Validation of Autism Spectrum Disorder Diagnoses in Large Healthcare Systems with Electronic Medical Records

被引：72

作者：

Coleman, Karen J. ^{[1
]}

Lutsky, Marta A. ^{[2
]}

Yau, Vincent ^{[2
]}

Qian, Yinge ^{[2
]}

Pomichowski, Magdalena E. ^{[1
]}

Crawford, Phillip M. ^{[3
]}

Lynch, Frances L. ^{[3
]}

Madden, Jeanne M. ^{[4
,5
]}

Owen-Smith, Ashli ^{[6
]}

Pearson, John A. ^{[3
]}

Pearson, Kathryn A. ^{[3
]}

Rusinak, Donna ^{[4
,5
]}

Quinn, Virginia P. ^{[1
]}

Croen, Lisa A. ^{[2
]}

机构：

[1] Kaiser Permanente So Calif, Dept Res & Evaluat, Pasadena, CA 91104 USA

[2] Kaiser Permanente No Calif, Div Res, Oakland, CA USA

[3] Kaiser Permanente Northwest, Ctr Hlth Res, Portland, OR USA

[4] Harvard Univ, Sch Med, Boston, MA USA

[5] Harvard Pilgrim Healthcare Inst, Boston, MA USA

[6] Kaiser Permanente Georgia, Ctr Hlth Res, Atlanta, GA USA

来源：

JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS | 2015年 / 45卷 / 07期

关键词：

Population-based; Racial/ethnic minorities; Chart review; Children; Adolescents; SURVEILLANCE;

D O I：

10.1007/s10803-015-2358-0

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

To identify factors associated with valid Autism Spectrum Disorder (ASD) diagnoses from electronic sources in large healthcare systems. We examined 1,272 charts from ASD diagnosed youth < 18 years old. Expert reviewers classified diagnoses as confirmed, probable, possible, ruled out, or not enough information. A total of 845 were classified with 81 % as a confirmed, probable, or possible ASD diagnosis. The predictors of valid ASD diagnoses were > 2 diagnoses in the medical record (OR 2.94; 95 % CI 2.03-4.25; p < 0.001) and being male (OR 1.51; 95 % CI 1.05-2.17; p = 0.03). In large integrated healthcare settings, at least two diagnoses can be used to identify ASD patients for population-based research.

引用

页码：1989 / 1996

页数：8

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