阻塞性睡眠呼吸暂停诊断的有效性
Emilia Colding Ofverlind1, Jesper Bille1,2, Thure Filskov Overvad3
1Department of Otolaryngology, Head and Neck Surgery and Audiology, Aalborg University Hospital.
Danish medical journal
|June 7, 2024
概括
丹麦国家患者登记册显示,阻塞性睡眠呼吸暂停诊断的准确性很高. 国际疾病分类第十版 (ICD-10) 代码DG4732对识别阻塞性睡眠呼吸暂停有93.8%的积极预测值.
科学领域:
- 医疗信息学 医疗信息学
- 流行病学 流行病学
- 睡眠医学 睡眠医学
背景情况:
- 医疗保健数据库对于睡眠呼吸暂停的流行病学研究至关重要.
- 准确的诊断数据对于产生可靠的证据至关重要.
- 本研究评估了丹麦医疗保健数据库中针对睡眠呼吸暂停的特定ICD-10代码的准确性.
研究的目的:
- 为了确定国际疾病分类的正预测值 (PPV),第十版 (ICD-10) 在丹麦国家患者登记册中为"阻塞性睡眠呼吸暂停"和"睡眠呼吸暂停"编码.
- 评估这些诊断代码是否适用于流行病学研究.
主要方法:
- 从2020年丹麦国家患者登记处选择了100名被诊断患有"阻塞性睡眠呼吸暂停" (ICD-10 DG4732) 和100名患有"睡眠呼吸暂停" (DG473*) 的患者的随机样本.
- 积极的预测值是使用记录的呼吸暂停-呼吸暂停指数 (AHI) ≥5来计算的,以确认诊断.
- 由于数据访问限制,被转介给私营部门进行AHI评估的患者 (n=70) 被排除在外.
主要成果:
- 该研究包括130名患者:64人患有"阻塞性睡眠呼吸暂停",66人患有"睡眠呼吸暂停".
- "阻塞性睡眠呼吸暂停" (DG4732) 的PPV为93.8% (95% CI:85.0-97.5%).
- 更广泛的"睡眠呼吸暂停"代码 (DG473*) 的PPV为80.3% (95% CI:69.2-88.1%).
结论:
- ICD-10代码DG4732在识别阻塞性睡眠呼吸暂停方面具有很高的有效性.
- 一般"睡眠呼吸暂停"代码 (DG473*) 的PPV较低,但仍显示出相当大的诊断准确性.
- "阻塞性睡眠呼吸暂停"的诊断代码是流行病学研究的可靠数据来源.
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