丹麦国家患者登记中儿童感音神经性听力损失ICD-10诊断编码的效度。
Validity of ICD-10 diagnosis codes for childhood sensorineural hearing loss in the Danish National Patient Registry.
文献信息
| PMID | 42822163 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Asli Sena Kücükyildiz |
| 作者单位 | Department of Clinical Medicine, Aarhus University, Palle Juul-Jensens Boulevard 103, Aarhus, Denmark; Department of Obstetrics and Gynaecology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, Aarhus, Denmark. Electronic address: ask@clin.au.dk. |
| 期刊 | International journal of pediatric otorhinolaryngology |
| SCI 分区 | Q2 |
| IF | 1.7 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
目的： 验证丹麦国家患者登记中登记的八个常用国际疾病分类第十版（ICD-10）儿童感音神经性听力损失诊断编码。
方法： 我们在丹麦中部地区开展了一项基于登记处的验证研究。随机抽取500名18岁以下儿童，这些儿童在2019年2月至2021年12月期间至少登记有一个预定义的ICD-10听力损失编码，并对其病历进行审查。编码根据耳鼻喉科和听力学服务的记录进行验证，包括听力学检测结果的描述。针对每个ICD-10编码估计了阳性预测值（PPV）及其95%置信区间。我们还评估了每个编码是否能识别出患有感音神经性听力损失（SNHL）的儿童，而不论其确切亚型或侧别。
结果： 在500名抽样儿童中，465名符合ICD-10编码验证条件，457名符合SNHL分类条件。当主要诊断和次要诊断合并时，PPV范围为0.92至0.99。代表混合性听力损失的编码观察到较低的PPV。对于大多数编码，将编码病例分类为感音神经性听力损失的PPV超过0.90。未特指听力损失编码在作为唯一登记诊断时表现出较低的性能。
结论： 丹麦国家患者登记中儿童感音神经性听力损失的ICD-10诊断编码显示出高效度，适用于基于登记处的研究。在需要精确表型分类的研究中，混合性和未特指听力损失的编码应谨慎使用。
英文摘要
PURPOSE: To validate eight commonly used International Classification of Diseases, 10th Revision (ICD-10) diagnosis codes for childhood sensorineural hearing loss registered in the Danish National Patient Registry.
METHODS: We conducted a registry-based validation study in the Central Denmark Region. A random sample of 500 children younger than 18 years with at least one predefined ICD-10 hearing loss code registered between February 2019 and December 2021 was selected for medical record review. Codes were validated against documentation from ear-nose-throat and audiology services, including descriptions of audiological test results. Positive predictive values (PPVs) with 95% confidence intervals were estimated for each ICD-10 code. We also assessed whether each code identified children with sensorineural hearing loss (SNHL), irrespective of exact subtype or laterality.
RESULTS: Of the 500 sampled children, 465 were eligible for validation of ICD-10 codes and 457 for classification of SNHL. PPVs ranged from 0.92 to 0.99 when primary and secondary diagnoses were combined. Lower PPVs were observed for codes representing mixed hearing loss. PPVs for classifying coded cases as sensorineural hearing loss exceeded 0.90 for most codes. The unspecified hearing loss code showed reduced performance when used as the sole registered diagnosis.
CONCLUSION: ICD-10 diagnosis codes for childhood sensorineural hearing loss in the Danish National Patient Registry demonstrate high validity and are suitable for registry-based research. Codes for mixed and unspecified hearing loss should be used with caution in studies requiring precise phenotypic classification.