Development and testing of a hierarchical method to code the reason for admission to intensive care units: the ICNARC Coding Method
Development and testing of a hierarchical method to code the reason for admission to intensive care units: the ICNARC Coding Method
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DOI：
10.1093/bja/87.4.543
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发表时间：
2001-10-01
影响因子：
9.8
通讯作者：
Rowan, K
中科院分区：
文献类型：
--
作者：
Young, JD;Goldfrad, C;Rowan, K
一种基于计算机的分层方法被开发来编码导致进入重症监护在英国的条件。该等级分为五个层次：手术状态、身体系统、解剖部位、生理或病理过程和医疗状况。该等级最初使用来自英国重症监护协会APACHE II研究中记录的10806例入院原因的自由文本描述来填充。经过改进和错误检查，对62个英国重症监护病房的22059名入院患者进行了前瞻性评估。个别单位编码在60到1610（平均356）之间。除了50个（0.2%）之外，所有的录取都可以被编码，38个单位被编码。50例（0.2%）入院后24小时内无法编码，但在获得更多信息后进行编码。在录取的学生中，96.1%的人在编码方法中被编码为a][等级。741个特殊条件中有637个（85.9%）用于5个住院原因之一，564个（76.1%）用于主要住院原因。五种情况占所有主要入院原因的19.4%。这是第一个经验开发的方法编码重症监护入院的原因。
A computer-based hierarchical method was developed to code conditions leading to admission to intensive care in the UK. The hierarchy had five tiers: surgical status, body system, anatomical site, physiological or pathological process and medical condition. The hierarchy was populated initially using the free-text descriptions of the reason for admission from 10 806 admissions recorded as part of the Intensive Care Society's UK APACHE II study. After refinement and error-checking, a prospective evaluation was undertaken on 22 059 admissions to 62 UK intensive care units. Individual units coded between 60 and 1610 (mean 356) admissions. All but 50 (0.2%) of the admissions could be coded and 38 units coded every admission. Fifty admissions (0.2%) could not be coded within 24 h of admission but were coded subsequently when more information became available. Of the admissions, 96.1% were coded at a][ levels of the hierarchy in the coding method. Six hundred and thirty-seven of the 741 unique conditions (85.9%) were used in one of the five reasons for admission and 564 (76.1%) in the primary reason for admission. Five conditions account for 19.4% of all primary reasons for admission. This is the first method to be developed empirically for coding the reason for intensive care admission.