Innovations in Population Health Surveillance: Using Electronic Health Records for Chronic Disease Surveillance

Perlman, Sharon E.; McVeigh, Katharine H.; Thorpe, Lorna E.; Jacobson, Laura; Greene, Carolyn M.; Gwynn, R. Charon

doi:10.2105/ajph.2017.303813

Cited by 63 publications

(52 citation statements)

References 16 publications

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“…To date, structured data within EHR systems have been used in a limited capacity in research to power a wide array of data tools for end-users [8,9,10]. For example, these data have been used to populate case reports for disease surveillance [11,12]. Health system administrators can use structured information from procedure and diagnosis codes, as well as structured outcomes data, to evaluate and improve patient safety [13,14].…”

Section: Structured Ehr Componentsmentioning

confidence: 99%

Unlocking the Potential of Electronic Health Records for Health Research

Lee

D’Souza

et al. 2020

IJPDS

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Electronic health records (EHRs), originally designed to facilitate health care delivery, are becoming a valuable data source for health research. EHR systems have two components: the front end, where the data is entered by healthcare workers including physicians and nurses, and the back-end electronic data warehouse where the data is stored in a relational database. EHR data elements can be of many types, which can be categorized as structured, unstructured free-text, and imaging data. The Sunrise Clinical Manager (SCM) EHR is one example of an inpatient EHR system, which covers the city of Calgary (Alberta, Canada). This system, under the management of Alberta Health Services, is now being explored for research use. The purpose of the present paper is to describe the SCM EHR for research purposes, showing how this generalizes to EHRs in general. We further discuss advantages, challenges (e.g. potential bias and data quality issues), and analytical capacities and requirements associated with using EHRs.

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Section: Structured Ehr Componentsmentioning

confidence: 99%

Unlocking the Potential of Electronic Health Records for Health Research

Lee

D’Souza

et al. 2020

IJPDS

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“…Using electronic records to examine the impact of interventions to reduce obesity and chronic conditions may help monitor and improve population health. Other countries, such as the United States, have explored using EMR to evaluate conditions like diabetes, hyperlipidemia, hypertension, smoking, obesity, and depression to better understand population health [22].…”

Section: Discussionmentioning

confidence: 99%

The use of electronic health records to examine the association between obesity and chronic conditions: Results from a population-based sample in Saudi Arabia

Alghnam¹,

Alessi²,

Bosaad³

et al. 2020

Preprint

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BackgroundObesity is a growing public health problem worldwide. Over the past few decades, the prevalence of obesity has increased significantly in Saudi Arabia, putting population health at an increased risk of mortality and morbidity. Because of the wide variation in previous local estimates, this study used electronic records of a population-based sample to estimate the prevalence of obesity and its association with diabetes and hypertension.MethodsThis study used records from five hospitals in the National Guard Health Affairs, which provides medical service to about a million beneficiaries. We included individuals aged 17 years or older who visited any outpatient clinic in the past four years (2016-2019). Body mass index (BMI) was measured before the doctor’s encounter. Patients were classified as diabetic or hypertensive if they had any visit during the four years, where the primary diagnosis was one of those conditions or if the patient was taking medications. The associations between obesity (BMI>30) and diabetes and hypertension were evaluated using a multiple logistic regression model adjusting for age, gender, nationality, and region.ResultsA total of 616,092 individuals were included. Of them, 55.0% were females, and the majority were Saudi nationals (93.1%). Approximately 68% of the population were either obese (38.9%) or overweight (29.30%). Obesity was more prevalent among Saudi nationals (39.8% vs. 26.7%, p<0.01) and females (45.3% vs. 31. 2%, p<0.01). Compared to those younger than 26 years of age, those older than 65 years were over 27 times more likely to have diabetes (OR= 27.3, p<0.01). In addition, obesity was independently associated with diabetes mellitus (OR= 2.24, p<0.01) and hypertension (OR= 2.15, p<0.01).ConclusionsThe prevalence of obesity in the study population was high, and more pronounced among women. Our findings call for efforts to intensify preventive measures to reduce obesity and associated conditions. Using electronic records to examine the impact of interventions to reduce obesity and chronic conditions may help monitor and improve population health.

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“…They also pointed out protocols for home care and follow-up at the health unit, ensuring referral and counter-referral. (30,31) Epidemiological studies in the United Kingdom show that between 2 and 3% of the population with chronic wounds live in poor districts without access to information, consumer goods and therapeutic means. These characteristics significantly alter the quality of life of those affected in the community, mainly due to the presence of pain, absence at work and the precariousness of activities of daily living.…”

Section: Discussionmentioning

confidence: 99%

Práticas avançadas no cuidado integral de enfermagem a pessoas com úlceras cutâneas

et al. 2018

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Resumo Objetivo Identificar os desfechos clínicos de pessoas com úlceras cutâneas crônicas atendidas em consultas de enfermagem. Métodos Estudo transversal da análise dos registros de consultas de enfermagem a pessoas com úlceras crônicas atendidas em um Centro de Assistência de Enfermagem entre 1994 a 2015, sob a perspectiva da Saúde Coletiva. As variáveis investigadas foram epidemiológicas, clínicas de cicatrização da úlcera, abandono e óbito de usuários. Resultados Dentre os 343 prontuários de pessoas atendidas no serviço, identificou-se maior proporção de idosos, do sexo feminino, com ensino fundamental, de cor autorreferida branca, aposentados, dependentes do Sistema Único de Saúde e com condições crônicas de saúde. A etiologia das úlceras cutâneas foi maior nas neuropáticas e venosas sem resolutividade clínica prévia na rede de serviços de saúde. A cicatrização ocorreu em 67,6% das úlceras pela adoção centrada nos cuidados de enfermagem, e observou-se pequena taxa de abandono e óbito. Conclusão Desfechos clínicos satisfatórios de pessoas com úlceras cutâneas crônicas foram evidenciados nos registros de cuidados de enfermagem. A consulta de enfermagem mostrou-se potencial estratégia para a cicatrização de úlceras cutâneas.

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Innovations in Population Health Surveillance: Using Electronic Health Records for Chronic Disease Surveillance

Cited by 63 publications

References 16 publications

Unlocking the Potential of Electronic Health Records for Health Research

Unlocking the Potential of Electronic Health Records for Health Research

The use of electronic health records to examine the association between obesity and chronic conditions: Results from a population-based sample in Saudi Arabia

Práticas avançadas no cuidado integral de enfermagem a pessoas com úlceras cutâneas

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