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Monitoring COVID-19 in Belgian general practice: A tool for syndromic surveillance based on electronic health records

Vos, Bénédicte ; Debouverie, Laura ; Doggen, Kris ; Delvaux, Nicolas ; Aertgeerts, Bert ; De Schreye, Robrecht ; Vaes, Bert

The European journal of general practice, 2024-12, Vol.30 (1), p.2293699-2293699 [Periódico revisado por pares]

England: Taylor & Francis

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  • Título:
    Monitoring COVID-19 in Belgian general practice: A tool for syndromic surveillance based on electronic health records
  • Autor: Vos, Bénédicte ; Debouverie, Laura ; Doggen, Kris ; Delvaux, Nicolas ; Aertgeerts, Bert ; De Schreye, Robrecht ; Vaes, Bert
  • Assuntos: acute respiratory infection ; Belgium - epidemiology ; COVID-19 ; Electronic Health Records ; General Practice ; Humans ; influenza-like illness ; Pandemics ; Prospective Studies ; Sentinel Surveillance ; Syndromic surveillance
  • É parte de: The European journal of general practice, 2024-12, Vol.30 (1), p.2293699-2293699
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
    ObjectType-Undefined-3
    Supplemental data for this article can be accessed online at https://doi.org/10.1080/13814788.2023.2293699.
  • Descrição: COVID-19 may initially manifest as flu-like symptoms. As such, general practitioners (GPs) will likely to play an important role in monitoring the pandemic through syndromic surveillance. To present a COVID-19 syndromic surveillance tool in Belgian general practices. We performed a nationwide observational prospective study in Belgian general practices. The surveillance tool extracted the daily entries of diagnostic codes for COVID-19 and associated conditions (suspected or confirmed COVID-19, acute respiratory infection and influenza-like illness) from electronic medical records. We calculated the 7-day rolling average for these diagnoses and compared them with data from two other Belgian population-based sources (laboratory-confirmed new COVID-19 cases and hospital admissions for COVID-19), using time series analysis. We also collected data from users and stakeholders about the syndromic surveillance tool and performed a thematic analysis. 4773 out of 11,935 practising GPs in Belgium participated in the study. The curve of contacts for suspected COVID-19 followed a similar trend compared with the curves of the official data sources: laboratory-confirmed COVID-19 cases and hospital admissions but with a 10-day delay for the latter. Data were quickly available and useful for decision making, but some technical and methodological components can be improved, such as a greater standardisation between EMR software developers. The syndromic surveillance tool for COVID-19 in primary care provides rapidly available data useful in all phases of the COVID-19 pandemic to support data-driven decision-making. Potential enhancements were identified for a prospective surveillance tool.
  • Editor: England: Taylor & Francis
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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