Evaluation of using ICD-10 code data for respiratory syncytial virus surveillance.
Evaluation of using ICD-10 code data for respiratory syncytial virus surveillance.
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DOI：
10.1111/irv.12665
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发表时间：
2020-11
影响因子：
4.4
通讯作者：
Buda S
中科院分区：
文献类型：
--
作者：
Cai W;Tolksdorf K;Hirve S;Schuler E;Zhang W;Haas W;Buda S
呼吸道合胞病毒（RSV）是幼儿急性下呼吸道感染（ALRI）的最常见原因。基于ICD - 10的综合征监测可以以标准化的方式快速传输数据。我们研究了RSV特异性ICD - 10代码用于RSV监测的使用。我们基于德国现有的基于ICD - 10的初级和二级保健ALRI监测系统以及相关的病毒学监测进行了回顾性描述性数据分析。我们描述了RSV流行病学，并比较了基于ICD‐10和病毒学数据的流行病学结果。我们计算了RSV特异性ICD‐10编码的敏感性和特异性，并结合急性呼吸道感染（ARI）的ICD‐10编码来识别实验室确诊的RSV感染。根据ICD‐10和病毒学资料，描述了RSV的流行病学，并发现了共同的发现。RSV特异性ICD‐10编码的低灵敏度为6%(95%‐CI: 3%‐12%)，高特异性为99.8%（95%‐CI: 99.6%‐99.9%）。在5岁以下儿童和RSV季节，RSV特异性ICD - 10代码与一般ALRI ICD - 10代码的敏感性比较J18。量,J20。-与J12。量,J18。量,J20。J21所致。， J22例为中度（44%,95% CI: 30% - 59%）。两种组合的特异性仍然很高（91%,95% CI: 86% - 94%; 90%, 95% CI: 85% - 94%）。RSV特异性ICD - 10编码的使用可能是描述RSV流行病学的有用指标。然而，RSV特异性ICD - 10代码低估了实际RSV感染的数量。这可以通过结合RSV特异性和通用的ALRI ICD - 10代码来克服。需要进一步调查以在其他情况下验证这一方法。
Respiratory syncytial virus (RSV) is the most common cause of acute lower respiratory tract infection (ALRI) in young children. ICD‐10‐based syndromic surveillance can transmit data rapidly in a standardized way. We investigated the use of RSV‐specific ICD‐10 codes for RSV surveillance. We performed a retrospective descriptive data analysis based on existing ICD‐10‐based surveillance systems for ALRI in primary and secondary care and a linked virological surveillance in Germany. We described RSV epidemiology and compared the epidemiological findings based on ICD‐10 and virological data. We calculated sensitivity and specificity of RSV‐specific ICD‐10 codes and in combination with ICD‐10 codes for acute respiratory infections (ARI) for the identification of laboratory‐confirmed RSV infections. Based on the ICD‐10 and virological data, epidemiology of RSV was described, and common findings were found. The RSV‐specific ICD‐10 codes had poor sensitivity 6% (95%‐CI: 3%‐12%) and high specificity 99.8% (95%‐CI: 99.6%‐99.9%). In children <5 years and in RSV seasons, the sensitivities of RSV‐specific ICD‐10 codes combined with general ALRI ICD‐10 codes J18.‐, J20.‐ and with J12.‐, J18.‐, J20.‐, J21.‐, J22 were moderate (44%, 95%‐CI: 30%‐59%). The specificities of both combinations remained high (91%, 95%‐CI: 86%‐94%; 90%, 95%‐CI: 85%‐94%). The use of RSV‐specific ICD‐10 codes may be a useful indicator to describe RSV epidemiology. However, RSV‐specific ICD‐10 codes underestimate the number of actual RSV infections. This can be overcome by combining RSV‐specific and general ALRI ICD‐10 codes. Further investigations are required to validate this approach in other settings.
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影响因子：
3.7
作者：
Bloom-Feshbach K;Alonso WJ;Charu V;Tamerius J;Simonsen L;Miller MA;Viboud C
通讯作者：
Viboud C
影响因子：
3.2
作者：
Moore, Hannah C.;Lehmann, Deborah;Blyth, Christopher C.
通讯作者：
Blyth, Christopher C.
DOI：
10.1056/nejmoa0804877
发表时间：
2009-02-05
期刊：
The New England journal of medicine
影响因子：
--
作者：
Hall CB;Weinberg GA;Iwane MK;Blumkin AK;Edwards KM;Staat MA;Auinger P;Griffin MR;Poehling KA;Erdman D;Grijalva CG;Zhu Y;Szilagyi P
通讯作者：
Szilagyi P
影响因子：
8.8
作者：
Malosh, Ryan E.;Martin, Emily T.;Monto, Arnold S.
通讯作者：
Monto, Arnold S.
DOI：
10.1016/s0140-6736(17)30938-8
发表时间：
2017-09-02
期刊：
Lancet (London, England)
影响因子：
--
作者：
Shi T;McAllister DA;O'Brien KL;Simoes EAF;Madhi SA;Gessner BD;Polack FP;Balsells E;Acacio S;Aguayo C;Alassani I;Ali A;Antonio M;Awasthi S;Awori JO;Azziz-Baumgartner E;Baggett HC;Baillie VL;Balmaseda A;Barahona A;Basnet S;Bassat Q;Basualdo W;Bigogo G;Bont L;Breiman RF;Brooks WA;Broor S;Bruce N;Bruden D;Buchy P;Campbell S;Carosone-Link P;Chadha M;Chipeta J;Chou M;Clara W;Cohen C;de Cuellar E;Dang DA;Dash-Yandag B;Deloria-Knoll M;Dherani M;Eap T;Ebruke BE;Echavarria M;de Freitas Lázaro Emediato CC;Fasce RA;Feikin DR;Feng L;Gentile A;Gordon A;Goswami D;Goyet S;Groome M;Halasa N;Hirve S;Homaira N;Howie SRC;Jara J;Jroundi I;Kartasasmita CB;Khuri-Bulos N;Kotloff KL;Krishnan A;Libster R;Lopez O;Lucero MG;Lucion F;Lupisan SP;Marcone DN;McCracken JP;Mejia M;Moisi JC;Montgomery JM;Moore DP;Moraleda C;Moyes J;Munywoki P;Mutyara K;Nicol MP;Nokes DJ;Nymadawa P;da Costa Oliveira MT;Oshitani H;Pandey N;Paranhos-Baccalà G;Phillips LN;Picot VS;Rahman M;Rakoto-Andrianarivelo M;Rasmussen ZA;Rath BA;Robinson A;Romero C;Russomando G;Salimi V;Sawatwong P;Scheltema N;Schweiger B;Scott JAG;Seidenberg P;Shen K;Singleton R;Sotomayor V;Strand TA;Sutanto A;Sylla M;Tapia MD;Thamthitiwat S;Thomas ED;Tokarz R;Turner C;Venter M;Waicharoen S;Wang J;Watthanaworawit W;Yoshida LM;Yu H;Zar HJ;Campbell H;Nair H;RSV Global Epidemiology Network
通讯作者：
RSV Global Epidemiology Network