在观察数据中识别儿科高血压:比较实际数据中的临床和索赔队列
Casie E Horgan1, Jillian Burk1, Efe Eworuke2
1Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, United States.
American journal of epidemiology
|July 25, 2024
概括
儿童高血压在保险索赔数据中没有被充分捕获. 基于索赔的高血压可能表明更严重的疾病,但需要了解编码实践才能进行准确的研究.
科学领域:
- 公共卫生 公共卫生
- 儿童心脏病学 儿童心脏病学
- 医疗信息学 医疗信息学
背景情况:
- 儿科高血压是一个越来越令人担忧的问题.
- 在现实数据中准确识别儿科高血压对于研究和临床实践至关重要.
- 现有的数据来源可能无法完全捕捉儿科高血压的患病率或严重程度.
研究的目的:
- 为了比较儿科高血压的临床和基于索赔的定义.
- 评估临床诊断和儿童和青少年高血压的保险索赔之间的一致性.
- 评估基于索赔的高血压与疾病严重程度或死亡率之间的关联.
主要方法:
- 以2006年至2016年的数据为基础,进行了回顾性公共卫生监测.
- 利用了美国食品和药物管理局的哨兵系统与7个集成的交付系统.
- 使用高血压的临床和基于索赔的定义,确定了儿科患者 (3-17岁).
主要成果:
- 在超过370万名儿科患者中,9%的儿童和8.7%的青少年符合高血压的临床定义.
- 只有2.2%的临床高血压儿童和7.3%的青少年有相应的高血压索赔.
- 基于索赔的高血压与更严重的疾病严重程度和更高的全因死亡率有关.
结论:
- 保险索赔数据不足以捕捉儿科高血压.
- 基于索赔的高血压可能作为疾病严重程度增加的标志物.
- 研究人员必须考虑编码实践,当使用现实世界的数据为儿科高血压研究.
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