FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3025421671> ?p ?o ?g. }

• W3025421671 endingPage "1038" @default.
• W3025421671 startingPage "1034" @default.
• W3025421671 abstract "Objective: To review the consistency of diagnosis and reporting of hepatitis B (HB) patient in non-surveillance hospitals in three provinces and analyze the influencing factors. Methods: In 2016, using typical survey methods, we carried out a hospital-based pilot study in three provinces: Fujian, Hainan and Gansu. In each province, we chose two hospitals with grade 3 and grade 2 respectively in each province, using the following criteria: (1) in 2015, the hospital reported a greater number of hepatitis B cases compared the hospital-based provincial mean; (2) the hospital had an advanced laboratory information system (LIS) with access to HBsAg test results; (3) the hospital had an electronic hospital information system (HIS) which linked to the LIS via the inpatient medical record number; (4) general hospital; (5) non-surveillance hospitals for hepatitis B. Using national notifiable infectious disease reporting system (NNDRS), we chose all HB patients who were reported by the investigated hospitals in 2015, and we linked NNDRS HBV case-reports with patient-data from hospital information systems (HIS) to review the diagnosis, and then to compare the consistency of reviewed diagnosis and NNDRS report diagnosis, which we made a descriptive analysis. We used multivariable logistic regression to examine factors associated with misclassification of case-reports to NNDRS. Results: We found the NNDRS report accuracy was 47.11% (669) among 1 420 eligible inpatient hepatitis B inpatients. Of the 352 reported acute HBV cases, 6.53% (23) were consistent with our medical record review, the accuracy rate for level 2 hospitals and level 3 hospitals was 9.42% (21) and 1.55% (2), respectively. Of the1 068 reported chronic HBV cases, 60.49% (646) were consistent with our medical record review, the accuracy rate for level 2 hospitals and level 3 hospitals was 57.92% (106) and 60.02% (540), respectively. Compared to primary diagnosis of HB patients, the OR(95%CI) for mis-report was 29.36 (19.21-44.76) in non-primary diagnosis of HB patients. Compared to Fujian Province, the mis-report risk was higher in Hainan province and Gansu Province, with the values of OR (95%CI) being 2.33 (1.58-3.44) and 20.38 (11.29-36.78), respectively; compared to level 3 hospitals, the OR (95%CI) for mis-report was 2.38 (1.66-3.42) for level 2 hospitals; compared to HB related wards, the OR (95%CI) for mis-report was 1.45 (1.04-2.01) in non-HB-related wards. Conclusion: In some non-surveillance areas of China, the consistency between hepatitis B diagnosed in hospital and reported in NNDRS was low. Factors affecting the accuracy of HB surveillance data in NNDRS were level 2 hospitals, non-liver disease departments and nonprimary diagnosis of HB.目的： 复核中国部分非监测试点地区医疗机构乙型肝炎报告病例诊断信息的一致性及相关因素。 方法： 于2016年，采用典型调查的方法，在福建、海南和甘肃省的非乙型肝炎监测试点地区分别选择二级和三级医院各1所，纳入标准：2015年医院报告乙型肝炎病例数处在全省中上水平；具备电子化的实验室检测系统（LIS），且LIS系统具备筛选功能，可以直接筛选2015年HBsAg阳性者；具备电子化的医院信息系统（HIS），可通过住院号或患者姓名查阅电子病历；普通综合医院；非全国乙型肝炎监测试点医院。对调查医院2015年通过传染病报告信息管理系统（NNDRS）进行网络报告的住院病例，通过HIS和NNDRS选取病例档案中有关诊断及检测信息，对病例进行复核诊断，最终复核比对与NNDRS中的诊断结果，判断一致性。采用非条件多因素logistic回归模型分析报告乙型肝炎病例复核一致性的相关因素。 结果： NNDRS报告的乙型肝炎病例总复核诊断一致率为47.11%（669例）。其中，NNDRS报告的急性乙型肝炎病例为352例，复核一致率为6.53%（23例），二级医院复核一致率为9.42%（21例），三级医院为1.55%（2例）；NNDRS报告的慢性乙型肝炎病例为1 068例，复核一致率为60.49%（646例），二级医院复核一致率为57.92%（106例），三级医院为60.02%（540例）。与第一诊断为乙型肝炎者相比，乙型肝炎为非第一诊断者复核不一致的OR（95%CI）值为29.36（9.21~44.76）；与福建省相比，海南和甘肃省病例复核不一致的OR（95%CI）值分别为2.33（1.58~3.44）和20.38（11.29~36.78）；与三级医院相比，二级医院复核不一致OR（95%CI）值为2.38（1.66~3.42）；与就诊科室为乙型肝炎相关科室相比，非乙型肝炎相关科室报告OR（95%CI）值为1.45（1.04~2.01）。 结论： 我国部分非监测试点地区报告乙型肝炎病例复合诊断一致率较低；其中，二级医疗机构、非乙肝相关科室及乙肝为非主要临床诊断等因素是复核不一致的相关因素。." @default.
• W3025421671 created "2020-05-21" @default.
• W3025421671 creator A5004747694 @default.
• W3025421671 creator A5036656469 @default.
• W3025421671 creator A5044983690 @default.
• W3025421671 creator A5049452331 @default.
• W3025421671 creator A5087518732 @default.
• W3025421671 creator A5090188393 @default.
• W3025421671 date "2018-10-06" @default.
• W3025421671 modified "2023-10-18" @default.
• W3025421671 title "[A typical investigation on the status of diagnosis and reporting of hepatitis B inpatients in non-surveillance hospitals in three provinces in China, 2015]." @default.
• W3025421671 doi "https://doi.org/10.3760/cma.j.issn.0253-9624.2018.10.013" @default.
• W3025421671 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30392323" @default.
• W3025421671 hasPublicationYear "2018" @default.
• W3025421671 type Work @default.
• W3025421671 sameAs 3025421671 @default.
• W3025421671 citedByCount "2" @default.
• W3025421671 countsByYear W30254216712019 @default.
• W3025421671 countsByYear W30254216712022 @default.
• W3025421671 crossrefType "journal-article" @default.
• W3025421671 hasAuthorship W3025421671A5004747694 @default.
• W3025421671 hasAuthorship W3025421671A5036656469 @default.
• W3025421671 hasAuthorship W3025421671A5044983690 @default.
• W3025421671 hasAuthorship W3025421671A5049452331 @default.
• W3025421671 hasAuthorship W3025421671A5087518732 @default.
• W3025421671 hasAuthorship W3025421671A5090188393 @default.
• W3025421671 hasConcept C119599485 @default.
• W3025421671 hasConcept C126322002 @default.
• W3025421671 hasConcept C127413603 @default.
• W3025421671 hasConcept C151956035 @default.
• W3025421671 hasConcept C159047783 @default.
• W3025421671 hasConcept C180198813 @default.
• W3025421671 hasConcept C194828623 @default.
• W3025421671 hasConcept C195910791 @default.
• W3025421671 hasConcept C2522874641 @default.
• W3025421671 hasConcept C2777019752 @default.
• W3025421671 hasConcept C2777382497 @default.
• W3025421671 hasConcept C2777410769 @default.
• W3025421671 hasConcept C2780593183 @default.
• W3025421671 hasConcept C512399662 @default.
• W3025421671 hasConcept C545542383 @default.
• W3025421671 hasConcept C71924100 @default.
• W3025421671 hasConcept C99454951 @default.
• W3025421671 hasConceptScore W3025421671C119599485 @default.
• W3025421671 hasConceptScore W3025421671C126322002 @default.
• W3025421671 hasConceptScore W3025421671C127413603 @default.
• W3025421671 hasConceptScore W3025421671C151956035 @default.
• W3025421671 hasConceptScore W3025421671C159047783 @default.
• W3025421671 hasConceptScore W3025421671C180198813 @default.
• W3025421671 hasConceptScore W3025421671C194828623 @default.
• W3025421671 hasConceptScore W3025421671C195910791 @default.
• W3025421671 hasConceptScore W3025421671C2522874641 @default.
• W3025421671 hasConceptScore W3025421671C2777019752 @default.
• W3025421671 hasConceptScore W3025421671C2777382497 @default.
• W3025421671 hasConceptScore W3025421671C2777410769 @default.
• W3025421671 hasConceptScore W3025421671C2780593183 @default.
• W3025421671 hasConceptScore W3025421671C512399662 @default.
• W3025421671 hasConceptScore W3025421671C545542383 @default.
• W3025421671 hasConceptScore W3025421671C71924100 @default.
• W3025421671 hasConceptScore W3025421671C99454951 @default.
• W3025421671 hasIssue "10" @default.
• W3025421671 hasLocation W30254216711 @default.
• W3025421671 hasOpenAccess W3025421671 @default.
• W3025421671 hasPrimaryLocation W30254216711 @default.
• W3025421671 hasRelatedWork W2109228181 @default.
• W3025421671 hasRelatedWork W2162442343 @default.
• W3025421671 hasRelatedWork W2259390279 @default.
• W3025421671 hasRelatedWork W2368281092 @default.
• W3025421671 hasRelatedWork W2415123051 @default.
• W3025421671 hasRelatedWork W2470677921 @default.
• W3025421671 hasRelatedWork W2598165446 @default.
• W3025421671 hasRelatedWork W2765208712 @default.
• W3025421671 hasRelatedWork W3149905272 @default.
• W3025421671 hasRelatedWork W3194302240 @default.
• W3025421671 hasVolume "52" @default.
• W3025421671 isParatext "false" @default.
• W3025421671 isRetracted "false" @default.
• W3025421671 magId "3025421671" @default.
• W3025421671 workType "article" @default.