国际疾病分类代码对支气管肺发育不良的特异性：使用电子健康记录数据和大型保险数据库进行的调查。
Specificity of International Classification of Diseases codes for bronchopulmonary dysplasia: an investigation using electronic health record data and a large insurance database.
机构信息
Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
College of Health Solutions, Arizona State University, Tempe, AZ, USA.
出版信息
J Perinatol. 2021 Apr;41(4):764-771. doi: 10.1038/s41372-021-00965-3. Epub 2021 Mar 1.
OBJECTIVE
International Classification of Diseases (ICD) codes in electronic health records (EHRs) are increasingly used for health services research, in spite of unknown diagnostic accuracy. The accuracy of ICD codes to identify bronchopulmonary dysplasia (BPD) is unknown.
STUDY DESIGN
Retrospective cohort study in a single-center NICU (n = 166) to evaluate sensitivity and specificity of ICD-10 codes for the diagnosis of BPD. Analysis of large insurance claims database (n = 7887) to determine date of assignment of the code.
RESULTS
The sensitivity of any BPD-related ICD codes ranged from 0.82 to 0.95, while the specificity ranged from 0.25 to 0.36. In a large national insurance database, the most common date of ICD-9 or ICD-10 code assignment was the day of birth, which is inconsistent with the clinical definition.
CONCLUSIONS
ICD codes registered for BPD are unlikely to accurately reflect the current clinical definition and should be interpreted with caution.
目的
尽管国际疾病分类（ICD）编码的诊断准确性未知，但其在电子健康记录（EHR）中越来越多地被用于卫生服务研究。ICD 编码诊断支气管肺发育不良（BPD）的准确性尚不清楚。
研究设计
单中心新生儿重症监护病房（NICU）的回顾性队列研究，评估 ICD-10 编码诊断 BPD 的敏感性和特异性。对大型保险索赔数据库（n=7887）进行分析，以确定编码分配的日期。
结果
任何与 BPD 相关的 ICD 编码的敏感性范围为 0.82 至 0.95，而特异性范围为 0.25 至 0.36。在一个大型国家保险数据库中，ICD-9 或 ICD-10 编码最常见的分配日期是出生日期，这与临床定义不一致。
结论
为 BPD 注册的 ICD 编码不太可能准确反映当前的临床定义，应谨慎解读。
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