Data Science Division, Santé Publique France, Saint-Maurice, France.
Non-Communicable and Traumatic Diseases Division, Santé Publique France, Saint-Maurice, France.
PLoS One. 2022 Feb 10;17(2):e0260150. doi: 10.1371/journal.pone.0260150. eCollection 2022.
The French syndromic surveillance (SyS) system, SurSaUD®, was one of the systems used to monitor the COVID-19 outbreak.
This study described the epidemiological characteristics of COVID-19-related visits to both emergency departments (EDs) and the network of emergency general practitioners known as SOS Médecins (SOSMed) in France from 17 February to 28 June 2020.
Data on all visits to 634 EDs and 60 SOSMed associations were collected daily. COVID-19-related visits were identified using ICD-10 codes after coding recommendations were sent to all ED and SOSMed doctors. The time course of COVID-19-related visits was described by age group and region. During the lockdown period, the characteristics of ED and SOSMed visits and hospitalisations after visits were described by age group and gender. The most frequent diagnoses associated with COVID-19-related visits were analysed.
COVID-19 SyS was implemented on 29 February and 4 March for EDs and SOSMed, respectively. A total of 170,113 ED and 59,087 SOSMed visits relating to COVID-19 were recorded, representing 4.0% and 5.6% of the overall coded activity with a peak in late March representing 22.5% and 25% of all ED and SOSMed visits, respectively. COVID-19-related visits were most frequently reported for women and those aged 15-64 years, although patients who were subsequently hospitalised were more often men and persons aged 65 years and older.
SyS allowed for population health monitoring of the COVID-19 epidemic in France. As SyS has more than 15 years of historical data with high quality and reliability, it was considered sufficiently robust to contribute to defining the post-lockdown strategy.
法国综合征监测（SyS）系统 SurSaUD® 是用于监测 COVID-19 疫情的系统之一。
本研究描述了 2020 年 2 月 17 日至 6 月 28 日期间，法国急诊部（ED）和 SOS 医生网络（SOSMed）与 COVID-19 相关的就诊的流行病学特征。
每天收集所有 634 家 ED 和 60 家 SOSMed 协会的就诊数据。在向所有 ED 和 SOSMed 医生发送编码建议后，使用 ICD-10 代码识别 COVID-19 相关就诊。按年龄组和地区描述 COVID-19 相关就诊的时间过程。在封锁期间，按年龄组和性别描述 ED 和 SOSMed 就诊和就诊后的住院情况。分析与 COVID-19 相关就诊最相关的最常见诊断。
2 月 29 日和 3 月 4 日分别为 ED 和 SOSMed 实施了 COVID-19 SyS。共记录了 170113 例 ED 和 59087 例 SOSMed 与 COVID-19 相关的就诊，占总编码活动的 4.0%和 5.6%，3 月下旬达到高峰，分别占所有 ED 和 SOSMed 就诊的 22.5%和 25%。COVID-19 相关就诊最常发生在女性和 15-64 岁人群中，尽管随后住院的患者更多为男性和 65 岁及以上人群。
SyS 允许对法国 COVID-19 疫情进行人群健康监测。由于 SyS 具有 15 多年的历史数据，具有高质量和可靠性，因此被认为足够稳健，可以为制定封锁后策略做出贡献。
