为ICD-10编码的电子健康记录和索赔数据开发和验证新的多病症加权指数:一项观察性研究
Melissa Y Wei1,2, Aleda M Leis3, Arseniy Vasilyev4
1Department of Internal Medicine, University of California Los Angeles, Los Angeles, California, USA mywei@mednet.ucla.edu.
BMJ open
|February 16, 2024
概括
一个新的ICD-10编码的多病症加权指数 (MWI-ICD10) 与MWI-ICD9紧密相匹配,提供了对成年人慢性疾病负担的可靠衡量.
科学领域:
- 医疗信息学 医疗信息学
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- 多病症,即多种慢性疾病的存在,是越来越严重的公共卫生问题.
- 精确测量多病症对于有效的医疗保健管理和资源分配至关重要.
- 现有的多病症指数需要更新,以与当前的医疗保健编码系统保持一致.
研究的目的:
- 开发和验证使用ICD-10代码 (MWI-ICD10) 的更新的多病症加权指数 (MWI).
- 评估新的MWI-ICD10与以前的MWI-ICD的一致性和可比性9.
- 提供综合性,以人为中心的累积疾病负担衡量标准.
主要方法:
- 将现有的MWI条件映射到ICD-10代码中.
- 扩展条件集和代码,以创建MWI-ICD10和更新的MWI-ICD9.
- 在一大群成年人中,在ICD-9和ICD-10编码时代中比较MWI疾病的流行率.
- 分析ICD-9到ICD-10过渡期间流行率的变化.
主要成果:
- 该研究包括88,175名成年人,平均年龄为54.7岁,基线MWI-ICD9为4.47.
- 在94种疾病中,65种疾病在ICD-9/ICD-10过渡期间的患病率差异小于1%.
- MWI-ICD10与已验证的MWI-ICD9具有很高的一致性,编码时代内的变化最小.
结论:
- 新开发的MWI-ICD10准确地捕捉了慢性疾病的流行情况,反映了MWI-ICD9.9的表现.
- 这一全面的指数使得可靠量化累积疾病负担和成年人的身体功能.
- MWI-ICD10是一个临床上有意义的措施,用于评估电子健康记录和索赔数据中的多病症.
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