使用国际疾病分类代码来识别肩膀 Dystocia 和新生儿手臂损伤
Alicia E Hersey1, Stephen M Wagner2, Megha Gupta2
1Department of Obstetrics and Gynecology, Alpert Medical School, Brown University, Providence, Rhode Island.
Pediatric neurology
|May 27, 2023
概括
国际疾病分类 (ICD-9/10) 代码往往低估了肩膀缩和新生儿臂麻的发生率. 这种低估对于新生儿臂麻的较轻症病例更为重要.
科学领域:
- 医学研究 医学研究
- 临床信息学是一种临床信息学.
- 儿科神经学 儿科神经学
背景情况:
- 国际疾病分类 (ICD-9/10) 代码在医学研究中广泛用于确定疾病发生率.
- 准确识别诸如肩膀缩症 (SD) 和并发新生儿臂麻 (NBPP) 等疾病对于研究和患者护理至关重要.
- 本研究评估了ICD-9/10代码用于识别SD和NBPP患者的有效性.
研究的目的:
- 评估ICD-9/10代码在识别患有肩膀缩 (SD) 和并发新生儿臂麻 (NBPP) 的患者中的准确性.
- 确定ICD-9/10编码在多大程度上低估或高估了NBPP的发病率,特别是与SD相关.
主要方法:
- 一个回顾性队列研究的患者评估在密歇根大学臂部和周围神经计划 (2004-2018) 的患者.
- 对比了NBPP和SD的ICD-9/10排放代码与使用物理评估和辅助测试的专科医院的诊断.
- 分析了ICD-9/10代码,神经参与程度和NBPP在两岁时的持续性之间的关系,使用千平方或费舍尔精确测试.
主要成果:
- 51%的NBPP婴儿在没有NBPP的ICD-9/10代码的情况下出院.
- 在26名没有NBPP代码的婴儿中,只有4名婴儿有SD代码,剩下的43%没有任何条件的代码.
- 患有泛plexopathy的婴儿更有可能具有NBPP ICD-9/10代码 (77%) 比那些上神经参与 (39%) 的婴儿.
结论:
- ICD-9/10编码显著低估了新生儿臂麻 (NBPP) 的实际发病率.
- 在较轻微的神经参与的情况下,NBPP的低估更加明显.
- 仅依赖ICD-9/10代码可能会导致NBPP的流行病学数据不准确.
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