在索赔时代研究心血管健康结果数据:心血管健康研究

⁰From Cardiovascular Health Research Unit, Department of Medicine (B.M.P.), Department of Epidemiology (B.M.P., J.A.D., S.R.H.), Department of Health Services (B.M.P.), Department of Biostatistics (A.M.A., B.M.), Department of Global Health (A.L.F.), Department of Family Medicine (A.L.F.), and Department of Neurology (W.T.L.), University of Washington, Seattle; Group Health Research Institute, Group Health Cooperative, Seattle, WA (B.M.P., S.R.H.); Department of Medicine, Duke University, Durham, NC (L.H.C.); Department of Epidemiology, University of Pittsburgh, PA (D.I., L.H.K.); and Department of Medicine, University of Maryland, Baltimore (J.S.G.). psaty@u.washington.edu.

概括

从行政索赔数据中使用诊断代码来定义临床结果,特别是仅限于初级诊断时,低估了事件率. 这种方法还包括非事件住院,创建一个复合的终点.

使用心血管健康研究 (CHS) 的数据.
使用三种方法定义心肌梗塞 (MI),中风和心力衰竭:CHS判定事件 (CHS[adj]),国际疾病分类,第九版代码在主要位置 (CMS[1st]),和代码在任何位置 (CMS[any]).
在三种定义中比较发生率和心血管疾病风险因素的关联.

关键词:

流行病学心脏衰竭发生率心肌梗塞一次中风