根据医院病历统计数据估算轮状病毒肠胃炎导致的住院人数。

Estimating hospital admissions due to rotavirus gastroenteritis from hospital episode statistics.

作者信息

Riordan F Andrew I, Quigley Theresa

机构信息

Department of Child Health, Birmingham Heartlands Hospital, Bordeseley Green East, Birmingham B9 5SS, UK.

出版信息

J Infect. 2004 Jul;49(1):13-6. doi: 10.1016/j.jinf.2004.02.006.

DOI:10.1016/j.jinf.2004.02.006

PMID:15194242

Abstract

OBJECTIVES

To determine the proportion of hospital admissions, in children < 5 years old, coded for intestinal infectious disease or non-infectious gastroenteritis, using ICD-10 codes, that were due to rotavirus infection. To assess how many children admitted with rotavirus gastroenteritis were given the specific ICD-10 code (A080) for this disease.

METHODS

Sixteen-month prospective, observational study of children < 5 years old, admitted to district general hospital with: acute gastroenteritis (> or =3 loose stools/day), proven rotavirus infection and those coded as intestinal infectious disease or non-infectious gastroenteritis.

RESULTS

Four hundred and twenty children < 5 years old were admitted with acute gastroenteritis. Rotavirus was detected in 170 children's stools. Acute rotavirus gastroenteritis accounted for 81/397 (20%) children coded as having non-infectious gastroenteritis and 32/81 (40%) coded for intestinal infectious disease. Only 18 children were coded for rotavirus gastroenteritis. Potentially preventable rotavirus gastroenteritis occurred in 122 children; 78 coded as non-infectious gastroenteritis (20%) and 26 coded for intestinal infectious disease (34%).

CONCLUSIONS

The proportion of children coded with diarrhoeal diseases and found to have rotavirus is less than previously estimated. Using the specific code for rotavirus infection to estimate hospital admissions would be a gross underestimate. Hospital episode statistics cannot reliably estimate the burden of disease due to rotavirus.

摘要

目的

确定使用国际疾病分类第十版（ICD - 10）编码为肠道传染病或非感染性肠胃炎的5岁以下儿童住院病例中，由轮状病毒感染所致的比例。评估因轮状病毒肠胃炎入院的儿童中有多少被给予了该疾病的特定ICD - 10编码（A080）。

方法

对5岁以下因急性肠胃炎（每天腹泻≥3次）、确诊轮状病毒感染以及编码为肠道传染病或非感染性肠胃炎而入住地区综合医院的儿童进行为期16个月的前瞻性观察研究。

结果

420名5岁以下儿童因急性肠胃炎入院。在170名儿童的粪便中检测到轮状病毒。急性轮状病毒肠胃炎占编码为非感染性肠胃炎儿童的81/397（20%）以及编码为肠道传染病儿童的32/81（40%）。仅有18名儿童被编码为轮状病毒肠胃炎。122名儿童发生了潜在可预防的轮状病毒肠胃炎；78名编码为非感染性肠胃炎（20%），26名编码为肠道传染病（34%）。