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国际疾病分类第 10 版编码与风湿性心脏病的低阳性预测值:全球监测面临的挑战。

Low positive predictive value of International Classification of Diseases, 10th Revision codes in relation to rheumatic heart disease: a challenge for global surveillance.

机构信息

School of Population and Global Health, The University of Western Australia, Perth, Western Australia, Australia.

Telethon Kids Institute, The University of Western Australia, Perth, Western Australia, Australia.

出版信息

Intern Med J. 2019 Mar;49(3):400-403. doi: 10.1111/imj.14221.

DOI:10.1111/imj.14221
PMID:30897668
Abstract

International Classification of Diseases, 10th Revision codes for rheumatic heart disease (RHD) include valvular heart disease of unspecified origin, limiting their usefulness for estimating RHD burden. A cross-disciplinary national consultation developed an algorithm to improve RHD identification in hospital data. The algorithm has been operationalised and piloted. The algorithm developed categorised 32% of RHD-coded patients as probable/possible RHD. We outline a series of research initiatives to improve identification of RHD in administrative data thereby contributing to monitoring the RHD burden globally.

摘要

国际疾病分类第 10 版风湿性心脏病 (RHD) 编码包括不明原因的瓣膜性心脏病,限制了其在评估 RHD 负担方面的有用性。一次跨学科的全国磋商制定了一种算法,以改进医院数据中 RHD 的识别。该算法已经投入使用并进行了试点。所开发的算法将 32%的 RHD 编码患者归类为可能/疑似 RHD。我们概述了一系列研究计划,以改进行政数据中 RHD 的识别,从而为全球监测 RHD 负担做出贡献。

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