title: System for rapid assessment of pneumonia and influenza-related mortality-Ohio, 2009-2010.
abstract: Rapid mortality surveillance is critical for state emergency preparedness. To enhance timeliness during the 2009-2010 influenza A H1N1 pandemic, the Ohio Department of Health activated a drop-down menu within Ohio's Electronic Death Registration System for reporting of pneumonia- or influenza-related deaths approximately 5 days postmortem. We used International Classification of Diseases-Tenth Revision (ICD-10) codes, available 2-3 months postmortem as the standard, and assessed their agreement with drop-down-menu codes for pneumonia- or influenza-related deaths. Among 56 660 Ohio deaths during September 2009-March 2010, agreement was 97.9% for pneumonia (κ = 0.85) and 99.9% for influenza (κ = 0.79). Sensitivity was 80.2% for pneumonia and 73.9% for influenza. Drop-down menu coding enhanced timeliness while maintaining high agreement with ICD-10 codes.
authors.affiliation: At the time of the study, Loren Rodgers and Rosemary Duffy were with the Centers for Disease Control and Prevention, assigned to the Ohio Department of Health, Columbus. John Paulson and Brian Fowler were with the Ohio Department of Health, Columbus.
authors.forename: Loren E
authors.initials: LE
authors.lastname: Rodgers
authors.forename: John
authors.initials: J
authors.lastname: Paulson
authors.forename: Brian
authors.initials: B
authors.lastname: Fowler
authors.forename: Rosemary
authors.initials: R
authors.lastname: Duffy
mesh_terms: D006801:Humans; D007251:Influenza, Human / Q000401:mortality*; D038801:International Classification of Diseases; D009820:Ohio / Q000453:epidemiology; D011014:Pneumonia / Q000401:mortality*; D011159:Population Surveillance / Q000379:methods*; D012042:Registries; D013997:Time Factors