1 Univ. Lille, Lille, France.
2 INSERM, U1171-Degenerative and Vascular Cognitive Disorders, Lille, France.
Am J Alzheimers Dis Other Demen. 2019 May;34(3):188-192. doi: 10.1177/1533317518822043. Epub 2018 Dec 30.
The French nationwide exhaustive hospital discharge database (PMSI) is used for activity-based payment of hospital services. We hypothesized that the release of articles about alcohol and dementia could influence the identification of these diagnoses in PMSI.
We analyzed temporal evolution of coding for dementia and other persistent or late-onset cognitive impairment (OPLOCI) due to alcohol and other psychoactive substances in the PMSI database from 2007 to 2017 (285 748 938 inpatient stays). These codings use the International Classification of Diseases, 10th revision (ICD-10).
The number of inpatient stays with dementia and OPLOCI due to alcohol increased from 34 to 1704 from 2007 to 2017. While the number of diagnosed dementias remained stable at around 400 from 2013, the number of OPLOCIs increased 10-fold from 2013 to 2017. This increase was not found with dementia or OPLOCI due to other psychoactive substances than alcohol.
Notoriety of a diagnosis in the literature seems to have an impact on the coding.
法国全国性详尽的医院出院数据库（PMSI）用于基于活动的医院服务支付。我们假设关于酒精和痴呆症的文章的发表可能会影响 PMSI 中这些诊断的识别。
我们分析了 2007 年至 2017 年（285748938 次住院治疗）PMSI 数据库中因酒精和其他精神活性物质引起的痴呆症和其他持续性或迟发性认知障碍（OPLOCI）的编码的时间演变。这些编码使用国际疾病分类，第 10 版（ICD-10）。
2007 年至 2017 年，因酒精导致的痴呆症和 OPLOCI 的住院患者人数从 34 人增加到 1704 人。虽然 2013 年以来诊断出的痴呆症数量保持在 400 左右稳定，但 2013 年至 2017 年期间，OPLOCIs 的数量增加了 10 倍。这种增加在其他精神活性物质引起的痴呆症或 OPLOCI 中并未发现。
文献中诊断的知名度似乎对编码有影响。
