Defining indicators for drug overdose emergency department visits and hospitalisations in ICD-10-CM coded discharge data.
Defining indicators for drug overdose emergency department visits and hospitalisations in ICD-10-CM coded discharge data.
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DOI：
10.1136/injuryprev-2019-043521
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Overdose Morbidity Team
中科院分区：
文献类型：
--
作者：
Vivolo-Kantor A;Pasalic E;Liu S;Martinez PD;Gladden RM;Overdose Morbidity Team
在过去的十年中，药物过量的流行已经恶化;然而，已经做出了努力，以更好地了解和跟踪非致命的过量使用各种数据源，包括急诊科和住院数据从计费和出院文件。美国疾病控制和预防中心（CDC）已制定了监测病例定义指南，使用标准化的出院诊断代码，供公共卫生从业人员和流行病学家使用，并借鉴了CDC资助接受者和州和地区流行病学家理事会（CSTE）国际疾病分类第10次修订版的经验教训，临床修改（ICD-10-CM）药物中毒指标工作组和一般损伤ICD-10-CM工作组。CDC的指导意见由卫生部门和CSTE的工作组提供，包括评估急诊科药物过量和住院出院数据的几个关键方面。其中包括：（1）搜索所有诊断领域以识别药物过量病例;（2）使用初次就诊但不包括后续就诊和后遗症的访视估计药物过量发生率;（3）从药物过量发生率指标中排除剂量不足和不良反应;以及（4）使用代码T36-T50进行过量监测。CDC的指南还建议单独分析ICD-10-CM编码的意图。CDC的指导为卫生部门提供了一个关键工具，以更好地监测社区中的药物过量。在CDC资助的所有卫生部门实施和验证这一标准化指南将是确保所有实体一致和准确报告的关键。
The drug overdose epidemic has worsened over the past decade; however, efforts have been made to better understand and track nonfatal overdoses using various data sources including emergency department and hospital admission data from billing and discharge files. The Centers for Disease Control and Prevention (CDC) has developed surveillance case definition guidance using standardised discharge diagnosis codes for public health practitioners and epidemiologists using lessons learnt from CDC’s funded recipients and the Council for State and Territorial Epidemiologists (CSTE) International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) Drug Poisoning Indicators Workgroup and General Injury ICD-10-CM Workgroup. CDC’s guidance was informed by health departments and CSTE’s workgroups and included several key aspects for assessing drug overdose in emergency department and hospitalisation discharge data. These include: (1) searching all diagnosis fields to identify drug overdose cases; (2) estimating drug overdose incidence using visits for initial encounter but excluding subsequent encounters and sequelae; (3) excluding underdosing and adverse effects from drug overdose incidence indicators; and (4) using codes T36–T50 for overdose surveillance. CDC’s guidance also suggests analysing intent separately for ICD-10-CM coding. CDC’s guidance provides health departments a key tool to better monitor drug overdoses in their community. The implementation and validation of this standardised guidance across all CDC-funded health departments will be key to ensuring consistent and accurate reporting across all entities.
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DOI：
10.4103/2229-5151.141476
发表时间：
2014-07-01
影响因子：
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作者：
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DOI：
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