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Deprecated: Implicit conversion from float 276.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 JMIR+Public+Health+Surveill 2020 ; 6 (3): e22331 Nephropedia Template TP
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Notes From the Field: Use of Emergency Medical Service Data to Augment COVID-19 Public Health Surveillance in Montgomery County, Maryland, From March to June 2020 #MMPMID32678799
Sayers DR; Hulse ST; Webber BJ; Burns TA; Denicoff AL
JMIR Public Health Surveill 2020[Jul]; 6 (3): e22331 PMID32678799show ga
Epidemiologic and syndromic surveillance metrics traditionally used by public health departments can be enhanced to better predict hospitalization for coronavirus disease (COVID-19). In Montgomery County, Maryland, measurements of oxygen saturation (SpO(2)) by pulse oximetry obtained by the emergency medical service (EMS) were added to these traditional metrics to enhance the public health picture for decision makers. During a 78-day period, the rolling 7-day average of the percentage of EMS patients with SpO(2) <94% had a stronger correlation with next-day hospital bed occupancy (Spearman rho=0.58, 95% CI 0.40-0.71) than either the rolling 7-day average of the percentage of positive tests (rho=0.55, 95% CI: 0.37-0.69) or the rolling 7-day average of the percentage of emergency department visits for COVID-19-like illness (rho=0.49, 95% CI: 0.30-0.64). Health departments should consider adding EMS data to augment COVID-19 surveillance and thus improve resource allocation.