根据医院出院数据,根据分娩时住院住院的人口监测的严重孕产妇发病率指数排名
Elena V Kuklina1, Alexander C Ewing1, Glen A Satten1
1Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
PloS one
|November 9, 2023
概括
严重孕产妇发病率 (SMM) 的15个关键指标占美国分娩期间住院死亡的80% . 这些关键的SMM指标在ICD-10-CM编码过渡后仍然保持一致.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生监督 公共卫生监督
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 严重的孕产妇发病率 (SMM) 包含在分娩和分娩期间危及生命的并发症.
- 疾病控制和预防中心 (CDC) 使用ICD-9-CM代码开发了21个SMM指标.
研究的目的:
- 确定哪些SMM指标在检测住院死亡率方面最有效.
- 分析SMM指标的流行率和死亡率影响.
主要方法:
- 利用了来自医疗保健成本和利用项目的国家住院患者样本 (1993-2015,2017-2019) 的数据.
- 计算的SMM指标流行率,住院死亡率和人口归因分数 (PAF).
- 采用预测建模来评估编码过渡的影响 (ICD-9-CM到ICD-10-CM).
主要成果:
- 15个主要的SMM指标确定了80%的住院死亡率.
- 关键指标包括心脏骤停,机械通风和急性呼吸困扰综合征.
- 在ICD-10-CM过渡后,SMM患病率仍然相当.
结论:
- 确定了15个对美国分娩住院最有影响力的SMM指标.
- 持续评估SMM指标对于改善孕产妇并发症监测至关重要.
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