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在香港的电子健康记录系统中验证慢性阻塞性肺病的诊断编码

W C Kwok¹, T C C Tam¹, C W Sing²

¹Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong SAR, China.

Hong Kong medical journal = Xianggang yi xue za zhi

|August 29, 2024

概括

国际疾病分类第九版 (ICD-9) 代码496准确地识别了香港临床数据分析和报告系统 (CDARS) 中的慢性阻塞性肺病 (COPD) 病例. 这证实了CDARS对未来的COPD流行病学研究的有效性.

科学领域:

流行病学流行病学
医疗信息学医疗信息学
呼吸系统医学呼吸系统医学

背景情况:

电子健康记录 (EHR) 对疾病研究具有价值.
慢性阻塞性肺病 (COPD) 是一个重要的全球健康问题.
在EHR中验证诊断代码对于研究准确性至关重要.

研究的目的:

为了评估国际疾病分类第九次修订 (ICD-9) 的准确性,在香港的临床数据分析和报告系统 (CDARS) 中识别COPD的代码为496.
确定使用CDARS数据用于COPD流行病学研究的可靠性.

主要方法:

在CDARS (2011-2020) 中确定了ICD-9代码496 (COPD) 的成年患者.
来自玛丽女王医院的200例病例的随机样本接受了呼吸系统专家的审查.
临床记录和螺旋计结果被用于验证.

主要成果:

在香港公共医院通过ICD-9代码496.6识别了超过93,000例COPD病例.
在验证样本中,ICD-9代码496对COPD的积极预测值为81.5%.
开发了一种算法,以加强在队列中的COPD病例识别.

结论:

在CDARS数据库中,ICD-9代码496是识别COPD的可靠指标.
这些发现支持使用CDARS进行强大的COPD临床研究和流行病学.
这项研究首次在CDARS中验证了COPD的ICD-9编码.

关键词:

算法算法是一种算法.电子健康记录是电子健康记录.肺部疾病,慢性阻塞性疾病.

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