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Rocha HAL, Solha EZM, Furtado V, Justino FL, Barreto LAL, da Silva RG, de Oliveira ÍM, Bates DW, de Góes Cavalcanti LP, Lima Neto AS, de Oliveira EA. COVID-19 outbreaks surveillance through text mining applied to electronic health records. BMC Infect Dis 2024; 24:359. [PMID: 38549109 PMCID: PMC10976796 DOI: 10.1186/s12879-024-09250-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Accepted: 03/24/2024] [Indexed: 04/01/2024] Open
Abstract
BACKGROUND The COVID-19 pandemic has caused significant disruptions to everyday life and has had social, political, and financial consequences that will persist for years. Several initiatives with intensive use of technology were quickly developed in this scenario. However, technologies that enhance epidemiological surveillance in contexts with low testing capacity and healthcare resources are scarce. Therefore, this study aims to address this gap by developing a data science model that uses routinely generated healthcare encounter records to detect possible new outbreaks early in real-time. METHODS We defined an epidemiological indicator that is a proxy for suspected cases of COVID-19 using the health records of Emergency Care Unit (ECU) patients and text mining techniques. The open-field dataset comprises 2,760,862 medical records from nine ECUs, where each record has information about the patient's age, reported symptoms, and the time and date of admission. We also used a dataset where 1,026,804 cases of COVID-19 were officially confirmed. The records range from January 2020 to May 2022. Sample cross-correlation between two finite stochastic time series was used to evaluate the models. RESULTS For patients with age 18 years, we find time-lag () = 72 days and cross-correlation () ~ 0.82, = 25 days and ~ 0.93, and = 17 days and ~ 0.88 for the first, second, and third waves, respectively. CONCLUSIONS In conclusion, the developed model can aid in the early detection of signs of possible new COVID-19 outbreaks, weeks before traditional surveillance systems, thereby anticipating in initiating preventive and control actions in public health with a higher likelihood of success.
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Affiliation(s)
- Hermano Alexandre Lima Rocha
- Department of Community Health, Federal University of Ceará, Street Papi Júnior, 1223, 5th. Floor, Fortaleza, CE, Brazil.
| | - Erik Zarko Macêdo Solha
- Postgraduate Program in Applied Informatics, University of Fortaleza, Fortaleza, CE, 60811-905, Brazil
| | - Vasco Furtado
- Postgraduate Program in Applied Informatics, University of Fortaleza, Fortaleza, CE, 60811-905, Brazil
| | - Francion Linhares Justino
- Postgraduate Program in Applied Informatics, University of Fortaleza, Fortaleza, CE, 60811-905, Brazil
| | - Lucas Arêa Leão Barreto
- Department of Community Health, Federal University of Ceará, Street Papi Júnior, 1223, 5th. Floor, Fortaleza, CE, Brazil
| | - Ronaldo Guedes da Silva
- Department of Community Health, Federal University of Ceará, Street Papi Júnior, 1223, 5th. Floor, Fortaleza, CE, Brazil
| | | | | | - Luciano Pamplona de Góes Cavalcanti
- Department of Community Health, Federal University of Ceará, Street Papi Júnior, 1223, 5th. Floor, Fortaleza, CE, Brazil
- School of Public Health of Ceará, Fortaleza, CE, Brazil
- Faculty of Medicine, Christus University Center, Fortaleza, CE, Brazil
| | - Antônio Silva Lima Neto
- Postgraduate Program in Applied Informatics, University of Fortaleza, Fortaleza, CE, 60811-905, Brazil
- Health Secretariat, Ceará State Government, Fortaleza, CE, Brazil
| | - Erneson Alves de Oliveira
- Postgraduate Program in Applied Informatics, University of Fortaleza, Fortaleza, CE, 60811-905, Brazil
- Laboratory of Data Science and Artificial Intelligence, University of Fortaleza, Fortaleza, Ceará, 60811-905, Brazil
- Professional Masters in City Science, University of Fortaleza, Fortaleza, Ceará, 60811-905, Brazil
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Beliero AM, Lázaro APP, Zaranza MDS, Lima GMC, Guimarães ÁR, Aragão NL, Meneses GC, Holanda MA, Albuquerque PLMM, da Silva GB, Fernandes PFCBC. ELMO CPAP: an innovative type of ventilatory support for COVID-19-related acute respiratory distress syndrome. J Bras Pneumol 2024; 49:e20230227. [PMID: 38232252 PMCID: PMC10769475 DOI: 10.36416/1806-3756/e20230227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Accepted: 10/27/2023] [Indexed: 01/19/2024] Open
Abstract
OBJECTIVE To assess whether the use of ELMO, a helmet for noninvasive ventilation created in Brazil, had a positive impact on the prognosis of patients with hypoxemic respiratory failure caused by severe COVID-19. METHODS This is a retrospective study of 50 critically ill COVID-19 patients. Epidemiological, clinical, and laboratory data were collected on ICU admission, as well as before, during, and after ELMO use. Patients were divided into two groups (success and failure) according to the outcome. RESULTS ELMO use improved oxygenation parameters such as Pao2, Fio2, and the Pao2/Fio2 ratio, and this contributed to a gradual reduction in Fio2, without an increase in CO2, as determined by arterial blood gas analysis. Patients in the success group had significantly longer survival (p < 0.001), as determined by the Kaplan-Meier analysis, less need for intubation (p < 0.001), fewer days of hospitalization, and a lower incidence of acute kidney injury in comparison with those in the failure group. CONCLUSIONS The significant improvement in oxygenation parameters, the longer survival, as reflected by the reduced need for intubation and by the mortality rate, and the absence of acute kidney injury suggest that the ELMO CPAP system is a promising tool for treating ARDS and similar clinical conditions.
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Affiliation(s)
- Andréa Mazza Beliero
- . Instituto Dr. José Frota, Prefeitura Municipal de Fortaleza, Fortaleza (CE) Brasil
- . Programa de Pós-Graduação em Saúde Coletiva, Centro de Ciências da Saúde, Universidade Estadual do Ceará, Fortaleza (CE) Brasil
| | - Ana Paula Pires Lázaro
- . Programa de Pós-Graduação em Saúde Coletiva, Centro de Ciências da Saúde, Universidade de Fortaleza, Fortaleza (CE) Brasil
- . Curso de Medicina, Centro de Ciências da Saúde, Universidade de Fortaleza, Fortaleza (CE) Brasil
| | - Marza de Sousa Zaranza
- . Instituto Dr. José Frota, Prefeitura Municipal de Fortaleza, Fortaleza (CE) Brasil
- . Programa de Pós-Graduação em Ciências Médicas, Departamento de Medicina Interna, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza (CE) Brasil
| | - Giovanna Mazza Cruz Lima
- . Curso de Medicina, Centro de Ciências da Saúde, Universidade de Fortaleza, Fortaleza (CE) Brasil
| | - Álvaro Rolim Guimarães
- . Programa de Pós-Graduação em Ciências Médicas, Departamento de Medicina Interna, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza (CE) Brasil
| | - Nilcyeli Linhares Aragão
- . Programa de Pós-Graduação em Ciências Médicas, Departamento de Medicina Interna, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza (CE) Brasil
| | - Gdayllon Cavalcante Meneses
- . Programa de Pós-Graduação em Ciências Médicas, Departamento de Medicina Interna, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza (CE) Brasil
| | - Marcelo Alcantara Holanda
- . Programa de Pós-Graduação em Ciências Médicas, Departamento de Medicina Interna, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza (CE) Brasil
- . Departamento de Medicina Clínica, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza (CE) Brasil
| | - Polianna Lemos Moura Moreira Albuquerque
- . Curso de Medicina, Centro de Ciências da Saúde, Universidade de Fortaleza, Fortaleza (CE) Brasil
- . Departamento de Análises Clínicas e Toxicológicas, Faculdade de Farmácia, Universidade Federal do Ceará, Fortaleza (CE) Brasil
| | - Geraldo Bezerra da Silva
- . Programa de Pós-Graduação em Saúde Coletiva, Centro de Ciências da Saúde, Universidade de Fortaleza, Fortaleza (CE) Brasil
- . Curso de Medicina, Centro de Ciências da Saúde, Universidade de Fortaleza, Fortaleza (CE) Brasil
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Mandal M, Bhattacharya D, Esquinas AM. Non-invasive Ventilation Delivered by Helmet vs Face Mask in Patients with COVID-19 Infection: Additional Measures to Reap Further Benefits. Indian J Crit Care Med 2022; 26:1159-1160. [PMID: 36876214 PMCID: PMC9983667 DOI: 10.5005/jp-journals-10071-24331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Accepted: 06/15/2022] [Indexed: 11/23/2022] Open
Abstract
How to cite this article: Mandal M, Bhattacharya D, Esquinas AM. Non-invasive Ventilation Delivered by Helmet vs Face Mask in Patients with COVID-19 Infection: Additional Measures to Reap Further Benefits. Indian J Crit Care Med 2022;26(10):1159-1160.
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Affiliation(s)
- Mohanchandra Mandal
- Department of Anesthesiology, Institute of Post Graduate Medical Education & Research, Kolkata, West Bengal, India
| | - Dipasri Bhattacharya
- Department of Anaesthesiology, RG Kar Medical College and Hospital, Kolkata, West Bengal, India
| | - Antonio Matias Esquinas
- Department of Intensive Care Unit, Hospital General Universitario Morales Meseguer, Murcia, Spain
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Mazza M, Fiorentino G, Esquinas AM. ELMO helmet for CPAP to treat COVID-19-related acute hypoxemic respiratory failure outside the ICU: aspects of/comments on its assembly and methodologyAuthors' replyPatient self-inflicted lung injury and positive end-expiratory pressure for safe spontaneous breathingELMO 1 0: a helmet interface for CPAP and high-flow oxygen deliveryProtecting healthcare workers from SARS-CoV-2 infection practical indications. J Bras Pneumol 2022; 48:e20220072. [PMID: 35584469 PMCID: PMC9064639 DOI: 10.36416/1806-3756/e20220072] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Mariano Mazza
- . Unità Operativa Complessa di Pneumologia Semintensiva COVID, Azienda Ospedaliera Sant'Anna e San Sebastiano di Rilievo Nazionale e alta Specializzazione, Caserta, Italia
| | - Giuseppe Fiorentino
- . Unità Operativa Complessa di Fisiopatologia e Riabilitazione Respiratoria P.O. Monaldi, 1o Utsir Covid PO, Ospedale Cotugno, Azienda Ospedaliera dei Colli, Napoli, Italia
| | - Antonio M Esquinas
- . Intensive Care and Non Invasive Ventilatory Unit, Hospital General Universitario Jose M Morales Meseguer, Murcia, España
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Valle Pinheiro1,2 B, Pedrosa Gomes1,3 E, Vidal Carvalho1,2 E. ELMO: an innovative interface for noninvasive ventilation. J Bras Pneumol 2022; 48:e20220005. [PMID: 35293489 PMCID: PMC8964117 DOI: 10.36416/1806-3756/e20220005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Affiliation(s)
- Bruno Valle Pinheiro1,2
- 1. Disciplina de Pneumologia, Faculdade de Medicina, Universidade Federal de Juiz de Fora, Juiz de Fora (MG) Brasil. 2. Unidade de Terapia Intensiva, Hospital Universitário, Universidade Federal de Juiz de Fora, Juiz de Fora (MG) Brasil
| | - Edimar Pedrosa Gomes1,3
- 1. Disciplina de Pneumologia, Faculdade de Medicina, Universidade Federal de Juiz de Fora, Juiz de Fora (MG) Brasil. 3. Unidade de Terapia Intensiva, Hospital Regional Dr João Penido, Fundação Hospitalar do Estado de Minas Gerais, Juiz de Fora (MG) Brasil
| | - Erich Vidal Carvalho1,2
- 1. Disciplina de Pneumologia, Faculdade de Medicina, Universidade Federal de Juiz de Fora, Juiz de Fora (MG) Brasil. 2. Unidade de Terapia Intensiva, Hospital Universitário, Universidade Federal de Juiz de Fora, Juiz de Fora (MG) Brasil
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