{"indexed":{"date-parts":[[2017,10,27]],"date-time":"2017-10-27T12:21:09Z","timestamp":1509106869973},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1935789315001810_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>We examined the representativeness of the nonfederal hospital emergency department (ED) visit data in the National Syndromic Surveillance Program (NSSP).<\/jats:p><\/jats:sec><jats:sec id=\"S1935789315001810_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>We used the 2012 American Hospital Association Annual Survey Database, other databases, and information from state and local health departments participating in the NSSP about which hospitals submitted data to the NSSP in October 2014. We compared ED visits for hospitals submitting data with all ED visits in all 50 states and Washington, DC.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789315001810_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Approximately 60.4 million of 134.6 million ED visits nationwide (~45%) were reported to have been submitted to the NSSP. ED visits in 5 of 10 regions and the majority of the states were substantially underrepresented in the NSSP. The NSSP ED visits were similar to national ED visits in terms of many of the characteristics of hospitals and their service areas. However, visits in hospitals with the fewest annual ED visits, in rural trauma centers, and in hospitals serving populations with high percentages of Hispanics and Asians were underrepresented.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789315001810_abs4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>NSSP nonfederal hospital ED visit data were representative for many hospital characteristics and in some geographic areas but were not very representative nationally and in many locations. Representativeness could be improved by increasing participation in more states and among specific types of hospitals. (<jats:italic>Disaster Med Public Health Preparedness<\/jats:italic>. 2016;10:562\u2013569)<\/jats:p><\/jats:sec>","DOI":"10.1017\/dmp.2015.181","type":"article-journal","created":{"date-parts":[[2016,2,17]],"date-time":"2016-02-17T09:58:44Z","timestamp":1455703124000},"page":"562-569","source":"Crossref","is-referenced-by-count":0,"title":"National and Regional Representativeness of Hospital Emergency Department Visit Data in the National Syndromic Surveillance Program, United States, 2014","prefix":"10.1017","volume":"10","author":[{"given":"Ralph J.","family":"Coates","affiliation":[]},{"given":"Alejandro","family":"P\u00e9rez","affiliation":[]},{"given":"Atar","family":"Baer","affiliation":[]},{"given":"Hong","family":"Zhou","affiliation":[]},{"given":"Roseanne","family":"English","affiliation":[]},{"given":"Michael","family":"Coletta","affiliation":[]},{"given":"Achintya","family":"Dey","affiliation":[]}],"member":"56","published-online":{"date-parts":[[2016,2,17]]},"reference":[{"key":"S1935789315001810_ref19","year":"2002","volume-title":"Cultivating Communities of Practice"},{"key":"S1935789315001810_ref20","year":"2014","volume-title":"Data Quality Monitoring and Surveillance System Evaluation\u2013A Handbook of Methods and Applications"},{"key":"S1935789315001810_ref15","DOI":"10.1016\/S0140-6736(13)62342-9","doi-asserted-by":"publisher"},{"key":"S1935789315001810_ref9","DOI":"10.1016\/j.envres.2014.09.028","doi-asserted-by":"publisher"},{"key":"S1935789315001810_ref14","DOI":"10.1016\/j.jegh.2012.12.005","doi-asserted-by":"publisher"},{"key":"S1935789315001810_ref8","DOI":"10.1371\/journal.pone.0073832","doi-asserted-by":"publisher"},{"key":"S1935789315001810_ref13","DOI":"10.1089\/bsp.2009.0013","doi-asserted-by":"publisher"},{"key":"S1935789315001810_ref7","volume":"24","first-page":"150","year":"2013","journal-title":"Can J Infect Dis Med Microbiol"},{"key":"S1935789315001810_ref12","DOI":"10.1001\/dmp.2011.26","doi-asserted-by":"publisher"},{"key":"S1935789315001810_ref6","DOI":"10.3201\/eid1604.090688","doi-asserted-by":"publisher"},{"key":"S1935789315001810_ref11","DOI":"10.2105\/AJPH.2008.133926","doi-asserted-by":"publisher"},{"key":"S1935789315001810_ref5","volume":"34","first-page":"310","year":"2010","journal-title":"Commun Dis Intell"},{"key":"S1935789315001810_ref10","DOI":"10.1017\/S0950268813003452","doi-asserted-by":"publisher"},{"key":"S1935789315001810_ref4","DOI":"10.1371\/journal.pone.0011984","doi-asserted-by":"publisher"},{"key":"S1935789315001810_ref3","volume":"101","first-page":"454","year":"2010","journal-title":"Can J Public Health"},{"key":"S1935789315001810_ref2","DOI":"10.1016\/j.ajem.2009.09.009","doi-asserted-by":"publisher"},{"key":"S1935789315001810_ref1","DOI":"10.1001\/dmp.2010.32","doi-asserted-by":"publisher"},{"key":"S1935789315001810_ref27","DOI":"10.1080\/17457300.2012.656316","doi-asserted-by":"publisher"},{"key":"S1935789315001810_ref21","volume":"50","first-page":"1","year":"2001","journal-title":"MMWR Recomm Rep"},{"key":"S1935789315001810_ref16","volume":"127","first-page":"310","year":"2012","journal-title":"Public Health Rep"}],"container-title":"Disaster Medicine and Public Health Preparedness","original-title":[],"link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789315001810","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,4,23]],"date-time":"2017-04-23T05:29:25Z","timestamp":1492925365000},"score":1.0,"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,2,17]]},"references-count":20,"alternative-id":["S1935789315001810"],"URL":"http:\/\/dx.doi.org\/10.1017\/dmp.2015.181","relation":{"cites":[]},"ISSN":["1935-7893","1938-744X"],"subject":["Public Health, Environmental and Occupational Health"],"container-title-short":"Disaster med. public health prep."}