相关实验视频

Updated: Jun 29, 2025

Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential

Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential

Published on: May 25, 2020

在台湾索赔数据中验证诊断代码以识别青光眼:一项多机构研究

Pei-Ting Lu¹, Tsung-Hsien Tsai¹, Chi-Chun Lai^1,2

¹Department of Ophthalmology, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan.

Clinical epidemiology

|April 8, 2024

概括

青光眼的诊断码,包括初级开角青光眼 (POAG) 和初级闭角青光眼 (PACG),在台湾非常可靠. 这项研究证实了ICD-9-CM和ICD-10-CM对玻璃眼研究的代码的准确性.

科学领域:

眼科医生眼科眼科
公共卫生公共卫生
医疗信息学医疗信息学

背景情况:

玻璃眼是全球不可逆转的失明的主要原因.
医疗保健数据库对于了解青光眼流行病学至关重要.
在数据库中检测青光眼的诊断代码的准确性仍然不确定.

研究的目的:

评估ICD-9-CM和ICD-10-CM代码在识别青光眼患者中的准确性.
为了评估特定偏光眼亚型的代码准确性:初级开角偏光眼 (POAG) 和初级闭角偏光眼 (PACG).

主要方法:

在台湾 (2011-2020年) 接受视觉实地检查的2%患者样本中分析电子医疗记录.
根据既定标准,两位眼科医生证实了青光眼的诊断.
对相关ICD-9-CM和ICD-10-CM代码的正预测值 (PPV),负预测值 (NPV),灵敏度和特异性的计算.

主要成果:

对于ICD-9-CM代码,敏感度为86.5%,特异性为96.5%,PPV为91.9%,NPV为90.9%.
对于ICD-10-CM代码,敏感度为87.0%,特异性为92.8%,PPV为92.2%,NPV为87.9%.
确定POAG和PACG亚型的准确性是一致的.

结论:

根据ICD-9-CM和ICD-10-CM诊断码,在台湾医疗保健系统中识别青光眼病例具有很高的可靠性.
这些发现支持这些代码在台湾的医疗保健数据库研究中充满信心地使用这些代码.

关键词:

在ICD-10-CM编码中.在ICD-9-CM中,代码为CM.长光研究数据库数据库数据库研究数据库研究主角闭合玻璃眼玻璃眼主要的开放角度光眼 (Glaucoma)验证验证的时间

更多相关视频

Laser Capture Microdissection of Highly Pure Trabecular Meshwork from Mouse Eyes for Gene Expression Analysis

Laser Capture Microdissection of Highly Pure Trabecular Meshwork from Mouse Eyes for Gene Expression Analysis

Published on: June 3, 2018

Glaucoma-inducing Procedure in an In Vivo Rat Model and Whole-mount Retina Preparation

Glaucoma-inducing Procedure in an In Vivo Rat Model and Whole-mount Retina Preparation

Published on: March 12, 2016

相关概念视频

Glaucoma: Overview

Glaucoma: Overview

Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...

Open Angle Glaucoma: Treatment

Open Angle Glaucoma: Treatment

In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...

Angle Closure Glaucoma: Treatment

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...