Trends in gastroenteritis-associated mortality in the United States, 1985-2005: variations by ICD-9 and ICD-10 codes.
Trends in gastroenteritis-associated mortality in the United States, 1985-2005: variations by ICD-9 and ICD-10 codes.
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DOI：
10.1186/s12876-014-0211-0
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发表时间：
2014-12-10
影响因子：
2.4
通讯作者：
Wade TJ
中科院分区：
文献类型：
--
作者：
Jagai JS;Smith GS;Schmid JE;Wade TJ
随着某些病原体抗生素耐药菌株的发展、诊断方法的改进和医疗保健的变化，胃炎相关死亡率的趋势正在发生变化。1999年，对死亡率记录采用了ICD-10编码，这也会影响趋势。我们评估了胃肠炎相关死亡率的趋势和与编码相关的变化。使用1985-2005年美国国家卫生统计中心多死因死亡率数据库对美国胃肠炎相关死亡率的趋势进行了研究。包括所有潜在原因或任何促因（包括胃肠炎）的死亡。根据ICD 9（1999年以前）和ICD 10（1999-2005）代码选择病例，所有分析均按ICD使用情况分层。采用线性回归样条分析评估年龄调整死亡率的年度趋势。使用Poisson回归计算相对风险和95%置信区间（CI），调整年龄组、性别、种族和地区。从1985年到2005年，美国共有190，674人死于胃肠炎，平均每年9，080人。在此期间，与胃肠炎有关的死亡百分比增加了两倍多，从所有死亡的0.25%增加到0.80%。虽然时间段的长度不同，我们证明了一个显着增加的斜率从0.0054%的年增长率在1985-1998年期间，当使用ICD-9编码，到0.0550%的年增长率在1999-2005年期间，当使用ICD-10编码。对于这两个时间段，年龄最大的年龄组（75岁以上）因胃肠炎死亡的风险最高。此外，男性比女性表现出更高的风险，黑人比白人更高的风险死于胃肠炎。该分析显示了美国胃肠炎相关死亡率的公共卫生负担，以及由于ICD-9编码改为ICD-10编码而导致的趋势变化。在1985年至2005年的21年间，胃肠炎相关死亡率的总体比率增加了两倍多，胃肠炎所致死亡的主要负担是老年人口。
Trends in gastroenteritis-associated mortality are changing over time with development of antibiotic resistant strains of certain pathogens, improved diagnostic methods, and changing healthcare. In 1999, ICD-10 coding was introduced for mortality records which can also affect trends. We assess trends in gastroenteritis-associated mortality and changes associated with coding. Trends in gastroenteritis-associated mortality rates in the United States were examined using the National Center for Health Statistics Multiple Cause-of-Death Mortality databases for 1985–2005. All deaths with the underlying cause or any contributing cause included gastroenteritis were included. Cases were selected based on ICD9 (pre-1999) and ICD10 (1999–2005) codes and all analyses were stratified by ICD usage. Annual trends in age adjusted mortality rates were assessed using linear regression spline analysis. Relative risks and 95% confidence intervals (CIs) were calculated using Poisson regression adjusted for age group, sex, race, and region. There were a total of 190,674 deaths related to gastroenteritis in the U.S. from 1985–2005 with an average of 9,080 per year. During this time the percent of deaths related to gastroenteritis more than tripled, increasing from 0.25% to 0.80% of all deaths. Though the time periods varied in length, we demonstrate a significant increase in slope from a 0.0054% annual increase during the period 1985–1998, when ICD-9 coding was used, to a 0.0550% annual increase during 1999–2005, when ICD-10 coding was used. For both time periods, the oldest age group (75+ years) demonstrated the highest risk of death due to gastroenteritis. Additionally, males demonstrated higher risk than females and blacks were at higher risk than whites for death due to gastroenteritis. This analysis demonstrates the public health burden of gastroenteritis-associated mortality in the United States and changes in trends due to change from ICD-9 to ICD-10 coding. The overall rate of gastroenteritis-associated mortality has more than tripled over the 21-year period from 1985 to 2005 and the primary burden of deaths due to gastroenteritis is in the elderly population.
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影响因子：
7.7
作者：
Wiener, JM;Tilly, J
通讯作者：
Tilly, J
影响因子：
5.4
作者：
Gerba, CP;Rose, JB;Haas, CN
通讯作者：
Haas, CN
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11.8
作者：
Scallan, Elaine;Griffin, Patricia M.;Hoekstra, Robert M.
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Hoekstra, Robert M.
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12.7
作者：
Chui, Kenneth K. H.;Jagai, Jyotsna S.;Naumova, Elena N.
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Naumova, Elena N.
影响因子：
11.8
作者：
Scallan E;Hoekstra RM;Angulo FJ;Tauxe RV;Widdowson MA;Roy SL;Jones JL;Griffin PM
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Griffin PM