冠心病出院数据的验证

Validation of coronary heart disease hospital discharge data.

作者信息

Beaglehole R, Stewart A W, Walker P

出版信息

Aust N Z J Med. 1987 Feb;17(1):43-6. doi: 10.1111/j.1445-5994.1987.tb05048.x.

DOI:10.1111/j.1445-5994.1987.tb05048.x

Abstract

Data from a 1983 Auckland coronary heart disease register applying current World Health Organization criteria have been used to validate routine hospital discharge data. The register contained 905 patients under 65 years admitted to hospital and 858 of these patients were matched with hospital discharge records. Of the registered definite myocardial infarction cases 86% received the International Classification of Diseases code 410 (acute myocardial infarction); 9% of these cases received a code 411-414 (other forms of coronary heart disease or angina) and 5% received other codes. Only 405 of the 604 cases (67%) coded 410 in the hospital discharge data were true definite myocardial infarctions according to the World Health Organization criteria. The routine hospital International Classification of Diseases data do not provide diagnostic groups sufficiently close to World Health Organization categories for them to be used alone to monitor trends in coronary heart disease morbidity rates.

摘要

运用世界卫生组织现行标准，对1983年奥克兰冠心病登记处的数据进行分析，以验证常规医院出院数据。该登记处收录了905名65岁以下住院患者，其中858名患者的信息与医院出院记录相匹配。在登记的确诊心肌梗死病例中，86%被赋予国际疾病分类代码410（急性心肌梗死）；9%的病例被赋予代码411 - 414（其他形式的冠心病或心绞痛），5%被赋予其他代码。根据世界卫生组织标准，在医院出院数据中被编码为410的604例病例中，只有405例（67%）是真正的确诊心肌梗死。常规医院国际疾病分类数据所提供的诊断分组与世界卫生组织的类别不够接近，无法单独用于监测冠心病发病率的趋势。