LIMITATIONS OF HOSPITAL DISCHARGE DIAGNOSES FOR SURVEILLANCE OF EXTRINSIC ALLERGIC ALVEOLITIS

被引：12

作者：

KIPEN, HM ^{[1
]}

TEPPER, A ^{[1
]}

ROSENMAN, K ^{[1
]}

WEINRIB, D ^{[1
]}

机构：

[1] NEW JERSEY STATE DEPT HLTH,DIV OCCUPAT & ENVIRONM HLTH,TRENTON,NJ

来源：

AMERICAN JOURNAL OF INDUSTRIAL MEDICINE | 1990年 / 17卷 / 06期

关键词：

diagnosis; hypersensitivity pneumonitis; surveillance;

D O I：

10.1002/ajim.4700170605

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Hospital discharge diagnoses were used to identify all inpatient cases of extrinsic allergic alveolitis (EAA) from 1979 to 1982 in New Jersey. Of 170 reported cases, the hospital records of 48 were available for review. Based on published criteria for the diagnosis of EAA, only three cases (6%) could be classified as probable EAA, while 10 (21%) were possible cases, and 34 (73%) were not EAA. Limitations were apparent in the accuracy of discharge coding and also in the accuracy of the physician's diagnosis. These findings should promote caution among investigators using unvalidated reports based on ICD‐9 hospital coding of EAA. Implications for reporting of other occupational lung diseases are discussed. Copyright © 1990 Wiley Periodicals, Inc., A Wiley Company

引用

页码：701 / 709

页数：9

共 22 条

[1]

ABRAHAM JL, 1980, NEW ENGL J MED, V302, P464

[2] REPORT ON DISEASES [J].

DOPICO, GA .

AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, 1986, 10 (03) :261-265

[3] HYPERSENSITIVITY PNEUMONITIS [J].

FINK, JN .

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 1984, 74 (01) :1-9

[4] INTERSTITIAL LUNG-DISEASE DUE TO CONTAMINATION OF FORCED AIR SYSTEMS [J].

FINK, JN ;

BANASZAK, EF ;

BARORIAK, JJ ;

HENSLEY, GT ;

KURUP, VP ;

SCANLON, GT ;

SCHLUETER, DP ;

SOSMAN, AJ ;

THIEDE, WH ;

UNGER, GF .

ANNALS OF INTERNAL MEDICINE, 1976, 84 (04) :406-413

[5] PREVALENCE OF FARMERS LUNG IN SCOTLAND - PILOT SURVEY [J].

GRANT, IWB ;

GORDON, RM ;

WARDROP, VE ;

BLYTH, W ;

PEARSON, JCG ;

MAIR, A .

BRITISH MEDICAL JOURNAL, 1972, 1 (5799) :530-&

[6]

GUERNSEY J R, 1988, American Review of Respiratory Disease, V137, P298

[7] CHEST X-RAYS IN HYPERSENSITIVITY PNEUMONITIS - A METAANALYSIS OF SECULAR TREND [J].

HODGSON, MJ ;

PARKINSON, DK ;

KARPF, M .

AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, 1989, 16 (01) :45-53

[8]

LEVY BS, 1980, J MED EDUC, V55, P18

[9]

MADSEN D, 1976, AM REV RESPIR DIS, V113, P171

[10]

PARKES WR, 1982, OCCUPATIONAL LUNG DI, P359

← 1 2 3 →