有效性和可靠性 国际疾病分类 - - 所有形式的伤害的10个代码:系统审查
Sarah Paleczny1, Nosakhare Osagie1, Jai Sethi1
1Injury Prevention Research Office, Division of Neurosurgery, St. Michael's Hospital, Toronto, Ontario, Canada.
PloS one
|February 29, 2024
概括
国际疾病分类第十次修订 (ICD-10) 伤害代码的有效性和可靠性是中等的,根据伤害类型而异. 人工智能可能会提高未来的ICD-10代码准确性,用于损伤文档.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 伤害流行病学 伤害流行病学
背景情况:
- 蓄意和无意的伤害是全球死亡和残疾的主要原因.
- 国际疾病分类第十次修订 (ICD-10) 代码对于在各种应用中对健康数据中的伤害进行分类至关重要.
- 缺乏对这些代码的有效性和可靠性的全面系统审查.
研究的目的:
- 系统地审查外部原因伤害ICD-10代码的有效性和可靠性.
- 评估ICD-10代码在不同伤害类型和人群中的表现.
主要方法:
- 进行了主要数据库 (MEDLINE,EMBASE,COCHRANE,SCOPUS) 的系统搜索,直到2023年4月.
- 包括27项研究检查有效性 (灵敏度,特异性,PPV,NPV) 和可靠性 (IRR使用科恩的卡帕,Krippendorff的alpha,Fleiss的卡帕).
- 分析了所有外部原因受伤和特定身体区域的数据.
主要成果:
- 对于ICD-10伤害代码的整体中等性能:平均灵敏度为61.6%,特异性为91.6%,PPV为74.9%,NPV为80.2%.
- 可靠性指标显示中度一致 (科恩的卡帕:0.672,弗莱斯的卡帕:0.630).
- 根据受伤类型的变化:对中毒和手/手腕伤害的敏感性较高;对自伤和脊髓伤害的敏感性较低. 高PPV用于运输/行人和手/手腕受伤.
结论:
- ICD-10外部原因伤害代码的有效性和可靠性是可变的,通常是适度的.
- 性能根据特定的伤害类型和测量结果显著不同.
- 未来的研究,可能包括人工智能,可以提高ICD代码的准确性,用于伤害监测和研究.
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