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准确诊断状皮虫需要多次医疗护理访问
Päivi Leisti1, Anna Pankakoski2, Jari Jokelainen3
1Department of Dermatology, Research Unit of Clinical Medicine, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
Frontiers in immunology
|December 13, 2023
概括
准确的电子健康记录 (EHR) 数据需要仔细使用诊断代码. 验证球状皮虫 (BP) 代码L12.0显示,多个条目,特别是来自皮肤病学,提高了研究的诊断准确性.
科学领域:
- 医疗信息学 医疗信息学
- 皮肤病学 皮肤病学
- 流行病学 流行病学
背景情况:
- 电子健康记录 (EHR) 中准确的诊断代码对于流行病学和遗传学研究至关重要.
- 国际疾病分类 (ICD) -10代码L12.0用于牛类皮虫 (BP).
研究的目的:
- 为了验证ICD-10诊断代码L12.0的准确性,用于在EHR数据中识别型皮虫 (BP).
- 评估影响L12.0代码注册准确性的因素.
主要方法:
- 以后验证ICD-10代码L12.0使用两个芬兰大学医院 (2009-2019) 的EHR数据.
- 临床发现和实验室测试 (DIF,ELISA,IIF) 证实了BP的诊断.
- 对代码注册位置 (皮肤病与其他单位) 和频率的分析.
主要成果:
- 在代码L12.0的1225名受试者中,有901人确诊了BP,预测值为73.6%.
- 在皮肤病学单位 (p<0.001) 中,L12.0的记录更准确 (p<0.001).
- 增加注册次数 (≥3) 在所有设置中提高了L12.0代码的准确性.
结论:
- 单个L12.0代码不足以在大型EHR数据集中准确识别BP.
- 使用皮肤病学部门的L12.0代码,并要求多个条目显著提高BP诊断PPV.
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