Validation of Autism Spectrum Disorder Diagnoses in Large Healthcare Systems with Electronic Medical Records

被引:72
|
作者
Coleman, Karen J. [1 ]
Lutsky, Marta A. [2 ]
Yau, Vincent [2 ]
Qian, Yinge [2 ]
Pomichowski, Magdalena E. [1 ]
Crawford, Phillip M. [3 ]
Lynch, Frances L. [3 ]
Madden, Jeanne M. [4 ,5 ]
Owen-Smith, Ashli [6 ]
Pearson, John A. [3 ]
Pearson, Kathryn A. [3 ]
Rusinak, Donna [4 ,5 ]
Quinn, Virginia P. [1 ]
Croen, Lisa A. [2 ]
机构
[1] Kaiser Permanente So Calif, Dept Res & Evaluat, Pasadena, CA 91104 USA
[2] Kaiser Permanente No Calif, Div Res, Oakland, CA USA
[3] Kaiser Permanente Northwest, Ctr Hlth Res, Portland, OR USA
[4] Harvard Univ, Sch Med, Boston, MA USA
[5] Harvard Pilgrim Healthcare Inst, Boston, MA USA
[6] Kaiser Permanente Georgia, Ctr Hlth Res, Atlanta, GA USA
关键词
Population-based; Racial/ethnic minorities; Chart review; Children; Adolescents; SURVEILLANCE;
D O I
10.1007/s10803-015-2358-0
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
To identify factors associated with valid Autism Spectrum Disorder (ASD) diagnoses from electronic sources in large healthcare systems. We examined 1,272 charts from ASD diagnosed youth < 18 years old. Expert reviewers classified diagnoses as confirmed, probable, possible, ruled out, or not enough information. A total of 845 were classified with 81 % as a confirmed, probable, or possible ASD diagnosis. The predictors of valid ASD diagnoses were > 2 diagnoses in the medical record (OR 2.94; 95 % CI 2.03-4.25; p < 0.001) and being male (OR 1.51; 95 % CI 1.05-2.17; p = 0.03). In large integrated healthcare settings, at least two diagnoses can be used to identify ASD patients for population-based research.
引用
收藏
页码:1989 / 1996
页数:8
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