基于ICD-10的双相二次情绪障碍操作化的积极预测值,用于基于注册的研究
Søren Dinesen Østergaard1,2, Christian Jon Reinecke-Tellefsen1,2, Anne Hostrup Brunø1,2
1Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Nordic journal of psychiatry
|April 3, 2025
概括
这项研究开发了一种方法,使用现有的ICD-10代码来识别双极性II障碍 (BD-II). 该方法实现了73%的积极预测值,使得使用丹麦健康登记册的研究成为可能.
科学领域:
- 精神病学是一个精神病学.
- 医疗信息学 医疗信息学
背景情况:
- 两极性II型障碍 (BD-II) 的特点是抑郁和低躁狂,缺乏特定的ICD-10诊断码.
- 这种缺失阻碍了使用丹麦精神病学中央研究登记册 (DPCRR) 的研究.
研究的目的:
- 使用ICD-10代码开发和验证BD-II的操作定义.
- 评估这种操作化在DPCRR中BD-II研究的积极预测价值.
主要方法:
- 对BD-II的先验操作标准是基于情绪发作的ICD-10代码建立的.
- 符合这些标准的147名患者的电子健康记录被两个独立审查员审查.
主要成果:
- 基于ICD-10的运行实现了73%的积极预测值.
- 在147个审查的患者记录中,BD-II在107个中得到证实.
结论:
- 拟议的ICD-10操作化允许对"主要是BD-II"进行有效的回顾性研究.
- 这种方法使得DPCRR数据可以用于BD-II研究,尽管诊断代码的限制.
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