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使用例行收集的患者数据集定义儿科虐待头部创伤:为英国初级保健队列制定定义

Joni Jackson¹, Lauren J Scott¹, Sarah Dawson¹

¹The National Institute for Health and Care Research Applied Health Research Collaboration West (NIHR ARC West) at University Hospitals Bristol and Weston NHS Foundation Trust, UK; Population Health Sciences, Bristol Medical School, University of Bristol, Whitefriars, Bristol, BS1 2NT, UK.

Child abuse & neglect

|September 24, 2025

概括

对虐待头部创伤 (AHT) 的新定义捕捉了更多向初级保健提供病例,从而使人口发生率估计更准确. 这有助于在英国医疗保健机构中更好地识别婴儿的AHT.

科学领域:

儿科医学儿科医学儿科医学
公共卫生监督是对公共卫生的监督.
医疗信息学医学信息学

背景情况:

目前对暴力头部创伤 (AHT) 的定义主要是为二次护理或死亡率数据而设计的.
目前的定义低估了AHT发病率,因为排除了向初级保健提供轻度症状的病例.

研究的目的:

开发适用于英国初级保健,二级保健以及事故和紧急情况数据的AHT定义.
使用新开发的定义,比较英国初级保健队列中AHT发生率.

主要方法:

临床专家共识被用来开发包括创伤性脑损伤,虐待和头部CT扫描代码在内的AHT定义.
通过使用链接的电子健康记录 (CPRD Aurum,HES APC,HES AE,DID) 分析了英国的初级保健队列 (婴儿<1岁,2013年1月至2021年6月).

主要成果:

使用英国健康记录中的特定诊断和程序代码的组合,创建了新的AHT定义.
包括全科医院,医院和急诊室介绍在内的定义发现,与现有的基于文献的ICD-10定义相比,AHT的发病率更高.

结论:

开发的定义,包括向全科医生,急诊室和医院入院的介绍,可能会产生更准确的AHT人口发病率估计.
由于未向医疗保健介绍,可能出现错误阳性和遗漏病例,因此在解释结果时需要谨慎.

关键词:

在 AHT AHT AHT 中.滥用头部创伤的严重伤害儿科儿科儿科主要的护理是初级保健.常规患者数据常规患者数据

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