用于确定怀孕期间母亲受伤的诊断代码的有效性
Asma M Ahmed1,2,3, Riyan Deria4, Rosalba Barojas Chavarria5
1Department of Epidemiology and Prevention, Wake Forest University School of Medicine, Winston-Salem, North Carolina.
American journal of epidemiology
|July 8, 2025
概括
验证国际疾病分类 (ICD) -10对孕产妇伤害的代码表明,特定的算法,特别是包括外部原因代码并限制在住院或紧急遭遇的算法,为研究提供了高准确性.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生监督 公共卫生监督
- 医疗信息学 医疗信息学
背景情况:
- 孕产妇受伤研究经常使用国际疾病分类 (ICD) 代码.
- 这些ICD代码用于识别孕产妇受伤的准确性尚未得到充分证实.
- 医学图表审查被认为是验证诊断代码的黄金标准.
研究的目的:
- 为了验证用于确定产妇伤害的ICD-10代码的准确性.
- 为了比较不同ICD-10代码算法在识别孕产妇受伤方面的性能.
- 为未来对孕产妇伤害的研究提供偏差参数.
主要方法:
- 在Atrium健康唤醒森林浸信会医疗中心 (2022-2023) 出生的回顾性队列研究.
- 随机选择100名受试者,有100名受试者和100名受试者没有ICD-10标志性损伤.
- 由两名审查员进行独立的盲目图表审查,以评估ICD-10代码的有效性.
- 为各种算法计算正预测值 (PPV).
主要成果:
- 使用所有与受伤相关的ICD-10代码而没有遭遇限制的算法具有中度的PPV (71%) 和高负预测值 (96%).
- 通过包括外部原因代码 (V00-Y38) 和限制住院患者或急诊室接触,实现了最大的PPV (100%).
- 该研究确定了特定的ICD-10代码组合和遇到的类型,以改善孕产妇损伤的确定.
结论:
- 本研究提供了ICD-10代码准确性的特征,用于对孕产妇损伤的监测.
- 结果可以为未来研究的最佳算法选择提供信息,改善推理.
- 准确识别孕产妇受伤对于理解和解决孕产妇发病率至关重要.
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