Department of Psychiatry, C. S. M. Medical University, Lucknow, Erstwhile K. G. Medical University, Lucknow, India.
Indian J Psychiatry. 2011 Jul;53(3):229-33. doi: 10.4103/0019-5545.86813.
International Classification of Mental and Behavioural Disorders (ICD)-10 has been serving its purpose in the spheres of diagnosing psychiatric patients, research, and education since long. With ICD-11 is on the horizon, this is the right time to assess issues in the application of these guidelines in routine clinical practice.
In this study, an effort was made to find out day-to-day difficulties in application of ICD-10.
A total of 130 patients attending for the first time the outpatient Department of Psychiatry, CSMMU, Lucknow, were taken as sample for the present study. The "provisional diagnosis", which was made after the usual assessments on a single day at the clinical setting was recorded. The selected patients were later assessed in detail and a "final diagnosis was recorded for these patients. The diagnoses were matched with ICD-10 and rated on a five-point scale.
The direct count and percentage analysis was done.
Results show that 67.69% "provisional diagnosis" were fully matched, while 8% and 5% diagnosis had no match and some match, respectively with the "final diagnosis". There were also some cases that had significant match (1.5%) and almost match (17.69%).
In a busy clinical setting, the focus of the clinicians is more on management and accurate diagnosis based on ICD-10 may be ignored.
国际疾病分类第十版（ICD-10）在精神疾病患者的诊断、研究和教育领域已经发挥了很长时间的作用。随着 ICD-11 的即将推出，现在正是评估这些指南在常规临床实践中应用问题的好时机。
本研究旨在找出在应用 ICD-10 时日常遇到的困难。
本研究共纳入 130 名首次在勒克瑙 CSMMU 精神病学门诊部就诊的患者作为样本。在临床环境中在一天内进行常规评估后记录“临时诊断”。随后对选定的患者进行详细评估并记录“最终诊断”。将这些诊断与 ICD-10 进行匹配，并根据五点量表进行评分。
进行了直接计数和百分比分析。
结果表明，67.69%的“临时诊断”完全匹配，8%和 5%的诊断分别与“最终诊断”无匹配和部分匹配。还有一些病例存在显著匹配（1.5%）和几乎匹配（17.69%）。
在繁忙的临床环境中，临床医生的重点更多地放在管理上，可能会忽略基于 ICD-10 的准确诊断。
