Validity of the diagnosis of acute myocardial infarction in korean national medical health insurance claims data: the korean heart study (1).
Validity of the diagnosis of acute myocardial infarction in korean national medical health insurance claims data: the korean heart study (1).
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DOI：
10.4070/kcj.2012.42.1.10
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发表时间：
2012-01
影响因子：
2.9
通讯作者：
Jee SH
中科院分区：
文献类型：
--
作者：
Kimm H;Yun JE;Lee SH;Jang Y;Jee SH
医疗保险索赔（MIC）数据是国际疾病分类（ICD）代码形式的结果数据的最大来源之一。我们评价了韩国国家MIC数据中ICD编码对韩国心脏研究中急性心肌梗死（AMI）结局的有效性。基线信息来自1994年至2001年进行的健康检查。关于AMI发生率的结果信息来自1994年至2007年的住院和出院记录。调查问卷共发放到98家医院。最终分析共纳入107例ICD编码为I21-的AMI病例（93例男性，26-73岁）。计算ICD编码对AMI的准确性和可靠性（kappa）。大量AMI病例来自首尔地区的医院（75.9%）。根据世界卫生组织标准（1997-2000年，n=24，kappa=0.46）和欧洲心脏病学会/美国心脏病学会（ESC/ACC）标准（2001-2007年，n=83，kappa=0.74），AMI的准确性为71.4%和73.1%。年龄≥ 50岁是自2001年1月以来使用ESC/ACC标准诊断的患者（n=83）中与AMI代码不准确相关的唯一因素（比值比，4.6; 95%置信区间，1.2-17.7）。在韩国MIC数据中，使用ICD-10编码诊断AMI的准确性> 70%，可靠性一般至良好;然而，需要更多关注老年患者的ICD编码。
Medical insurance claims (MIC) data are one of the largest sources of outcome data in the form of International Classification of Diseases (ICD) codes. We evaluated the validity of the ICD codes from the Korean National MIC data with respect to the outcomes from acute myocardial infarction (AMI) in the Korean Heart Study. Baseline information was obtained from health examinations conducted from 1994 to 2001. Outcome information regarding the incidence of AMI came from hospital admission discharge records from 1994 to 2007. Structured questionnaires were sent to 98 hospitals. In total, 107 cases of AMI with ICD codes of I21- (93 men, 26-73 years of age) were included in the final analyses. ICD code accuracy and reliability (kappa) for AMI were calculated. A large number of AMI cases were from hospitals located in the Seoul area (75.9%). The accuracy of AMI was 71.4%, according to World Health Organization criteria (1997-2000, n=24, kappa=0.46) and 73.1% according to the European Society of Cardiology/American College of Cardiology (ESC/ACC) criteria (2001-2007, n=83, kappa=0.74). An age of 50 years or older was the only factor related to inaccuracy of codes for AMI (odds ratio, 4.6; 95% confidence interval, 1.2-17.7) in patients diagnosed since January 2001 using ESC/ACC criteria (n=83). The accuracy for diagnosing AMI using the ICD-10 codes in Korean MIC data was >70%, and reliability was fair to good; however, more attention is required for recoding ICD codes in older patients.
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影响因子：
8.3
作者：
Kim, HC;Kang, DR;Suh, I
通讯作者：
Suh, I
影响因子：
158.5
作者：
HSIA, DC;KRUSHAT, WM;KUSSEROW, RP
通讯作者：
KUSSEROW, RP
影响因子：
39.2
作者：
IEZZONI, LI;BURNSIDE, S;LEVINE, PA
通讯作者：
LEVINE, PA
DOI：
10.1016/j.ijmedinf.2006.11.005
发表时间：
2008-01-01
影响因子：
4.9
作者：
Stausberg, Juergen;Lehmann, Nils;Stein, Markus
通讯作者：
Stein, Markus
DOI：
10.1016/s0735-1097(00)00804-4
发表时间：
2000-09-01
影响因子：
24
作者：
Alpert, JS;Antman, E;Wood, D
通讯作者：
Wood, D