North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT) and the National Hospital Ambulatory Medical Care Survey (NHAMCS): Comparison of Emergency Department Data
North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT) and the National Hospital Ambulatory Medical Care Survey (NHAMCS): Comparison of Emergency Department Data
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DOI：
10.1111/j.1553-2712.2008.00334.x
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发表时间：
2009-03-01
影响因子：
4.4
通讯作者：
Tintinalli, Judith E.
中科院分区：
文献类型：
--
作者：
Hakenewerth, Anne M.;Waller, Anna E.;Tintinalli, Judith E.
北卡罗来纳州疾病事件跟踪和流行病学收集工具(NC DETECT)是从北卡罗来纳州的医院信息系统(S)自动提取的急诊科(ED)就诊的近实时数据库。国家医院非卧床医疗护理调查(NHAMCS)是对美国医院急诊室就诊的回溯性概率抽样调查。本报告将NC Detect(2006)和NHAMCS(2005)急诊数据进行比较，以确定这两个数据集是否一致。按年龄和性别、到达方法和年龄、预期付款来源、处置、住院、NHAMCS前20个诊断组和按年龄组排名前5的主要诊断；国际疾病分类，第9版，临床修改(ICD-9-CM)主要诊断代码；以及损伤原因计算急诊就诊的比例、比率和可信区间(CI)。北卡罗来纳州检测捕获了全州急诊就诊的79%。2006年，每100名北卡罗来纳州居民中就有28人去过向NC报告至少一次检测到的北卡罗来纳州ED，而全国这一比例为20%。北卡罗来纳州27%的ED就诊者将私人保险作为预期的付款来源，而全国这一比例为40%。北卡罗来纳州与伤害相关的急诊室就诊比例为25%，而全国这一比例为36.4%。疾病组的比率和比例相似，NC检测率和比例与NHAMCS相似，为NC检测的面和内容效度提供了支持。全州范围内近乎实时的ED数据库的开发是按州收集、汇总和分析及时的、基于人口的数据的重要一步，以更好地确定弱势人口的疾病和伤害负担。
The North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT) is a near-real-time database of emergency department (ED) visits automatically extracted from hospital information system(s) in the state of North Carolina. The National Hospital Ambulatory Medical Care Survey (NHAMCS) is a retrospective probability sample survey of visits to U.S. hospital EDs. This report compares data from NC DETECT (2006) with NHAMCS (2005) ED visit data to determine if the two data sets are consistent.Proportions, rates, and confidence intervals (CIs) were calculated for ED visits by age and gender; arrival method and age; expected source of payment; disposition; hospital admissions; NHAMCS top 20 diagnosis groups and top five primary diagnoses by age group; International Classifications of Disease, 9th revision, Clinical Modification (ICD-9-CM) primary diagnosis codes; and cause of injury.North Carolina DETECT captured 79% of statewide ED visits. Twenty-eight persons for every 100 North Carolina residents visited a North Carolina ED that reports to NC DETECT at least once in 2006, compared to 20% nationally. Twenty-seven percent of ED visits in North Carolina had private insurance as the expected payment source, compared with 40% nationwide. The proportion of injury-related ED visits in North Carolina is 25%, compared to 36.4% nationally. Rates and proportions of disease groups are similar.Similarity of NC DETECT rates and proportions to NHAMCS provides support for the face and content validity of NC DETECT. The development of statewide near-real-time ED databases is an important step toward the collection, aggregation, and analysis of timely, population-based data by state, to better define the burden of illness and injury for vulnerable populations.