产科和产后甲状腺疾病的诊断:丹麦的验证研究
Anne Myrup Houmøller1, Katrine Gerlif1, Nanna Maria Uldall Torp1,2
1Department of Clinical Biochemistry, Aalborg University Hospital, 9000, Aalborg, Denmark.
Scientific reports
|April 16, 2024
概括
产后甲状腺炎 (PPT) 和产科甲状腺功能低下症的ICD-10诊断的有效性很高. 然而,产科甲状腺功能障碍的诊断需要进一步调查,因为准确性较低.
科学领域:
- 内分泌学 在内分泌学.
- 产科和妇科 产科和妇科
- 医疗信息学 医疗信息学
背景情况:
- 第10国际疾病分类 (ICD-10) 包括甲状腺疾病的诊断.
- 对于产科和产后甲状腺疾病的ICD-10代码的准确性尚未得到充分证实.
研究的目的:
- 为了验证ICD-10诊断产后甲状腺炎 (PPT) 和产科甲状腺疾病 (甲状腺功能低下和甲状腺功能过高) 的准确性.
主要方法:
- 使用丹麦国家医院注册数据进行回顾性队列研究.
- 包括在2016-2019年期间被诊断患有PPT (ICD-10:O905) 或产科甲状腺疾病 (ICD-10:O992B/O992C) 的患者.
- 通过使用全国性的注册和医疗记录来评估诊断有效性.
主要成果:
- 产后甲状腺炎 (O905) 显示高有效性 (97.5%),所有患者都表现出甲状腺功能异常.
- 产妇甲状腺功能低下症 (O992B) 的诊断在90.0%的病例中是准确的.
- 产妇甲状腺功能障碍 (O992C) 诊断的有效性较低,仅在64.1%的病例中得到证实.
结论:
- 产后甲状腺炎 (O905) 和产科甲状腺功能低下症 (O992B) 的ICD-10代码非常可靠.
- 对于产科甲状腺功能障碍症 (O992C) 的ICD-10代码的有效性是可疑的,在诊断解释中需要谨慎.
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