Defining pediatric traumatic brain injury using International Classification of Diseases Version 10 Codes: a systematic review.
Defining pediatric traumatic brain injury using International Classification of Diseases Version 10 Codes: a systematic review.
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DOI：
10.1186/s12883-015-0259-7
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发表时间：
2015-02-04
期刊：
影响因子：
2.6
通讯作者：
Colantonio A
中科院分区：
文献类型：
--
作者：
Chan V;Thurairajah P;Colantonio A
虽然医疗保健管理数据通常用于创伤性脑损伤（TBI）研究，但目前在用于定义儿童和青少年TBI的国际疾病分类第10版（ICD-10）代码上没有共识或一致性。本研究系统地回顾了文献，以探索用于定义该人群TBI的ICD-10代码的范围。确定ICD-10代码的范围以在行政数据中定义这一人群是至关重要的，因为它对政策、资源分配、卫生保健服务规划和预防战略都有影响。系统检索MEDLINE、MEDLINE In-Process、Embase、PsychINFO、CINAHL、SPORTDiscus和Cochrane系统评价数据库。使用Grey Matters和谷歌检索灰色文献。检索纳入文献的参考文献列表，查找相关研究。两位审稿人使用预先定义的纳入和排除标准独立筛选所有标题和摘要。对符合第一次筛选纳入标准的文章进行全文筛选。所有符合预先定义的纳入标准的全文文章被纳入本系统评价的分析。通过预先确定的检索策略共确定了1,326篇出版物，其中32篇文章/报告符合纳入本综述的所有资格标准。五篇文章专门研究了19岁或以下的儿童和青少年TBI。ICD-10的病例定义范围从广泛的头部损伤（ICD-10 S00至S09）到仅脑震荡（s06）。ICD-10编码S06是颅内损伤，而编码S00（头部浅表损伤）、S03（头部关节和韧带脱位、扭伤和劳损）和S05（眼和眶损伤）仅用于检查头部损伤的文章，没有一篇专门检查儿童和青少年。这篇综述为讨论如何最好地将ICD代码用于不同目标提供了证据。这是达成适当定义的重要第一步，可以为今后就ICD-10代码达成共识的工作提供信息，以确定这一弱势群体的TBI。本文的在线版本（doi:10.1186/s12883-015-0259-7）包含补充材料，可供授权用户使用。
Although healthcare administrative data are commonly used for traumatic brain injury (TBI) research, there is currently no consensus or consistency on the International Classification of Diseases Version 10 (ICD-10) codes used to define TBI among children and youth internationally. This study systematically reviewed the literature to explore the range of ICD-10 codes that are used to define TBI in this population. The identification of the range of ICD-10 codes to define this population in administrative data is crucial, as it has implications for policy, resource allocation, planning of healthcare services, and prevention strategies. The databases MEDLINE, MEDLINE In-Process, Embase, PsychINFO, CINAHL, SPORTDiscus, and Cochrane Database of Systematic Reviews were systematically searched. Grey literature was searched using Grey Matters and Google. Reference lists of included articles were also searched for relevant studies. Two reviewers independently screened all titles and abstracts using pre-defined inclusion and exclusion criteria. A full text screen was conducted on articles that met the first screen inclusion criteria. All full text articles that met the pre-defined inclusion criteria were included for analysis in this systematic review. A total of 1,326 publications were identified through the predetermined search strategy and 32 articles/reports met all eligibility criteria for inclusion in this review. Five articles specifically examined children and youth aged 19 years or under with TBI. ICD-10 case definitions ranged from the broad injuries to the head codes (ICD-10 S00 to S09) to concussion only (S06.0). There was overwhelming consensus on the inclusion of ICD-10 code S06, intracranial injury, while codes S00 (superficial injury of the head), S03 (dislocation, sprain, and strain of joints and ligaments of head), and S05 (injury of eye and orbit) were only used by articles that examined head injury, none of which specifically examined children and youth. This review provides evidence for discussion on how best to use ICD codes for different goals. This is an important first step in reaching an appropriate definition and can inform future work on reaching consensus on the ICD-10 codes to define TBI for this vulnerable population. The online version of this article (doi:10.1186/s12883-015-0259-7) contains supplementary material, which is available to authorized users.
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作者：
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通讯作者：
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DOI：
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