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2019年,在三个索赔数据库中,跌倒伤害的发生率

Gabrielle F Miller¹, Christopher Dunphy², Yara K Haddad²

¹Division of Injury Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA ygm3@cdc.gov.

Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention

|October 18, 2024

概括

估计非致命性跌倒住院情况因使用的索赔数据库而有很大差异. 仔细选择数据库对于准确的跌倒发病率至关重要.

科学领域:

公共卫生公共卫生
流行病学流行病学
医疗保健服务研究医疗服务研究

背景情况:

跌倒是美国意外伤害死亡的主要原因之一.
估计非致命跌倒数据缺乏黄金标准,通常依赖于保险索赔或行政计费数据.
准确的数据对于公共卫生干预和资源分配至关重要.

研究的目的:

为了比较2019年三个主要索赔数据库的入院率.
评估数据库选择对非致命跌倒发生率估计的影响.
为未来的研究和政策提供有关落监测的信息.

主要方法:

使用了三种索赔数据库:Merative MarketScan,CMS和HCUP NIS. 这些数据库包括:
使用ICD-10-CM代码识别住院患者的跌倒情况.
按付款人类型和估计的发病率比率计算出每10万人的发病率.

主要成果:

在数据库中观察到跌倒率的显著差异.
HCUP显示,医疗保险和商业登记者的下降率最高.
据CMS报道,医疗补助计划的入学者下降率最高.

结论:

索赔数据库的选择在很大程度上影响了对非致命性跌倒住院率的估计.
数据库的选择是准确确定非致命跌倒的发生率的关键因素.
调查结果强调了在秋季数据收集和分析中需要标准化的方法.

关键词:

在秋天的秋天,秋天的秋天.伤害诊断伤害诊断伤害诊断方法论方法论方法论

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