• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Canadian Journal of Emergency Medicine >Development of the Canadian Emergency Department Diagnosis Shortlist
【24h】

Development of the Canadian Emergency Department Diagnosis Shortlist

机译：制定加拿大急诊科诊断短名单

获取原文
       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective:Managers of emergency departments (EDs), governments and researchers would benefit from reliable data sets that characterize use of EDs. Although Canadian ED lists for chief complaints and triage acuity exist, no such list exists for diagnosis classification. This study was aimed at developing a standardized Canadian Emergency Department Diagnosis Shortlist (CED-DxS), as a subset of the full International Classification of Diseases, 10th revision, with Canadian Enhancement (ICD-10-CA).Methods:Emergency physicians from across Canada participated in the revision of the ICD-10-CA through 2 rounds of the modified Delphi method. We randomly assigned chapters from the ICD-10-CA (approximately 3000 diagnoses) to reviewers, who rated the importance of including each diagnosis in the ED-specific diagnosis list. If 80% or more of the reviewers agreed on the importance of a diagnosis, it was retained for the final revision. The retained diagnoses were further aggregated and adjusted, thus creating the CED-DxS. Results:Of the 83 reviewers, 76% were emergency medicine (EM)–trained physicians with an average of 12 years of experience in EM, and 92% were affiliated with a university teaching hospital. The modified Delphi process and further adjustments resulted in the creation of the CED-DxS, containing 837 items. The chapter with the largest number of retained diagnoses was injury and poisoning (n = 292), followed by gastrointestinal (n = 59), musculoskeletal (n = 55) and infectious disease (n = 42). Chapters with the lowest number retained were neoplasm (n = 18) and pregnancy (n = 12).Conclusion:We report the creation of the uniform CED-DxS, tailored for Canadian EDs. The addition of ED diagnoses to existing standardized parameters for the ED will contribute to homogeneity of data across the country.
机译：目标：急诊部门，政府和研究人员的经理将受益于表征急诊室使用的可靠数据集。尽管加拿大有关于主诉和分诊敏锐度的ED清单，但没有用于诊断分类的清单。这项研究旨在制定标准化的加拿大急诊科诊断短名单（CED-DxS），将其作为完整的《国际疾病分类》（第10版）和加拿大增强版（ICD-10-CA）的子集。加拿大通过2轮改进的德尔菲方法参加了ICD-10-CA的修订。我们将ICD-10-CA（约3000个诊断）中的章节随机分配给审阅者，他们对将每种诊断包括在ED特定诊断列表中的重要性进行了评估。如果80％或更多的审阅者同意诊断的重要性，则保留该诊断以进行最终修订。保留的诊断被进一步汇总和调整，从而创建CED-DxS。结果：在83名审稿人中，有76％是接受过紧急医学（EM）培训的医师，平均拥有12年的EM经验，而92％隶属大学教学医院。经过改进的Delphi流程和进一步的调整导致创建了CED-DxS，其中包含837个项目。保留诊断最多的一章是伤害和中毒（n = 292），其次是胃肠道（n = 59），肌肉骨骼（n = 55）和传染病（n = 42）。保留最少的章节是肿瘤（n = 18）和妊娠（n = 12）。结论：我们报道了为加拿大EDs量身定制的统一CED-DxS。将ED诊断添加到ED的现有标准化参数中，将有助于全国范围内数据的均匀性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号