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J Am Med Inform Assoc 14:626-631 doi:10.1197/jamia.M2328
  • Original Investigation

Timeliness of Data Sources Used for Influenza Surveillance

Table 1

Reported Timeliness, Method and Comparison of Data Sources in the Literature

Data Source Timeliness method (algorithm) Comparison Mean Timeliness (range) (reference)
OTC sales Peak comparison Virological confirmation 7 days (6)
Cross Correlation ICD-9* diagnosis 2.8 days (range -2:7)
Correlation: 0.86-0.93 (5)
Cross Correlation ICD-9 diagnosis 11.9 days (CI 3.5-20.3)
Correlation: 0.9 (CI 0.87-0.93) (4)
Aberration detection comparison (threshold) ICD-10 diagnosis 14 days (8)
Emergency visit Aberration detection comparison (threshold) Virological confirmation 11.2 days (7-28) (9)
Aberration detection comparison (threshold) CDC influenza activity 14 days (10)
Aberration detection comparison (SMART, Scan statistic) Virological confirmation 0 days (12)
Aberration detection comparison (CUSUM) Sentinel ILI 7 days (13)
Aberration detection comparison (CUSUM) Virological confirmation 1 day (26)
Aberration detection comparison (Scan statistic) Virological confirmation 14 days (14)
Aberration detection comparison (Scan statistic) Sentinel ILI 21 days (14)
Cross Correlation ICD-9 diagnosis 7.4 days (CI -8.34-43.3) (15)
Aberration detection comparison (EWMA) ICD-9 diagnosis 10.3 days (95% CI -15.15, 35.5) (15)
Emergency visit >65 yrs Aberration detection comparison (CUSUM) Virological confirmation 24 days (26)
Absenteeism (school) Peak comparison Sentinel ILI 2.8 days (0-7) (7)
Absenteeism (work) Aberration detection comparison (threshold) Virological confirmation 8.4 days (7-21) (9)
Telephone triage (ED) Cross Correlation CDC influenza activity 17.5 days
Correlation: 0.25 (22)
Health advice calls Spearman rank correlation Sentinel ILI 7-21 days
correlation: 0.85 (24)
  • * International Classification of Diseases (ICD), 9th or 10th Revision.

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