Using Large Aggregated De-Identified Electronic Health Record Data to Determine the Prevalence of Common Chronic Diseases in Pediatric Patients Who Visited Primary Care Clinics.
Using Large Aggregated De-Identified Electronic Health Record Data to Determine the Prevalence of Common Chronic Diseases in Pediatric Patients Who Visited Primary Care Clinics.
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DOI：
10.1016/j.acap.2021.05.007
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发表时间：
2021-08
影响因子：
3.1
通讯作者：
Kaelber DC
中科院分区：
文献类型：
--
作者：
Ullah F;Kaelber DC
我们使用来自多个医疗保健系统的去识别临床数据，使用不同的电子健康记录（EHR）来1）量化常见儿科慢性病的患病率，2）调查与常见儿科慢性病相关的专利特征，3）比较我们的方法的结果，以确定慢性病患病率与传统方法。我们使用了一个符合HIPAA标准的去识别Web应用程序（Explorys; IBM沃森健康Explorys Inc.）识别2016年至2018年间在初级保健诊所就诊的美国多个医疗保健系统中17岁或以下的患者，以确定该年龄段最常见的慢性病。比较不同年龄组、性别、种族/民族和保险之间慢性病的患病率;计算并报告比值比和置信区间。按患病率确定的前六位慢性疾病是：肥胖/超重（36.7%）、湿疹（15.8%）、哮喘（12.7%）、食物过敏（4.7%）、注意缺陷多动障碍（4.09%）和高血压（4.07%）。慢性疾病通常在相对年长的儿科患者、男性、非洲裔美国人和多种族群体中更为普遍。大约40%的儿童和青少年至少患有一种慢性疾病。肥胖/超重、湿疹和哮喘是美国儿童最常见的慢性疾病，在那些使用EHR寻求医疗保健系统的人中。本文编译的工作表明，聚合，标准化，规范化和去识别的人口水平EHR数据可以提供足够的洞察力和统计能力来计算慢性病的患病率和各种风险因素的比值比。
We used de-identified clinical data from multiple healthcare systems using different electronic health records (EHRs) to 1) quantify the prevalence of common pediatric chronic diseases, 2) investigate patent characteristics associated with common pediatric chronic diseases, and 3) compare the results of our methodology to determine chronic disease prevalence with traditional approaches. We used a HIPAA-compliant and de-identified web application (Explorys; IBM Watson Health Explorys Inc.) to identify patients 17 years old or younger from multiple healthcare systems in the US who were seen in primary care clinics between 2016–2018 to determine the most common chronic conditions in this age group. The prevalence of chronic conditions was compared between different age groups, genders, races/ethnicities, and insurance; odds ratios and confidence intervals were calculated and reported. The top six chronic conditions identified by prevalence were: obesity/overweight (36.7%), eczema (15.8%), asthma (12.7%), food allergies (4.7%), attention deficit-hyperactivity disorder (4.09%) and hypertension (4.07%). Chronic conditions were generally more prevalent among relatively older pediatric patients, males, and African-American and multiracial groups. Approximately 40% of children and adolescents have at least one chronic disease. Obesity/overweight, eczema, and asthma are the most common chronic diseases of childhood, in the US, among those seeking care in healthcare systems with EHRs. The work compiled herein demonstrates that aggregated, standardized, normalized and de-identified population-level EHR data can provide both sufficient insight and statistical power to calculate the prevalence of chronic diseases and the odds ratio of various risk factors.
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影响因子：
33.9
作者：
Divers, Jasmin;Mayer-Davis, Elizabeth J.;Wagenknecht, Lynne E.
通讯作者：
Wagenknecht, Lynne E.
DOI：
10.1097/00004583-199808000-00015
发表时间：
1998-08-01
影响因子：
13.3
作者：
Hudziak, JJ;Heath, AC;Todd, RD
通讯作者：
Todd, RD
DOI：
10.1513/pats.200708-135mg
发表时间：
2008-02-15
期刊：
Proceedings of the American Thoracic Society
影响因子：
--
作者：
Lumeng, Julie C;Chervin, Ronald D
通讯作者：
Chervin, Ronald D
影响因子：
8
作者：
Burns, Katherine H.;Casey, Patrick H.;Robbins, James M.
通讯作者：
Robbins, James M.
影响因子：
--
作者：
Berry, Jay G;Ash, Arlene S;Hall, Matt
通讯作者：
Hall, Matt