Mandl Kenneth D, Overhage J Marc, Wagner Michael M, Lober William B, Sebastiani Paola, Mostashari Farzad, Pavlin Julie A, Gesteland Per H, Treadwell Tracee, Koski Eileen, Hutwagner Lori, Buckeridge David L, Aller Raymond D, Grannis Shaun
Children's Hospital Informatics Program, Division of Emergency Medicine, Center for Biopreparedness, Children's Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
J Am Med Inform Assoc. 2004 Mar-Apr;11(2):141-50. doi: 10.1197/jamia.M1356. Epub 2003 Nov 21.
Syndromic surveillance refers to methods relying on detection of individual and population health indicators that are discernible before confirmed diagnoses are made. In particular, prior to the laboratory confirmation of an infectious disease, ill persons may exhibit behavioral patterns, symptoms, signs, or laboratory findings that can be tracked through a variety of data sources. Syndromic surveillance systems are being developed locally, regionally, and nationally. The efforts have been largely directed at facilitating the early detection of a covert bioterrorist attack, but the technology may also be useful for general public health, clinical medicine, quality improvement, patient safety, and research. This report, authored by developers and methodologists involved in the design and deployment of the first wave of syndromic surveillance systems, is intended to serve as a guide for informaticians, public health managers, and practitioners who are currently planning deployment of such systems in their regions.
症候群监测是指依靠在确诊之前即可识别的个体和群体健康指标的检测方法。特别是在传染病经实验室确诊之前，患病个体可能会表现出行为模式、症状、体征或实验室检查结果，这些都可以通过各种数据来源进行追踪。地方、区域和国家层面都在开发症候群监测系统。这些努力主要旨在促进对隐蔽生物恐怖袭击的早期发现，但该技术也可能对一般公共卫生、临床医学、质量改进、患者安全及研究有用。本报告由参与首批症候群监测系统设计与部署的开发者和方法学家撰写，旨在为目前计划在其所在地区部署此类系统的信息学家、公共卫生管理人员及从业者提供指导。
