USE OF THE INTERNATIONAL CLASSIFICATION OF DISEASES (ICD-9-CM) TO IDENTIFY HOSPITALIZATIONS FOR MECHANICAL LOW-BACK PROBLEMS IN ADMINISTRATIVE DATABASES
USE OF THE INTERNATIONAL CLASSIFICATION OF DISEASES (ICD-9-CM) TO IDENTIFY HOSPITALIZATIONS FOR MECHANICAL LOW-BACK PROBLEMS IN ADMINISTRATIVE DATABASES
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DOI：
10.1097/00007632-199207000-00015
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发表时间：
1992-07-01
期刊：
影响因子：
3
通讯作者：
LOESER, JD
中科院分区：
文献类型：
--
作者：
CHERKIN, DC;DEYO, RA;LOESER, JD
大型管理数据库是越来越有价值的工具，为卫生保健研究。虽然增加访问这些数据库提供了宝贵的机会，研究卫生保健的利用，成本和结果，有效的和可比的结果需要明确和一致的分析方法。在自动化数据库中识别“机械”下背部问题的手术和非手术住院治疗的算法。确定了66个ICD 9-CM诊断和15个可应用于机械性下背部问题患者的程序代码。27个诊断和两个程序代码确定了腰椎或腰骶部问题的住院治疗。制定排除标准是为了消除腰痛的非机械性原因，例如恶性肿瘤、感染和重大创伤。使用全国医院出院数据的算法进行说明。
Large administrative databases are increasingly valuable tools for health care research. Although increased access to these databases provides valuable opportunities to study health care utilization, costs and outcomes and valid and comparable results require explicit and consistent analytic methods. Algorithms for identifying surgical and nonsurgical hospitalizations for "mechanical" low back problems in automated databases are described. Sixty-six ICD 9-CM diagnosis and 15 procedure codes that could be applied to patients with mechanical low back problems were identified. Twenty-seven diagnosis and two procedure codes identify hospitalizations for problems definitely in the lumbar or lumbosacral region. Exclusion criteria were developed to eliminate nonmechanical causes of low back pain, such as malignancies, infections, and major trauma. The use of the algorithms is illustrated using national hospital discharge data.