| Titre : | Carbon Monoxide-Related Hospitalizations in the U.S. : Evaluation of a Web-Based Query System for Public Health Surveillance. (2010) |
| Auteurs : | IQBAL (Shahed) : USA. Epidemic Intelligence Service. Office of Workforce and Career Development. Centers for Disease Control and Prevention. Atlanta. GA. ; Tegan-K BOEHMER ; CLOWER (Jacquelyn-H) : USA. Tkc Integration Services under contract to Air Pollution and Respiratory Health Branch. National Center for Environmental Health. Centers for Disease Control and Prevention. Atlanta. GA. ; Paul GARBE ; Fuyuen-Y YIP |
| Type de document : | Article |
| Dans : | Public health reports (vol. 125, n° 3, 2010) |
| Pagination : | 423-432 |
| Langues: | Anglais |
| Mots-clés : | Hospitalisation ; Evaluation ; Internet ; Demande |
| Résumé : | [BDSP. Notice produite par INIST-CNRS 9BrrR0xD. Diffusion soumise à autorisation]. Objective. Carbon monoxide (CO) poisoning is preventable, yet it remains one of the most common causes of poisoning in the U.S. In the absence of a national data reporting system for CO-poisoning surveillance, the burden of CO-related hospitalizations is unknown. Our objective was to generate the first national estimates of CO-related hospitalizations and to evaluate the use of a Web-based query system for public health surveillance. Methods. The Healthcare Cost and Utilization Project's (HCUP's) 2005 Nationwide Inpatient Sample (NIS) data were used for CO-related hospitalization estimates. Data for confirmed, probable, and suspected cases were gener-ated using the HCUPnet Web-based query system. We used data from 1993 through 2005 NIS to describe trends in CO-related hospitalizations. We used the Centers for Disease Control and Prevention's surveillance evaluation guidelines to evaluate the system. Results. In 2005, there were 24,891 CO-related hospitalizations nationwide : 16.9% (n=4,216) were confirmed, 1.1% (n=279) were probable, and 81.9% (n=20,396) were suspected CO-poisoning cases. Of the confirmed cases (1.42/100,000 population), the highest hospitalization rates occurred among males, older adults (aged>=85 years), and Midwestern residents. CO-related hospitalization rates declined from 1993 through 2000 and plateaued from 2001 through 2005. The simplicity, acceptability, sensitivity, and representative-ness of the HCUPnet surveillance system were excellent. However, HCUPnet showed limited flexibility and specificity. Conclusions. Nationwide, the burden of CO exposure resulting in hospitalization is substantial. HCUPnet is a useful surveillance tool that efficiently characterized CO-related hospitalizations for the first time. Public health practitioners can utilize this data source for state-level surveillance. |
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