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Kurita J, Motomi H, Yamaguchi S, Ogiwara A, Yurina S, Sugiyama M, Sunadori A, Hayashi T, Hara A, Kawana Y, Itoi Y, Sugawara T, Sugishita Y, Irie F, Sakurai N
Effectiveness of the Facility for Elderly Surveillance System (FESSy) in Two Public Health Center Jurisdictions in Japan: Prospective Observational Study
Effectiveness of Facility for Elderly Surveillance System (FESSy) in Two Public Health Center Jurisdictions in Japan:prospective observation study
Junko Kurita;
Hori Motomi;
Sumiyo Yamaguchi;
Aiko Ogiwara;
Saito Yurina;
Minako Sugiyama;
Asami Sunadori;
Tomoko Hayashi;
Akane Hara;
Yukari Kawana;
Youichi Itoi;
Tamie Sugawara;
Yoshiyuki Sugishita;
Fujiko Irie;
Naomi Sakurai
ABSTRACT
Background:
Elderly facility residents are vulnerable to COVID-19 outbreaks. However, timely recognition of outbreaks at elderly facilities of public health centers has been impossible since May 8, 2023. The Facility for Elderly Surveillance System (FESSy) was developed to improve information collection.
Objective:
This study examined FESSy experiences and effectiveness in two public health center jurisdictions in Japan.
Methods:
Public health center operations for detection modes of automatic AI detection (FESSy AI), manual detection by public health center staff (FESSy staff), and direct reporting from the facility to the public health center (direct report) were assessed for the 1) diagnoses or symptoms, 2) number of patients as of their detection date, and 3) ultimate number of patients in the incident. Subsequently, effectiveness by detection mode was compared. The study lasted June 1, 2023 through January, 2024.
Results:
In both areas, 31 facilities joined this study, at which 87 incidents were detected. Patients detected by FESSy (AI or staff) were significantly fewer than by non FESSy with direct reporting to the public health center for the detection date and ultimate number. Comparison between FESSy AI and FESSy staff revealed fewer patients for FESSy staff for the detection date and ultimate number.
Conclusions:
FESSy was superior to direct reporting from facilities for number of patients of a detection date and for ultimate outbreak size.
Citation
Please cite as:
Kurita J, Motomi H, Yamaguchi S, Ogiwara A, Yurina S, Sugiyama M, Sunadori A, Hayashi T, Hara A, Kawana Y, Itoi Y, Sugawara T, Sugishita Y, Irie F, Sakurai N
Effectiveness of the Facility for Elderly Surveillance System (FESSy) in Two Public Health Center Jurisdictions in Japan: Prospective Observational Study