Benavides Fernando G, Clanchet Jordi Delclòs, Pujades Consol Serra, Casals Lourdes Camp, Baiges Losep Lluis de Peray, Bardón Rosa Fernández
CIBER de Epidemiología y Salud Pública, Centro de Investigación en Salud Laboral, Universitat Pompeu Fabra, Barcelona, España.
Aten Primaria. 2011 Oct;43(10):524-30. doi: 10.1016/j.aprim.2010.09.019. Epub 2011 Apr 29.
To identify and select common diseases of possible occupational origin, managed through the Spanish National Health System.
Cross-sectional study.
Catalonia (Spain).
Data were collected on people over 15 years of age who were seen for the first time in a primary care clinic or were admitted to a hospital or had an episode of non-occupational sickness absence in catalonia in 2008 or died in this region in 2007.
A total of 407 diagnostic codes for possible occupationally-related diseases were selected from a modified version of the european union ICD-10 list of diagnostic codes, from which 34 were selected and assessed by an expert panel.
The initial 34 diagnoses represented 6.7% of all new outpatient visits, 13.8% of the sickness absence episodes, 13.6% of acute admissions and 15.8% of all annual deaths. Asthma appeared prominently in all four databases. The list was pared down to a final list of 26 four-digit icd-10 codes, that accounted for 3.3% of the first visits, 8.9% of lost work time episodes and 2.7% of acute admissions.
The implementation of a "red flag" into the electronic medical record each time one of these 26 diagnostic codes is entered, could help to improve the reporting of occupational diseases.
识别并筛选出可能由职业因素引起、通过西班牙国家卫生系统管理的常见疾病。
横断面研究。
加泰罗尼亚（西班牙）。
收集了2008年在加泰罗尼亚首次到初级保健诊所就诊、或入院治疗、或有非职业性病假记录、或于2007年在该地区死亡的15岁以上人群的数据。
从欧盟ICD - 10诊断编码列表的修订版中选取了407个可能与职业相关疾病的诊断编码，其中34个由专家小组进行筛选和评估。
最初的34种诊断占所有新门诊就诊病例的6.7%、病假记录的13.8%、急性入院病例的13.6%以及所有年度死亡病例的15.8%。哮喘在所有四个数据库中均显著出现。该列表精简为最终的26个四位数ICD - 10编码，占首次就诊病例的3.3%、误工病例的8.9%以及急性入院病例的2.7%。
每当输入这26个诊断编码中的一个时，在电子病历中设置一个“红旗”提示，可能有助于改善职业病报告。
