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慢性咳:使用全国电子健康记录数据库对成年人的负担进行表征和量化
Lindsey E Scierka1, Brooklyn A Bradley1,2, Earl Glynn3
1Vascular Medicine Outcomes (VAMOS) Program, Department of Internal Medicine, Section of Cardiology, Yale University, New Haven, CT USA.
Journal of healthcare informatics research
|January 26, 2024
概括
慢性咳患者使用的医疗保健服务比急性咳患者更多. 这项研究使用电子健康记录来识别慢性咳的特征和医疗保健的使用,突出了需要更好的识别方法.
科学领域:
- 医疗信息学医学信息学
- 肺部病理学 肺部病理学
- 医疗服务研究 医疗服务研究
背景情况:
- 慢性咳是一种普遍的疾病,缺乏特定的国际疾病分类 (ICD) 代码,掩盖了其全部范围和影响.
- 之前的研究受到慢性咳缺乏标准化定义和数据收集方法的限制.
研究的目的:
- 使用电子健康记录 (EHR) 数据定义慢性咳表型.
- 为了比较慢性咳患者与急性咳患者的风险概况,复发率和医疗保健利用率.
- 评估EHR数据对了解慢性咳负担的有用性.
主要方法:
- 开发了一个基于ICD的算法,用于在Cerner健康事实电子健康数据库 (2015-2017) 中识别慢性咳病例.
- 慢性咳被定义为在56至120天的时间内,隔14天的时间,发生三次"咳".
- 在慢性和急性咳队列之间比较了人口统计,并发病情况和1年的医疗保健利用率 (门诊,急诊,住院).
主要成果:
- 慢性咳队伍更有可能是老年人,女性,并患有慢性肺病,肥胖和抑郁症等并发症.
- 老年和特定的种族人口统计学被确定为复发性慢性咳的预测因素.
- 与急性咳患者相比,慢性咳患者的门诊,急诊和住院接触率显着更高.
结论:
- 可以利用电子健康记录数据来识别慢性咳表型,并评估相关的医疗保健利用率.
- 这些发现强调了慢性咳对医疗保健资源的重大负担.
- 建议使用补充数据和查方法进行进一步的研究,以充分确定慢性咳的范围.
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