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丹麦ICD-10诊断代码K75.0对发热性肝的验证研究
Margarita Dudina1,2, Kirstine Kobberøe Søgaard1,3, Søren Schou Olesen3,4
1Department of Clinical Microbiology, Aalborg University Hospital, Aalborg, 9000, Denmark.
Clinical epidemiology
|November 26, 2024
概括
ICD-10代码K75.0对于发热性肝 (PLA) 具有77%的整体积极预测值 (PPV). 医疗部门的准确性最高,而急诊室的PPV诊断PLA的最低.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 医疗信息学 医疗信息学
背景情况:
- 常规收集的临床数据对于传染病流行病学至关重要.
- 医院出院记录是研究的潜在数据来源.
- 这些注册表中的诊断代码的准确性需要验证.
研究的目的:
- 为了验证ICD-10诊断代码K75.0对于发热性肝 (PLA) 的准确性.
- 评估K75.0代码在医院出院数据中的积极预测值 (PPV).
- 为了评估PPV在不同医院部门的变化.
主要方法:
- 从2010年到2022年,在丹麦北部地区进行了一项验证研究.
- 在丹麦国家患者登记册中确定了ICD-10代码K75.0的患者.
- 医疗记录作为计算K75.0代码的PPV的参考标准.
主要成果:
- 对于ICD-10代码K75.0 (PLA) 的整体PPV为77% (95%CI:72-82%).
- 错误分类发生在23%的病例中.
- 根据部门的PPV有所不同:医疗 (88%),手术 (69%) 和急诊 (56%).
结论:
- 在ICD-10代码K75.0中,PPV总体为中度,用于识别发热性肝.
- 诊断的准确性在医院部门之间有很大的差异.
- 医疗部门在编码PLA方面表现出了最高的准确性.
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