How Accurate Are International Classification of Diseases-10 Diagnosis Codes in Detecting Influenza and Pertussis Hospitalizations in Children?

被引：39

作者：

Moore, Hannah C. ^{[1
]}

Lehmann, Deborah ^{[1
]}

de Klerk, Nicholas ^{[1
]}

Smith, David W. ^{[2
,3
]}

Richmond, Peter C. ^{[4
,5
]}

Keil, Anthony D. ^{[6
]}

Blyth, Christopher C. ^{[4
,5
,6
]}

机构：

[1] Ctr Child Hlth Res, Telethon Inst Child Hlth Res, Div Populat Sci, Perth, WA, Australia

[2] Univ Western Australia, Sch Pathol & Lab Med, Perth, WA, Australia

[3] QEII Med Ctr, PathWest Lab MedicineWA, Div Microbiol & Infect Dis, Perth, WA, Australia

[4] Univ Western Australia, Sch Paediat & Child Hlth, Perth, WA, Australia

[5] Princess Margaret Hosp Children, Dept Paediat & Adolescent Med, Perth, WA, Australia

[6] Princess Margaret Hosp Children, PathWest Lab Med WA, Dept Microbiol, Perth, WA, Australia

来源：

JOURNAL OF THE PEDIATRIC INFECTIOUS DISEASES SOCIETY | 2014年 / 3卷 / 03期

基金：

英国医学研究理事会;

关键词：

hospitalization; influenza; International Classification of Disease (ICD) Codes; laboratory confirmation; pertussis; sensitivity; specificity;

D O I：

10.1093/jpids/pit036

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Influenza and pertussis are major causes of pediatric morbidity. We measured the accuracy of their International Classification of Diseases (ICD-10-AM) diagnosis codes using linked population-based laboratory and hospital data in 245,249 children. Influenza diagnosis codes had high specificity (98.6%) and modest positive predictive value (PPV; 84.1%) and sensitivity (86.1%, 95% CI: 83.4%-88.6%) for a laboratory-confirmed episode. For pertussis diagnosis codes, PPV (86.8%) and specificity (98.9%) were high, but sensitivity was poor (27.8%, 95% CI: 23.5%-32.4%). Measures varied according to age, remoteness, Aboriginality, severity, and detection method. Both laboratory and hospitalization data are needed to accurately determine the burden of pediatric influenza and pertussis.

引用

页码：255 / 260

页数：6

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