在回顾美国队列中,用于后COVID条件的临床编码的使用和特征
Nicole D Ford1, Sarah Baca, Alexandra F Dalton
1Author Affiliations: Coronavirus and Other Respiratory Viruses Division, National Center for Immunization and Respiratory Diseases, CDC, Atlanta, Georgia (Drs Ford, Dalton, Koumans, and Saydah); GAP Solutions, Herndon, Virginia (Ms Baca); Inform and Disseminate Division, Office of Public Health Data, Surveillance, and Technology, CDC, Atlanta, Georgia (Ms Baca and Dr. Raykin); and Office of the Director, National Center for Immunization and Respiratory Diseases, CDC, Atlanta, Georgia (Dr Patel).
这项研究分析了使用U09.9诊断代码编码的后COVID条件 (PCC) 编码. 调查结果揭示了患者人口统计,疲劳等常见症状,以及PCC诊断后的高医疗利用率.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 使用ICD-10-CM代码U09.9的COVID后疾病 (PCC) 的临床编码实践在很大程度上仍然没有特征.
- 了解U09.9代码的使用对于PCC的准确诊断和管理至关重要.
研究的目的:
- 调查大量美国人口中COVID后疾病 (PCC) 临床文档和编码的模式和特征.
- 分析与PCC编码相关的社会人口统计因素,并发症和医疗保健利用情况.
主要方法:
- 一项回顾性队列研究,利用来自HealthVerity数据库的交易级别医疗遭遇数据,实验室结果以及药房和医疗索赔.
- 分析包括382,400名拥有私人保险,医疗保险或医疗补助的美国成人和儿童,他们在2021年10月1日至2023年6月30日期间记录了U09.9代码.
- 关键指标包括U09.9代码使用的频率和时间,之前的SARS-CoV-2感染,共同记录的疾病和随后的医疗保健接触.
主要成果:
- 总体而言,超过6500万患者中的0.6%接受了PCC诊断代码 (U09.9),女性和患有先前疾病的人患病率更高.
- 最常见的PCC相关疾病是呼吸问题 (13.4%) 和不适/疲劳 (7.8%).
- 在U09.9编码之前,只有62%的患者有记录的SARS-CoV-2感染,感染和PCC文档之间的中位时间为17天. 患有PCC诊断的患者在诊断后的医疗保健利用率显著增加.
结论:
- 该研究描述了被诊断患有COVID后疾病 (PCC) 的人群的社会人口结构,临床复杂性和大量医疗保健需求.
- 这些发现强调了需要改善临床医生关于PCC定义和准确的U09.9代码应用的教育.
- 这项研究可以为公共卫生战略,医疗保健规划和用于识别和管理PCC的临床指南提供信息.
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