. ( 0,507053933286376 )
BMC Med Inform Decis Mak - Casebook: a virtual patient iPad application for teaching decision-making through the use of electronic health records. ( 0,505506779462407 )
J Med Syst - A novel mathematical approach to diagnose premenstrual syndrome. ( 0,501833141449302 )
J Telemed Telecare - Telecytology in East Africa: a feasibility study of forty cases using a static imaging system. ( 0,500905831894208 )
Med Decis Making - Joint and separate evaluation of risk reduction: impact on sensitivity to risk reduction magnitude in the context of 4 different risk information formats. ( 0,500590475232733 )
Telemed J E Health - Teledentistry: distant diagnosis of oral disease using e-mails. ( 0,4997327199933 )
Comput Math Methods Med - Differentiating small (=1cm) focal liver lesions as metastases or cysts by means of computed tomography: a case-study to illustrate a fuzzy logic-based method to assess the impact of diagnostic confidence on radiological diagnosis. ( 0,498947218583576 )
AMIA Annu Symp Proc - A Knowledge Intensive Approach to Mapping Clinical Narrative to LOINC. ( 0,498302269880577 )
J. Med. Internet Res. - Computer-assisted update of a consumer health vocabulary through mining of social network data. ( 0,497774120971729 )
J Telemed Telecare - Validity and reliability of the assessment and diagnosis of musculoskeletal elbow disorders using telerehabilitation. ( 0,497708525692576 )
J. Med. Internet Res. - Assessing the applicability of e-therapies for depression, anxiety, and other mood disorders among lesbians and gay men: analysis of 24 web- and mobile phone-based self-help interventions. ( 0,497633143318823 )
Artif Intell Med - Fuzzy logic-based diagnostic algorithm for implantable cardioverter defibrillators. ( 0,497193175129435 )
Int J Med Inform - Tablet computers in support of rural and frontier clinical practice. ( 0,496552314276131 )
J Med Syst - Application of Bayesian classifier for the diagnosis of dental pain. ( 0,496127657222863 )
Int J Med Inform - The MITRE Identification Scrubber Toolkit: design, training, and assessment. ( 0,496003065992317 )
AMIA Annu Symp Proc - Impact of selective mapping strategies on automated laboratory result notification to public health authorities. ( 0,495124122161616 )
Artif Intell Med - Modern parameterization and explanation techniques in diagnostic decision support system: a case study in diagnostics of coronary artery disease. ( 0,493920029121835 )
AMIA Annu Symp Proc - Decision path models for patient-specific modeling of patient outcomes. ( 0,492113042235567 )
J Med Syst - Use of digital patient photographs and electronic medical record data as diagnostic tools in Japan. ( 0,491061311372516 )
BMC Med Inform Decis Mak - Supporting meningitis diagnosis amongst infants and children through the use of fuzzy cognitive mapping. ( 0,490871290216697 )
BMC Med Inform Decis Mak - Recognizing clinical entities in hospital discharge summaries using Structural Support Vector Machines with word representation features. ( 0,49076465105349 )
Telemed J E Health - Comparison between differently priced devices for digital capture of X-ray films using computed tomography as a gold standard: a multireader-multicase receiver operating characteristic curve study. ( 0,490547824967729 )
Comput Methods Programs Biomed - Identification of intestinal wall abnormalities and ischemia by modeling spatial uncertainty in computed tomography imaging findings. ( 0,490293215269577 )
Comput Methods Programs Biomed - Application of clustering analyses to the diagnosis of Huntington disease in mice and other diseases with well-defined group boundaries. ( 0,489888335165299 )
BMC Med Inform Decis Mak - Derivation and validation of a search algorithm to retrospectively identify mechanical ventilation initiation in the intensive care unit. ( 0,488957741468139 )
Methods Inf Med - Generating reference models for structurally complex data. Application to the stabilometry medical domain. ( 0,488096515234913 )
Comput. Biol. Med. - Integration testing through reusing representative unit test cases for high-confidence medical software. ( 0,487658453901718 )
AMIA Annu Symp Proc - Competing interpretations of disorder codes in SNOMED CT and ICD. ( 0,487333731487534 )
Appl Clin Inform - Case report medical eponyms: an applied clinical informatics opportunity. ( 0,487044849095273 )
J Am Med Inform Assoc - Medical decision support using machine learning for early detection of late-onset neonatal sepsis. ( 0,486658023153186 )
J Biomed Inform - The clinician in the driver's seat: part 2 - intelligent uses of space in a drag/drop user-composable electronic health record. ( 0,486138743004014 )
BMC Med Inform Decis Mak - Evaluation of natural language processing from emergency department computerized medical records for intra-hospital syndromic surveillance. ( 0,486091091364994 )
J Telemed Telecare - Feasibility and diagnostic accuracy of Internet-based dynamic telepathology between Uganda and Germany. ( 0,486089759900667 )
IEEE J Biomed Health Inform - Beta-band frequency peaks inside the subthalamic nucleus as a biomarker for motor improvement after deep brain stimulation in Parkinson's disease. ( 0,48572559587392 )
BMC Med Inform Decis Mak - Clinician attitudes toward and use of electronic problem lists: a thematic analysis. ( 0,48437034345846 )
J Am Med Inform Assoc - ICD-9 tobacco use codes are effective identifiers of smoking status. ( 0,484152536025614 )
J. Med. Internet Res. - Pretreatment attrition and formal withdrawal during treatment and their predictors: an exploratory study of the anxiety online data. ( 0,483961952095601 )
J Med Syst - Decision support algorithm for diagnosis of ADHD using electroencephalograms. ( 0,483520423075665 )
J Am Med Inform Assoc - Toward personalizing treatment for depression: predicting diagnosis and severity. ( 0,483282229917328 )
Int J Med Inform - Variations in faculty assessment of NICU flowsheet data: implications for electronic data display. ( 0,483028095287969 )
J Am Med Inform Assoc - The discriminatory cost of ICD-10-CM transition between clinical specialties: metrics, case study, and mitigating tools. ( 0,481868043010649 )