香港电子健康记录系统中慢性阻塞性肺病诊断编码的验证。

IF 3.1 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Hong Kong Medical Journal Pub Date : 2024-10-01 Epub Date: 2024-08-29 DOI:10.12809/hkmj2210657
W C Kwok, T C C Tam, C W Sing, E W Y Chan, C L Cheung
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引用次数: 0

摘要

简介电子健康记录数据库可促进有关慢性阻塞性肺病(COPD)等疾病的流行病学研究,慢性阻塞性肺病是一种全球常见的疾病。我们旨在评估香港全港电子健康记录系统--临床数据分析与报告系统(CDARS)--中用于识别慢性阻塞性肺病的国际疾病分类第九版(ICD-9)代码算法的有效性:方法:使用 CDARS 中的 ICD-9 编码 496(慢性气道阻塞,未在别处分类)识别 2011 年至 2020 年期间在香港所有公立医院,特别是玛丽医院确诊为慢性阻塞性肺病的成人患者。两名呼吸科专家审查了随机抽取的一组病例的临床记录和肺活量测定结果,以确认其是否患有慢性阻塞性肺病:在研究期间,香港所有公立医院和玛丽医院分别有 93 971 名和 2479 名患者拥有慢性阻塞性肺病的诊断代码。研究人员从玛丽医院随机抽取了 200 个病例,利用医疗记录和肺活量测定结果进行验证。总体阳性预测值为 81.5%(95% 置信区间=76.1%-86.9%)。我们还开发了一种算法来识别队列中的慢性阻塞性肺病病例:本研究首次验证了 CDARS 中慢性阻塞性肺病的 ICD-9 编码。我们的研究结果表明,ICD-9代码496是识别慢性阻塞性肺病病例的可靠指标,支持将CDARS数据库用于慢性阻塞性肺病的进一步临床研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Validation of diagnostic coding for chronic obstructive pulmonary disease in an electronic health record system in Hong Kong.

Introduction: Electronic health record databases can facilitate epidemiology research regarding diseases such as chronic obstructive pulmonary disease (COPD), a common medical condition worldwide. We aimed to assess the validity of International Classification of Diseases, 9th Revision (ICD-9) code algorithms for identifying COPD in Hong Kong's territory-wide electronic health record system, the Clinical Data Analysis and Reporting System (CDARS).

Methods: Adult patients diagnosed with COPD at all public hospitals in Hong Kong and specifically at Queen Mary Hospital from 2011 to 2020 were identified using the ICD-9 code 496 (Chronic airway obstruction, not elsewhere classified) within the CDARS. Two respiratory specialists reviewed clinical records and spirometry results to confirm the presence of COPD in a randomly selected group of cases.

Results: During the study period, 93 971 and 2479 patients had the diagnostic code for COPD at all public hospitals in Hong Kong and specifically at Queen Mary Hospital, respectively. Two hundred cases were randomly selected from Queen Mary Hospital for validation using medical records and spirometry results. The overall positive predictive value was 81.5% (95% confidence interval=76.1%-86.9%). We also developed an algorithm to identify COPD cases in our cohort.

Conclusion: This study represents the first validation of ICD-9 coding for COPD in the CDARS. Our findings demonstrated that the ICD-9 code 496 is a reliable indicator for identifying COPD cases, supporting the use of the CDARS database for further clinical research concerning COPD.

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来源期刊
Hong Kong Medical Journal
Hong Kong Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
1.50
自引率
14.80%
发文量
117
审稿时长
10 weeks
期刊介绍: The HKMJ is a Hong Kong-based, peer-reviewed, general medical journal which is circulated to 6000 readers, including all members of the HKMA and Fellows of the HKAM. The HKMJ publishes original research papers, review articles, medical practice papers, case reports, editorials, commentaries, book reviews, and letters to the Editor. Topics of interest include all subjects that relate to clinical practice and research in all branches of medicine. The HKMJ welcomes manuscripts from authors, but usually solicits reviews. Proposals for review papers can be sent to the Managing Editor directly. Please refer to the contact information of the Editorial Office.
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