How Accurate Are International Classification of Diseases-10 Diagnosis Codes in Detecting Influenza and Pertussis Hospitalizations in Children?
How Accurate Are International Classification of Diseases-10 Diagnosis Codes in Detecting Influenza and Pertussis Hospitalizations in Children?
复制标题
DOI：
10.1093/jpids/pit036
复制
发表时间：
2014-09-01
影响因子：
3.2
通讯作者：
Blyth, Christopher C.
中科院分区：
文献类型：
--
作者：
Moore, Hannah C.;Lehmann, Deborah;Blyth, Christopher C.
流行性感冒和百日咳是儿童发病的主要原因。我们使用245，249名儿童的基于人群的实验室和医院数据测量了他们的国际疾病分类（ICD-10-AM）诊断代码的准确性。流感诊断代码对实验室确诊的流感发作具有高特异性（98.6%）和中等阳性预测值（PPV; 84.1%）和敏感性（86.1%，95%CI：83.4%-88.6%）。百日咳诊断代码PPV（86.8%）和特异性（98.9%）较高，但敏感性较差（27.8%，95%CI：23.5%~ 32.4%）。措施根据年龄，偏远，土著，严重程度和检测方法而有所不同。需要实验室和住院数据来准确确定儿童流感和百日咳的负担。
Influenza and pertussis are major causes of pediatric morbidity. We measured the accuracy of their International Classification of Diseases (ICD-10-AM) diagnosis codes using linked population-based laboratory and hospital data in 245,249 children. Influenza diagnosis codes had high specificity (98.6%) and modest positive predictive value (PPV; 84.1%) and sensitivity (86.1%, 95% CI: 83.4%-88.6%) for a laboratory-confirmed episode. For pertussis diagnosis codes, PPV (86.8%) and specificity (98.9%) were high, but sensitivity was poor (27.8%, 95% CI: 23.5%-32.4%). Measures varied according to age, remoteness, Aboriginality, severity, and detection method. Both laboratory and hospitalization data are needed to accurately determine the burden of pediatric influenza and pertussis.