Defining Emergency Department Asthma Visits for Public Health Surveillance, North Carolina, 2008-2009
Defining Emergency Department Asthma Visits for Public Health Surveillance, North Carolina, 2008-2009
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DOI：
10.5888/pcd11.130329
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发表时间：
2014-06-01
影响因子：
5.5
通讯作者：
Waller, Anna
中科院分区：
文献类型：
--
作者：
Travers, Debbie;Lich, Kristen Hassmiller;Waller, Anna
当使用急诊科（艾德）数据集进行公共卫生监测时，需要一个标准的方法来定义归因于哮喘的就诊。哮喘可以是第一个（主要）或随后（第2至第11个）诊断。我们的研究目的是为公共卫生监测制定哮喘所致艾德就诊的定义。我们评估的影响，包括访问与哮喘诊断在小学只与后续positions.MethodsThe研究是一个横断面分析人口水平的艾德监测数据。在2008-2009年有资格参加全州监测系统的114名北卡罗来纳州ED中，我们使用了这些年参加的111名（97%）的数据。包括所有艾德访视，ICD-9-CM诊断代码为哮喘的任何诊断位置（1至11层），根据哮喘的诊断位置，我们形成了11个层，并描述了每个层的常见主诉和主要诊断类别。患病率比较每个类别的比例访问，收到哮喘或心脏相关的程序codes.ResultsRespiratory诊断是最常见的记录中的艾德访视，其中哮喘是第一或第二诊断，而主要诊断损伤和心脏病更常见的哮喘出现在位置3-11。在第一或第二诊断中，与哮喘相关的主诉和操作最常见，而在第3- 11位哮喘患者中，心脏操作更常见。结论当哮喘处于第一或第二诊断位置时，应将ED访视定义为与哮喘相关。
IntroductionWhen using emergency department (ED) data sets for public health surveillance, a standard approach is needed to define visits attributable to asthma. Asthma can be the first (primary) or a subsequent (2nd through 11th) diagnosis. Our study objective was to develop a definition of ED visits attributable to asthma for public health surveillance. We evaluated the effect of including visits with an asthma diagnosis in primary-only versus subsequent positions.MethodsThe study was a cross-sectional analysis of population-level ED surveillance data. Of the 114 North Carolina EDs eligible to participate in a statewide surveillance system in 2008-2009, we used data from the 111 (97%) that participated during those years. Included were all ED visits with an ICD-9-CM diagnosis code for asthma in any diagnosis position (1 through We formed 11 strata based on the diagnosis position of asthma and described common chief complaint and primary diagnosis categories for each. Prevalence ratios compared each category's proportion of visits that received either asthma- or cardiac-related procedure codes.ResultsRespiratory diagnoses were most common in records of ED visits in which asthma was the first or second diagnosis, while primary diagnoses of injury and heart disease were more common when asthma appeared in positions 3-11. Asthma-related chief complaints and procedures were most common when asthma was the first or second diagnosis, whereas cardiac procedures were more common in records with asthma in positions 3-11.ConclusionED visits should be defined as asthma-related when asthma is in the first or second diagnosis position.