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Participants Thirty-nine general practices consented interrogation of their EMRs to access deidentified records for all enrolled patients.
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Out-of-hours and practice nurse consultations were excluded. Main outcome measures The incidence of first and repeated zoster-related visits to the doctor across all age groups and associated patient demographics.
To determine whether zoster affects workload in general practice. Results Overall, for 6 doctor consultations, the incidence of zoster was Over this year period, incidence increased gradually, notably in those aged 80—85 years.
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The frequency of consultations, for any reason, did not change between periods before and after the diagnosis. Conclusions Zoster consultations in general practice are rare, and the burden of these cases on overall general practice caseload is low. Despite a low frequency of zoster cases, the large data set enabled analysis of rates of zoster incidence by age bands and different demographics across nikki turner epub software whole time period.
The algorithm was designed to maximise specificity and accuracy, thereby generating a conservative estimate of the burden of nikki turner epub software presentations in primary care by keeping false positives to a minimum.
The gold standard for this study was based on doctor decision making, and the algorithm is limited by the quantity and detail of the recorded information in each consultation.
Nikki turner epub software of the reason for each visit, such as specific zoster complications, were not determined, just that the visit was identified as zoster related.
This study analysed normal hours primary care general practitioner consultations. The exclusion of nurse-only and out-of-hours consultations may result in an underestimation of primary care rates. nikki turner epub software
Abstract Objectives To identify childhood respiratory tract-related illness presentation rates and service utilisation in primary care by interrogating free text and coded data from electronic medical records.
Design Retrospective cohort study.
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Data interrogation used a natural language processing software inference algorithm. Setting 36 primary nikki turner epub software practices in New Zealand. Data analysed from January to December Participants The records from 77 children enrolled were reviewed over a 6-year period to estimate the presentation of childhood respiratory illness and service utilisation.
This cohort represents person-years of data and over unique consultations.
Main outcome measure Childhood respiratory illness presentation rate to primary care practice, with description of seasonal and yearly variation. Upper respiratory tract infection was nikki turner epub software most common respiratory category accounting for Conclusion This is the first study to assess the primary care incidence and service utilisation of childhood respiratory illness in a large primary care cohort by interrogating electronic medical record free text.
The study identified the very high primary care workload related to childhood respiratory illness, especially during the first 2 years of life.
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These data can enable more effective planning of health service delivery. The presentation and burden of childhood respiratory diseases in primary care has not previously been estimated with such a high degree of accuracy. The algorithm was designed nikki turner epub software maximise specificity, thereby generating a conservative estimate of the burden of childhood respiratory disease in primary care by keeping false positives to a minimum.
This study analysed normal hours primary care general practitioner consultations.