2009 - 2010年俄亥俄州肺炎和流感相关死亡率快速评估系统
System for rapid assessment of pneumonia and influenza-related mortality-Ohio, 2009-2010.
作者信息
Rodgers Loren E, Paulson John, Fowler Brian, Duffy Rosemary
机构信息
At the time of the study, Loren Rodgers and Rosemary Duffy were with the Centers for Disease Control and Prevention, assigned to the Ohio Department of Health, Columbus. John Paulson and Brian Fowler were with the Ohio Department of Health, Columbus.
出版信息
Am J Public Health. 2015 Feb;105(2):236-9. doi: 10.2105/AJPH.2014.302231.
Rapid mortality surveillance is critical for state emergency preparedness. To enhance timeliness during the 2009-2010 influenza A H1N1 pandemic, the Ohio Department of Health activated a drop-down menu within Ohio's Electronic Death Registration System for reporting of pneumonia- or influenza-related deaths approximately 5 days postmortem. We used International Classification of Diseases-Tenth Revision (ICD-10) codes, available 2-3 months postmortem as the standard, and assessed their agreement with drop-down-menu codes for pneumonia- or influenza-related deaths. Among 56 660 Ohio deaths during September 2009-March 2010, agreement was 97.9% for pneumonia (κ = 0.85) and 99.9% for influenza (κ = 0.79). Sensitivity was 80.2% for pneumonia and 73.9% for influenza. Drop-down menu coding enhanced timeliness while maintaining high agreement with ICD-10 codes.
快速死亡监测对于州应急准备至关重要。为在2009 - 2010年甲型H1N1流感大流行期间提高及时性，俄亥俄州卫生部在俄亥俄州电子死亡登记系统中启用了一个下拉菜单，用于在死亡后约5天报告肺炎或流感相关死亡情况。我们将死亡后2 - 3个月可获取的国际疾病分类第十版（ICD - 10）编码作为标准，并评估其与肺炎或流感相关死亡的下拉菜单编码的一致性。在2009年9月至2010年3月期间的56660例俄亥俄州死亡病例中，肺炎的一致性为97.9%（κ = 0.85），流感的一致性为99.9%（κ = 0.79）。肺炎的敏感性为80.2%，流感的敏感性为73.9%。下拉菜单编码提高了及时性，同时与ICD - 10编码保持了高度一致性。
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