自伤监测:ICD-10-CM代码R45.88的分析,非自杀性自伤,没有同时发生的伤害代码
Pamela Imm1,2, Dagan Wright3
1Wisconsin Department of Health Services, Madison, Wisconsin, USA pamimm@gmail.com.
概括
这项研究发现,没有伤害的非自杀性自我伤害 (R45.88) 患者的年龄明显较小. 包括所有R45.88病例改善了自我伤害监测和受影响人群的理解.
科学领域:
- 公共卫生监测
- 医疗编码准确性
- 心理健康研究
背景情况:
- 缺乏对非自杀性自伤 (ICD-10-CM代码R45.88) 病例的统一指导.
- 需要了解有或没有相关伤害的自我伤害病例之间的人口和临床差异.
研究的目的:
- 为了比较自伤及同时发生伤害的患者与自伤但没有伤害的患者.
- 分析这两个自我伤害病例分类之间的人口统计和并发症差异.
主要方法:
- 对威斯康星州和俄勒冈州排放记录 (2022-2023) 的分析.
- 创建两个组:A组 (自伤代码) 和B组 (没有其他伤害代码的R45.88).
- 医院和急诊室患者的单变和逻辑回归分析.
主要成果:
- B组患者 (没有受伤的自我伤害) 在司法管辖区和患者类型中都显著年轻.
- 在医院和ED患者的逻辑回归模型中,年龄仍然是一个重要的因素.
- 在不同司法管辖区的不同群体之间观察到相应疾病 (如自杀念头,心理健康障碍) 和人口统计学方面的显著差异.
结论:
- 包括自伤的监测,包括所有R45.88事件,无论伤害如何,提供了更准确的自我伤害负担表示.
- 这种方法更好地识别和描述受各种形式的自我伤害行为影响的群体.
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