Evidence map›Paper›PMID 20711252›Full record

ArticlePloS one2010

Assessment of a syndromic surveillance system based on morbidity data: results from the Oscour network during a heat wave.

Loïc Josseran, Anne Fouillet, Nadège Caillère, Dominique Brun-Ney, Danièle Ilef, Gilles Brucker, Helena Medeiros, Pascal Astagneau

Abstract read
In one paragraph

Article in PloS one, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  10. Digital health for climate change mitigation and response: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2022
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  19. Increased Risk of Drug-Induced Hyponatremia during High Temperatures.International journal of environmental research and public health · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Loïc JosseranDepartment of Alert Coordination and Regions, French Institute for Public Health Surveillance, Saint Maurice, France. l.josseran@invs.sante.fr
Anne Fouillet
Nadège Caillère
Dominique Brun-Ney
Danièle Ilef
Gilles Brucker
Helena Medeiros
Pascal Astagneau

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSyndromic surveillance systems have been developed in recent years and are now increasingly used by stakeholders to quickly answer questions and make important decisions. It is therefore essential to evaluate the quality and utility of such systems. This study was designed to assess a syndromic surveillance system based on emergency departments' (ED) morbidity rates related to the health effects of heat waves. This study uses data collected during the 2006 heat wave in France.

methodsData recorded from 15 EDs in the Ile-de-France (Paris and surrounding area) from June to August, 2006, were transmitted daily via the Internet to the French Institute for Public Health Surveillance. Items collected included diagnosis (ICD10), outcome, and age. Several aspects of the system have been evaluated (data quality, cost, flexibility, stability, and performance). Periods of heat wave are considered the most suitable time to evaluate the system.

resultsData quality did not vary significantly during the period. Age, gender and outcome were completed in a comprehensive manner. Diagnoses were missing or uninformative for 37.5% of patients. Stability was recorded as being 99.49% for the period overall. The average cost per day over the study period was estimated to be euro287. Diagnoses of hyperthermia, malaise, dehydration, hyponatremia were correlated with increased temperatures. Malaise was most sensitive in younger and elderly adults but also the less specific. However, overall syndrome groups were more sensitive with comparable specificity than individual diagnoses.

conclusionThis system satisfactorily detected the health impact of hot days (observed values were higher than expected on more than 90% of days on which a heat alert was issued). Our findings should reassure stakeholders about the reliability of health impact assessments during or following such an event. These evaluations are essential to establish the validity of the results of syndromic surveillance systems.

Indexed as

MorbidityAdolescentAdultAgedEmergency Medical ServicesFranceHot TemperatureHumansMiddle AgedPopulation SurveillancePredictive Value of TestsResearch DesignSeasonsSensitivity and SpecificitySyndromeTime Factors

Identifiers

PMID20711252
PMCPMC2918496

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.