在美国2个综合卫生系统内,心力衰竭诊断和并发症的流行率的时间变化
Mario Enrico Canonico1, Judith Hsia, Shih-Ting Chiu
1CPC Clinical Research and University of Colorado, 2115 N Scranton St #2040, Aurora, CO 80045-7120.
The American journal of managed care
|August 19, 2025
概括
心力衰竭 (HF) 编码趋势显示了转向高血压心脏病与或没有慢性病 (CKD) 的转变,现在代表了大多数住院治疗. 为了更好的研究和质量改进,需要标准化编码.
科学领域:
- 心脏病学 心脏病学
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
背景情况:
- 心力衰竭 (HF) 是住院的主要原因之一.
- 准确编码HF诊断对于研究和质量评估至关重要.
- 国际疾病分类,第十次修订 (ICD-10) 代码用于疾病分类.
研究的目的:
- 分析心力衰竭住院的ICD-10代码中的趋势.
- 从2018年到2022年,比较两大美国卫生系统之间的编码实践.
- 为了识别占主导地位的高频诊断代码.
主要方法:
- 对ICD-10代码进行了回顾性横截面分析.
- 包括在2018-2022年期间接受初级HF诊断的住院患者.
- 分析特定的ICD-10代码用于心性心,腹性心,联合心,高血压心脏病与高血压心,高血压心脏病与高血压心和CKD.
主要成果:
- 与HF和CKD相关的高血压心脏病 (42%-56%) 和与HF相关的高血压心脏病 (34%-42%) 是最常见的HF代码,占住院病例的85%-90%.
- 综合性,扩张性和综合性HF代码仅占住院病例的9%-18%.
- 在特定代码的卫生系统之间注意到高血压患病率的显著变化.
结论:
- 对高压心脏病诊断的高压心脏病编码发生了显著的转变.
- 目前的编码实践显示,高血压性心脏病在CKD和没有CKD的情况下占主导地位.
- 标准化编码实践对于提高高频的质量和医疗服务研究至关重要.
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