使用ICD-10诊断码和国家电子健康记录进行严重急性呼吸道感染的监测,丹麦,2022年至2024年
Frederikke Kristensen Lomholt1, Karina Lauenborg Møller2, Jens Nielsen1
1Department of Infectious Disease Epidemiology and Prevention, Statens Serum Institut, Copenhagen, Denmark.
概括
通过使用丹麦的健康登记,开发了严重急性呼吸道感染 (SARI) 的自动监测系统. 该系统提供及时和完整的SARI病例数据,为传统监控方法提供资源高效的替代方案.
科学领域:
- 公共卫生
- 传染病监测
- 卫生信息学
背景情况:
- COVID-19 疫情凸显了严重急性呼吸道感染 (SARI) 的强有力的监测的必要性.
- 现有的监测系统往往缺乏有效的疫情准备所需的标准化和及时性.
研究的目的:
- 开发一个自动化的SARI监控系统,利用来自丹麦国家登记的电子健康记录.
- 建立一个标准化及时的方法来监测SARI趋势.
主要方法:
- 使用丹麦民事登记,国家患者登记和微生物学数据库.
- 使用ICD-10代码组合定义的SARI病例,评估患者的特征.
- 通过将数据延迟与120天完整数据集进行比较,评估系统的及时性和完整性.
主要成果:
- 选择了一个结合流感,下呼吸道感染和COVID-19的ICD-10代码的病例定义.
- 随着8天的延迟,每周的SARI数据显示完整度为89- 93%.
- 与完整数据集相比,该系统准确地反映了每周的SARI病例波动.
结论:
- 开发的SARI自动监控系统是一致且及时.
- 电子健康登记提供了一个资源高效的SARI监测替代方案,与标准的哨戒方法相比.
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