Kim Yu Jin, Shin Sang Do, Park Hye Sook, Song Kyoung Jun, Cho Jin Sung, Lee Seung Chul, Kim Sung Chun, Park Ju Ok, Ahn Ki Ok, Park Yu Mi
Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea.
Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea; Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea.
Clin Exp Emerg Med. 2016 Dec 30;3(4):219-238. doi: 10.15441/ceem.16.126. eCollection 2016 Dec.
We aimed to develop an International Classification of Diseases (ICD) 10th edition injury code-based disability-adjusted life year (DALY) to measure the burden of specific injuries.
Three independent panels used novel methods to score disability weights (DWs) of 130 indicator codes sampled from 1,284 ICD injury codes. The DWs were interpolated into the remaining injury codes (n=1,154) to estimate DWs for all ICD injury codes. The reliability of the estimated DWs was evaluated using the test-retest method. We calculated ICD-DALYs for individual injury episodes using the DWs from the Korean National Hospital Discharge Injury Survey (HDIS, n=23,160 of 2004) database and compared them with DALY based on a global burden of disease study (GBD-DALY) regarding validation, correlation, and agreement for 32 injury categories.
Using 130 ICD 10th edition injury indicator codes, three panels determined the DWs using the highest reliability (person trade-off 1, Spearman r=0.724, 0.788, and 0.875 for the three panel groups). The test-retest results for the reliability were excellent (Spearman r=0.932) (P<0.001). The HDIS database revealed injury burden (years) as follows: GBD-DALY (138,548), GBD-years of life disabled (130,481), and GBD-years of life lost (8,117) versus ICD-DALY (262,246), ICD-years of life disabled (255,710), and ICD-years of life lost (6,537), respectively. Spearman's correlation coefficient of the DALYs between the two methods was 0.759 (P<0.001), and the Bland-Altman test displayed an acceptable agreement, with exception of two categories among 32 injury groups.
The ICD-DALY was developed to calculate the burden of injury for all injury codes and was validated with the GBD-DALY. The ICD-DALY was higher than the GBD-DALY but showed acceptable agreement.
我们旨在制定一种基于国际疾病分类（ICD）第10版损伤编码的伤残调整生命年（DALY），以衡量特定损伤的负担。
三个独立小组采用新颖方法对从1284个ICD损伤编码中抽取的130个指标编码的残疾权重（DW）进行评分。将DW插值到其余损伤编码（n = 1154）中，以估计所有ICD损伤编码的DW。使用重测法评估估计DW的可靠性。我们使用韩国国家医院出院损伤调查（HDIS，2004年的n = 23160）数据库中的DW计算个体损伤事件的ICD - DALY，并将其与基于全球疾病负担研究的DALY（GBD - DALY）在32种损伤类别方面的有效性、相关性和一致性进行比较。
使用130个ICD第10版损伤指标编码，三个小组确定DW时具有最高的可靠性（个人权衡1，三个小组的斯皮尔曼r分别为0.724、0.788和0.875）。可靠性的重测结果非常好（斯皮尔曼r = 0.932）（P < 0.001）。HDIS数据库显示的损伤负担（年）如下：GBD - DALY（138548）、GBD - 残疾生命年（130481）和GBD - 生命损失年（8117），而ICD - DALY分别为（262246）、ICD - 残疾生命年（255710）和ICD - 生命损失年（6537）。两种方法之间DALY的斯皮尔曼相关系数为0.759（P < 0.001），布兰德 - 奥特曼检验显示除32种损伤组中的两类外，一致性可接受。
开发ICD - DALY是为了计算所有损伤编码的损伤负担，并与GBD - DALY进行了验证。ICD - DALY高于GBD - DALY，但显示出可接受的一致性。
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