死亡原因在喘中的编码
Alexandria Chung1, George Addo Opoku-Pare1, Holly Tibble2,3
1Usher Institute, University of Edinburgh, Edinburgh, Scotland.
BMC medical research methodology
|June 5, 2024
概括
喘死亡的临床编码并不总是准确的. 审查患者病史对于验证与喘相关的死亡率和识别潜在的错误分类至关重要,特别是在并发病时.
科学领域:
- 医疗信息学 医疗信息学
- 呼吸系统医学 呼吸系统医学
- 公共卫生 公共卫生
背景情况:
- 临床编码的目标是客观性,但受到临床和官僚实践的影响.
- 死亡证明和国际疾病分类 (第10版;ICD-10) 编码的变化可能会影响数据的准确性.
- 了解这些变异对于解释临床数据集至关重要.
研究的目的:
- 调查喘相关死亡率编码的准确性和模式.
- 分析不同ICD-10代码 (J45和J46) 对报告死亡原因的影响.
- 在喘死亡率数据中识别潜在的错误分类.
主要方法:
- 来自苏格兰喘学习医疗保健系统数据集 (2000-2017年) 的91,022例死亡的分析.
- 使用ICD-10代码J45 (喘诊断) 和J46 (喘发作) 识别喘相关死亡.
- 代码的分类和对死亡原因的研究.
主要成果:
- 大约200例死亡中有1例被编码为与喘有关的死亡.
- 不到1%的记录使用了J45和J46代码.
- 感染,特别是肺炎,在J45是主要代码时,与J46.6相比,更频繁地成为导致的原因.
结论:
- 进一步审查患者病史对于验证喘死亡至关重要.
- 潜在的错误记录的非喘死亡需要识别,特别是在患有并发症的患者中.
- 确保准确的临床编码对于可靠的喘死亡率研究至关重要.
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