The National Capitol Region's Emergency Department syndromic surveillance system: do chief complaint and discharge diagnosis yield different results?
We compared syndromic categorization of chief complaint and discharge diagnosis for 3,919 emergency department visits to two hospitals in the U.S. National Capitol Region. Agreement between chief complaint and discharge diagnosis was good overall (kappa=0.639), but neurologic and sepsis syndromes had markedly lower agreement than other syndromes (kappa statistics 0.085 and 0.105, respectively).
Begier
Elizabeth M
EM
Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Sockwell
Denise
D
Branch
Leslie M
LM
Davies-Cole
John O
JO
Jones
LaVerne H
LH
Edwards
Leslie
L
Casani
Julie A
JA
Blythe
David
D
D000465:Algorithms; D004219:District of Columbia; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D006801:Humans; D018805:Sepsis / Q000175:diagnosis* / Q000401:mortality / Q000503:physiopathology; D013577:Syndrome