评估电子健康记录监测有害藻华暴露在美国的疾病。

IF 0.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES
Journal of Environmental Health Pub Date : 2021-05-01
Amy Lavery, Lorraine Backer, Johnni Daniel
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引用次数: 0

摘要

有害藻华(HABs)是藻类的快速生长,可以对人类和动物产生有毒或有害的影响。潜在的健康影响包括呼吸系统疾病、胃肠道疾病、皮肤和眼睛刺激,有时还有更严重的毒性影响,如肝损伤。由于许多原因,定义有害藻华暴露和相关疾病是具有挑战性的,包括暴露的特征。大型电子健康记录数据库提供了一个机会,通过查询医疗诊断代码来研究与HAB暴露具体相关的健康遭遇。我们在2009年1月至2019年4月期间查询了MarketScan研究数据库,以使用国际疾病分类(ICD)代码进行HAB暴露。我们发现共有558条记录使用ICD-9或ICD-10编码进行HAB暴露。呼吸道疾病最常与有害藻华暴露代码一起报告。在2012-2019年期间,有害藻华暴露代码的使用显示出季节性波动。我们发现,虽然与赤潮相关的ICD-9和ICD-10编码很少被使用,但它们最常在温暖月份的开花季节被记录。这项分析是第一次利用大规模的国家去识别健康记录数据库来了解与藻类接触有关的医疗诊断代码的使用情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of Electronic Health Records to Monitor Illness From Harmful Algal Bloom Exposure in the United States.

Harmful algal blooms (HABs) are the rapid growth of algae that can produce toxic or harmful effects in people and animals. Potential health effects include respiratory illness, gastrointestinal illness, skin and eye irritation, and sometimes more severe toxic effects such as liver damage. Defining HAB exposure and related illness is challenging for many reasons, including characterizing the exposure. Large electronic health record databases present an opportunity to study health encounters specifically related to HAB exposure through querying medical diagnostic codes. We queried the MarketScan Research Databases between January 2009 and April 2019 for use of the International Classification of Diseases (ICD) codes for HAB exposure. We found a total of 558 records that used either the ICD-9 or ICD-10 code for HAB exposure. Respiratory illness was most commonly reported along with the HAB exposure code. Use of HAB exposure codes showed seasonal fluctuations during 2012-2019. We found that although the HAB-related ICD-9 and ICD-10 codes were used infrequently, they were most often recorded during bloom seasons in warmer months. This analysis is the first that utilizes a large-scale national database of de-identified health records to understand the use of medical diagnostic codes related to algae exposure.

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来源期刊
Journal of Environmental Health
Journal of Environmental Health 环境科学-公共卫生、环境卫生与职业卫生
CiteScore
0.60
自引率
12.50%
发文量
1
审稿时长
>36 weeks
期刊介绍: The Journal of Environmental Health (JEH) is published 10 times per year by the National Environmental Health Association and keeps readers up-to-date on current issues, new research, useful products and services, and employment opportunities. As the only direct link to the complete spectrum of environmental health topics, the JEH reaches more than 20,000 professionals working to solve problems in areas such as air quality, drinking water, food safety and protection, hazardous materials/toxic substances management, institutional environmental health, occupational safety and health, terrorism and all-hazards preparedness, vector control, wastewater management, and water pollution control/water quality.
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