The National Capitol Region’s Emergency Department Syndromic Surveillance System: ?Do Chief Complaint and Discharge Diagnosis Yield Different Results?

摘要

We compared syndromic categorization of chief complaintand discharge diagnosis for 3,919 emergency department visitsto two hospitals in the U.S. National Capitol Region. Agreementbetween chief complaint and discharge diagnosis was goodoverall (kappa=0.639), but neurologic and sepsis syndromeshad markedly lower agreement than other syndromes (kappastatistics 0.085 and 0.105, respectively).