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儿童败血症ICD编码的敏感性 - - 一项基于人口的研究
Olga Endrich1,2, Karen Triep2, Luregn J Schlapbach3,4
1Bern, Switzerland Department of Clinical Chemistry, Inselspital, Bern University Hospital, University of Bern.
Intensive care medicine. Paediatric and neonatal
|June 21, 2023
概括
国际疾病分类第10版 (ICD-10) 编码很难捕捉儿科败血症病例. 这项研究发现,ICD-10低估了儿童的败血症患病率,突出了疾病负担评估中的关键差距.
科学领域:
- 儿童传染病 儿童传染病
- 医疗信息学 医疗信息学
- 流行病学 流行病学
背景情况:
- 国际疾病分类第10版 (ICD-10) 是疾病负担评估的标准工具.
- 准确的编码对于了解疾病流行率和指导公共卫生干预至关重要.
研究的目的:
- 评估ICD-10编码在识别儿科败血症病例中的准确性.
- 将ICD-10编码与住院儿童的败血症和相关疾病的验证研究数据进行比较.
主要方法:
- 一项涉及9家瑞士儿科医院的前性多中心队列研究的二次分析.
- 验证的败血症标准数据与ICD-10编码抽象对998例血液培养证明败血症儿童入院的数据进行比较.
主要成果:
- 对败血症的ICD-10编码灵敏度为60% (明确) 和65% (隐含).
- 对于有器官功能障碍的败血症的敏感性仅为35% (明确).
- 与验证的数据相比,ICD-10编码显著低估了儿科败血症的国家发病率.
结论:
- ICD-10编码提供了败血症和败血症与儿童器官功能障碍的不良表现.
- 目前的ICD-10编码实践可能严重低估了儿科败血症的真正患病率.
- 需要改进编码策略,以准确监测儿科败血症.
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