Prehospital Cardiac Arrest should be considered when evaluating Covid-19 mortality in the United States

CONCLUSIONS: Prehospital EMS data should be considered when evaluating the severity of Covid-19 because prehospital cardiac arrest known to EMS was the strongest predictor on average across indices. Key Words Random Forest Covid-19 Public Health Statistical methods Syndromic Surveillance 1.Introduction Creating long term, multi-source, national surveillance data services for emerging disease response is a complex topic which Covid-19 has given new importance1-5. Public health emergencies seldom leave surplus time or resources to stand up novel methods and respond; further essentializing (specific) disease preparedness6-8. More often than not epidemic response is managed using preexisting data services, often legacy data series from yesteryear's epidemics9-11. Epidemic preparedness in the United States is generally weak; and the Covid-19 response is largely drawn from preexisting pan-flu emergency plans12,13. During a public health emergency, the clinical knowledge needed to respond is developed by case surveillance drawn from preexisting data series. Covid-19 has presented an unusual opportunity to evaluate agreement across surveillance efforts within the United States. The ability to detect clinical findings from surveillance nets and epidemiology methods which were not necessarily designed to detect them in meaningful ways is high priority for the future management of emerging infectious diseases. Strikingly the difference in Covid-19 mortality for SARS impacted countries (...
Source: Methods of Information in Medicine - Category: Information Technology Authors: Source Type: research