验证国际疾病分类,第十次修订-临床修改基本的诊断代码
Susanna D Howard1, Shikha Singh2, Dominick Macaluso1
1Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA, USA.
概括
对于基本震 (ET) 的ICD-10-CM G25.0代码在识别ET病例时具有74.7%的积极预测值 (PPV). 这一准确度在给患者开普拉诺洛尔时提高到87.8%,而在给患者开普拉诺洛尔时提高到87.8%.
科学领域:
- 神经学 神经学
- 医疗信息学 医疗信息学
背景情况:
- 国际疾病分类,第九次修订-临床修改 (ICD-9-CM) 基本震的代码具有低于50%的正预测值 (PPV).
- 对于基本震 (ET) 的ICD-10-CM G25.0代码的PPV尚未先前确定.
研究的目的:
- 为了确定ICD-10-CM G25.0代码的PPV,用于识别基本震 (ET) 病例.
- 将G25.0代码的诊断准确性与之前的ICD-9-CM代码进行比较.
主要方法:
- 审查了442名患者的医疗记录,这些患者在2022年对G25.0进行了初级护理.
- 使用国际帕金森和运动障碍学会共识标准确认了可能ET的诊断.
主要成果:
- 识别可能ET的G25.0代码的PPV为74.7% (95%CI为70.4-78.5%).
- 对于处方普拉诺洛尔的患者,PPV增加到87.8% (95% CI 78.0-93.6%).
- 与ICD-9-CM代码333.1.1.0相比,G25.0代码的准确性更高.
结论:
- 与之前的ICD-9-CM代码相比,ICD-10-CM G25.0代码是识别基本震病例的更有效的工具.
- G25.0代码的PPV在接受普罗普拉诺洛尔治疗的患者中显著改善.
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