美国医院中患有病的ICD-10-CM代码的患者,2016-2024年:对行政数据的回顾性分析
Thad Wilkins1, Alyssa Harris2, Will Cagle3
1Department of Family and Community Medicine, Medical College of Georgia at Augusta University, Augusta, Georgia, USA.
雀菌感染,编码为naegleriasis,主要影响成年人. 50%的存活率表明潜在的错误诊断,需要进一步的研究和实验室确认.
科学领域:
- 传染性疾病 传染性疾病
- 临床流行病学临床流行病学
- 公共卫生 公共卫生
背景情况:
- 纳格莱里亚勒里菌会导致原发性虫脑膜炎 (PAM),这是一种罕见且往往致命的脑部感染.
- 其他自由生活的虫也可能表现出类似的临床症状.
- 准确的诊断和了解病流行病学至关重要.
研究的目的:
- 为了表征患者的人口特征编码与naegleriasis.
- 分析临床结果,包括死亡率和抗微生物药物的使用.
- 调查行政数据中可能存在的错误分类.
主要方法:
- 美国大型行政数据库 (Vizient®临床数据库) 的回顾性分析.
- 包括在2016年1月至2024年2月期间出院的ICD-10-CM代码B60.2 (naegleriasis) 的患者.
- 人口统计,死亡率,抗菌素使用和排放处置的描述性统计数据.
主要成果:
- 确定了22名患有内格里亚症的患者.
- 平均年龄为37岁,其中73%是成年人.
- 住院死亡率为50%,幸存者住院时间较长. 氨乙和可纳是常见的治疗方法.
结论:
- 被编码为患有naegleriasis的患者主要是成年人,死亡率低于预期的确诊PAM.
- 观察到的50%的存活率表明了编码中错误分类的可能性.
- 需要进一步的基于实验室确认的基于病例的研究来澄清naegleriasis的流行病学趋势.
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