商业保险人群中飓风哈维前后霉菌感染和霉菌暴露的诊断代码 - 德克萨斯州休斯顿，2016-2018 年。
Diagnosis Codes for Mold Infections and Mold Exposure Before and After Hurricane Harvey Among a Commercially Insured Population-Houston, Texas, 2016-2018.
机构信息
Centers for Disease Control and Prevention, Atlanta, GA, USA.
出版信息
Disaster Med Public Health Prep. 2023 Mar 17;17:e504. doi: 10.1017/dmp.2023.28.
OBJECTIVE
Indoor mold after flooding poses health risks, including rare but serious invasive mold infections. The purpose of this study was to evaluate use of International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) diagnosis codes for mold infection and mold exposure in Houston, Texas, during the year before and the year after Hurricane Harvey.
METHODS
This study used data from MarketScan, a large health insurance claims database.
RESULTS
The incidence of invasive mold infections remained unchanged in the year after Hurricane Harvey; however, the incidence of diagnosis codes for mold exposure nearly doubled compared with the year before the hurricane (6.3 vs 11.0 per 100 000 enrollees, rate ratio: 1.7, 95% confidence interval 1.0-3.1).
CONCLUSIONS
Diagnosis codes alone may not be sufficiently sensitive to detect changes in invasive mold infection rates within this population and time frame, demonstrating the need for more comprehensive studies.
目的
洪水过后室内霉菌会带来健康风险，包括罕见但严重的侵袭性霉菌感染。本研究旨在评估德克萨斯州休斯顿市哈维飓风前后一年使用国际疾病分类，第十次修订版，临床修正（ICD-10-CM）霉菌感染和霉菌暴露诊断代码的情况。
方法
本研究使用了 MarketScan 大型健康保险索赔数据库的数据。
结果
哈维飓风后侵袭性霉菌感染的发病率保持不变；然而，与飓风前一年相比，霉菌暴露诊断代码的发病率几乎翻了一番（飓风后为每 100000 名参保者 6.3 例，飓风前为 11.0 例，发病率比：1.7，95%置信区间 1.0-3.1）。
结论
仅使用诊断代码可能不足以敏感地检测到该人群和时间框架内侵袭性霉菌感染率的变化，这表明需要进行更全面的研究。
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