国际疾病分类编码的有效性,用于识别在怀孕期间的酒精使用和重复或有害的酒精使用
Journal of addiction medicine
|September 16, 2025
概括
国际疾病分类 (ICD) 的酒精使用障碍 (AUD) 代码在怀孕期间识别酒精使用的有效性有很大的不同. 临床医生在分析怀孕期间酒精暴露的行政数据时,应仔细考虑这些代码变化.
科学领域:
- 医疗信息学 医疗信息学
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
背景情况:
- 准确识别怀孕期间的酒精使用对于孕产妇和胎儿的健康结果至关重要.
- 国际疾病分类 (ICD) 代码在行政数据中被广泛用于追踪诊断,包括酒精使用障碍 (AUD).
- 这些代码在怀孕期间捕获特定饮酒模式的有效性需要仔细评估.
研究的目的:
- 评估各种AUD ICD-9和ICD-10代码的积极预测值 (PPV),以确定孕妇的酒精使用情况.
- 确定这些代码的PPV,以捕捉怀孕期间的重复或与危害相关的酒精使用.
- 通过使用行政健康记录来准确估计怀孕期间的酒精暴露.
主要方法:
- 在2014年5月至2023年8月期间,在一个医疗中心对怀孕进行了回顾性研究.
- 确定了具有特定AUDICD-9 (303.9x,305.x) 和ICD-10 (F10.x,O99.31x) 代码的怀孕.
- 医疗记录审查是计算AUD代码的PPV的参考标准,用于使用酒精和重复/有害使用.
主要成果:
- 总共分析了305个具有AUD代码的独特怀孕.
- 在怀孕期间识别任何酒精使用的PPV范围从10.0% (对于305.x) 到100% (对于O99.31x).
- 识别重复使用或与危害相关的PPV范围从1.7% (对于305.x) 到28.0% (对于O99.31x).
结论:
- 在怀孕期间检测酒精使用及其有害模式的AUD ICD代码的PPV在不同代码组中显示出相当大的变化.
- 这些发现强调了在解释与怀孕期间酒精暴露相关的行政数据时考虑使用的特定ICD代码的重要性.
- 在使用这些代码进行流行病学研究或临床质量评估时,建议谨慎使用这些代码,而不考虑它们的不同准确性.
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