哮喘联盟

   摘要
   引言：当使用急诊科（ED）的数据用于公共卫生监测，定义归类于哮喘急诊的标准方法是必要的。哮喘可以为第一（主要）或后续（第2-第11）的诊断。 我们的研究目标是开发用于公共卫生监测的归类于哮喘的ED就诊的定义。我们评估了包括初级只有一个哮喘诊断与后续诊断的效果。
   方法：此项研究是基于人口水平的ED监测数据的横截面分析，纳入114例2008-2009年北卡罗莱纳州具有参加全州监视系统资格的急诊部门，研究使用这些年参与的111个（97％）急诊部门的数据。纳入的数据均来自ED就诊，哮喘诊断采用ICD-9-CM诊断代码，诊断位于任何诊断层面（1-11）。基于每个哮喘的诊断位置、主诉的描述、主要的诊断类别，我们形成了11个分层。研究比较了患病率与每个类别接收哮喘或心脏相关过程代码的急诊比例。
   结果：当哮喘为第一或第二诊断时，呼吸诊断是最常见的急诊就医记录，然而，当哮喘记录为3-11层面时，主要诊断为损伤和心脏疾病更常见。当哮喘为第一或第二诊断时，与哮喘相关的主诉和过程最为常见，然而，当哮喘记录为3-11层面，心脏手术更为常见。
   结论：当哮喘为第一或第二诊断地位时，急诊应该被定义为与哮喘相关的急诊。
 

（林江涛 审校）
Prev Chronic Dis. 2014 Jun 12;11:E100. doi: 10.5888/pcd11.130329.

 

Defining Emergency Department Asthma Visits for Public Health Surveillance, North Carolina, 2008-2009.
 

Travers D1, Lich KH2, Lippmann SJ2, Weinberger M3, Yeatts KB2, Liao W4, Waller A2.
 

ABSTRACT
INTRODUCTION: When using emergency department (ED) data sets for public health surveillance, a standard approach is needed to define visits attributable to asthma. Asthma can be the first (primary) or a subsequent (2nd through 11th) diagnosis. Our study objective was to develop a definition of ED visits attributable to asthma for public health surveillance. We evaluated the effect of including visits with an asthma diagnosis in primary-only versus subsequent positions.
METHODS:The study was a cross-sectional analysis of population-level ED surveillance data. Of the 114 North Carolina EDs eligible to participate in a statewide surveillance system in 2008-2009, we used data from the 111 (97%) that participated during those years. Included were all ED visits with an ICD-9-CM diagnosis code for asthma in any diagnosis position (1 through 11). We formed 11 strata based on the diagnosis position of asthma and described common chief complaint and primary diagnosis categories for each. Prevalence ratios compared each category's proportion of visits that received either asthma- or cardiac-related procedure codes.
RESULTS: Respiratory diagnoses were most common in records of ED visits in which asthma was the first or second diagnosis, while primary diagnoses of injury and heart disease were more common when asthma appeared in positions 3-11. Asthma-related chief complaints and procedures were most common when asthma was the first or second diagnosis, whereas cardiac procedures were more common in records with asthma in positions 3-11.
CONCLUSION: ED visits should be defined as asthma-related when asthma is in the first or second diagnosis position.
 

Prev Chronic Dis. 2014 Jun 12;11:E100. doi: 10.5888/pcd11.130329.