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2019-06-17Zeitschriftenartikel DOI: 10.25646/6300
Evaluation of using ICD‐10 code data for respiratory syncytial virus surveillance
dc.contributor.authorCai, Wei
dc.contributor.authorTolksdorf, Kristin
dc.contributor.authorHirve, Siddhivinayak
dc.contributor.authorSchuler, Ekkehard
dc.contributor.authorZhang, Wenqing
dc.contributor.authorHaas, Walter
dc.contributor.authorBuda, Silke
dc.date.accessioned2019-09-24T12:06:42Z
dc.date.available2019-09-24T12:06:42Z
dc.date.issued2019-06-17none
dc.identifier.other10.1111/irv.12665
dc.identifier.urihttp://edoc.rki.de/176904/6314
dc.description.abstractBackground Respiratory syncytial virus (RSV) is the most common cause of acute lower respiratory tract infection (ALRI) in young children. ICD‐10‐based syndromic surveillance can transmit data rapidly in a standardized way. Objectives We investigated the use of RSV‐specific ICD‐10 codes for RSV surveillance. Methods We performed a retrospective descriptive data analysis based on existing ICD‐10‐based surveillance systems for ALRI in primary and secondary care and a linked virological surveillance in Germany. We described RSV epidemiology and compared the epidemiological findings based on ICD‐10 and virological data. We calculated sensitivity and specificity of RSV‐specific ICD‐10 codes and in combination with ICD‐10 codes for acute respiratory infections (ARI) for the identification of laboratory‐confirmed RSV infections. Results Based on the ICD‐10 and virological data, epidemiology of RSV was described, and common findings were found. The RSV‐specific ICD‐10 codes had poor sensitivity 6% (95%‐CI: 3%‐12%) and high specificity 99.8% (95%‐CI: 99.6%‐99.9%). In children <5 years and in RSV seasons, the sensitivities of RSV‐specific ICD‐10 codes combined with general ALRI ICD‐10 codes J18.‐, J20.‐ and with J12.‐, J18.‐, J20.‐, J21.‐, J22 were moderate (44%, 95%‐CI: 30%‐59%). The specificities of both combinations remained high (91%, 95%‐CI: 86%‐94%; 90%, 95%‐CI: 85%‐94%). Conclusions The use of RSV‐specific ICD‐10 codes may be a useful indicator to describe RSV epidemiology. However, RSV‐specific ICD‐10 codes underestimate the number of actual RSV infections. This can be overcome by combining RSV‐specific and general ALRI ICD‐10 codes. Further investigations are required to validate this approach in other settings.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjectepidemiologyeng
dc.subjectICD-10 codeeng
dc.subjectrespiratory synctial viruseng
dc.subjectsensitivityeng
dc.subjectspecificityeng
dc.subjectsurveillanceeng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleEvaluation of using ICD‐10 code data for respiratory syncytial virus surveillancenone
dc.typearticle
dc.identifier.urnurn:nbn:de:kobv:0257-176904/6314-5
dc.identifier.doihttp://dx.doi.org/10.25646/6300
dc.type.versionpublishedVersionnone
local.edoc.container-titleInfluenza and Other Respiratory Virusesnone
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://onlinelibrary.wiley.com/doi/full/10.1111/irv.12665none
local.edoc.container-publisher-nameWiley-Blackwell - STMnone
local.edoc.container-volume2019none
local.edoc.container-issue00none
local.edoc.container-reportyear2019none
local.edoc.container-year2019none
local.edoc.container-firstpage1none
local.edoc.container-lastpage8none
local.edoc.rki-departmentInfektionsepidemiologienone
dc.description.versionPeer Reviewednone

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