将ICD-10应用于ICD-11映射工具,以确定阿尔伯塔省数据集中的死亡原因代码
Chelsea Doktorchik1, Danielle A Southern2, James A King3,4
1Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada.
Population health metrics
|December 19, 2024
概括
国际疾病分类 (ICD-11) 过渡是可行的,从死亡原因的ICD-10代码绘制高的成功率. 这确保了未来的医疗服务研究的历史数据可比性.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 医学编码 医学编码
背景情况:
- 国际疾病分类 (ICD-11) 的第11次修订现已在全球范围内实施.
- 从ICD-10过渡到ICD-11,需要准确翻译现有代码,以进行历史数据比较.
- 医疗服务数据依赖于标准化编码进行分析和报告.
研究的目的:
- 评估将国际疾病分类第十修订版 (ICD-10) 代码映射到国际疾病分类第十一修订版 (ICD-11) 的可行性.
- 评估加拿大阿尔伯塔省死亡原因 (COD) 的绘制成功率.
- 确定对历史数据可比性的影响.
主要方法:
- 利用世界卫生组织 (WHO) 的映射表来翻译疾病控制和预防中心 (CDC) 的ICD-10代码.
- 分析了来自阿尔伯塔省的一年死亡原因 (COD) 的数据.
- 根据疾病预防控制中心的分组,为死亡原因准备了频率表.
主要成果:
- 成人死亡 (18岁以上) 的成功率为96.6%,儿童死亡 (1-17岁及婴儿) 的成功率为100%.
- 总体而言,成年人的患者映射成功率为99.5%,儿童和婴儿的成功率为100%.
- 通过使用映射的ICD-11代码,确定了2017年在阿尔伯塔省发生24,645起死亡的十大最常见的潜在死亡原因.
结论:
- 几乎所有ICD-10代码的潜在死亡原因可以成功地映射到ICD-11.
- 绘图成功率高,表明翻译历史编码数据的可行性.
- 这有助于未来使用卫生服务数据的应用,并确保流行病学研究的连续性.
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