通过ICD-10-CM代码在美国初级保健患者队列中识别的COVID-19后疾病,2021 - 2023年
Xiaoyu Wang1, Esther Velásquez1, Sharon Saydah2
1Center for Population Health Sciences, Stanford University, Palo Alto, CA, USA.
Journal of multimorbidity and comorbidity
|February 16, 2026
概括
被诊断为COVID-19后病情 (U09.9) 的初级保健患者通常具有先前存在的疾病和高医疗保健使用率. 在农村或社会经济贫困人口中可能存在诊断差距.
科学领域:
- 初级保健研究研究初级保健研究
- 传染病流行病学 传染病流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 后COVID-19条件 (U09.9) 在初级保健机构中提出了重大挑战.
- 了解患者的特征和医疗保健需求对于有效管理至关重要.
- 电子健康记录 (EHR) 为研究这种疾病提供了有价值的数据.
研究的目的:
- 描述患者人口统计学,医疗保健利用率和初级保健患者的相关情况,诊断后COVID-19条件 (U09.9).
- 分析不同时期 (流行病前,流行病前指数,流行病后指数) 的医疗保健利用率和疾病患病率的变化.
- 识别特定患者子组在诊断中的潜在差异.
主要方法:
- 利用了来自美国家庭队列 (美国国家初级保健数据集) 的EHR数据.
- 在2021年10月1日至2023年6月1日期间,确定了诊断为U09.9的患者.
- 将患者数据分类为流行前,流行前指数和流行后指数时期,分析了12个身体系统的疾病.
主要成果:
- 确定了10265名U09.9诊断的患者,81.9%的患者年龄在40岁以上,63.3%的女性,74.4%的白人.
- 患者在指数前平均有12.7次初级保健接触,而在指数后平均有9.2次.
- 在9个身体系统中疾病的患病率从流行前指数增加到流行前指数;呼吸道和肌肉骨疾病的患病率在流行后指数下降.
结论:
- 该队列中的患者特征表明潜在的诊断差距,特别是在农村或社会经济贫困的个体中.
- 经常使用医疗保健和临床复杂性需要额外的初级保健资源.
- 需要进一步的研究来解决差异,并优化对COVID-19后病情患者的护理.
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