中国现代医生2025，Vol.63Issue(12)：14-18,5.DOI:10.3969/j.issn.1673-9701.2025.12.004
青海省乙型病毒性肝炎住院病例诊断报告一致性及影响因素分析
Analysis of consistency and influencing factors in diagnosis reports of inpatients with hepatitis B in Qinghai Province
摘要
Abstract
Objective To review the diagnostic information of 3368 viral hepatitis B inpatient cases reported by some healthcare institutions in Qinghai Province in the National Notifiable Disease Report System(NNDRS)in 2021,and to analyse the consistency of their reports and influence factor.Methods The study used the typical survey method to study 3368 hospitalized cases of hepatitis B reported by 32 medical institutions in Qinghai Province in 2021 from July 2022 to April 2023.The consistency between the reported classification and the reviewed classification was evaluated by reviewing diagnostic information of the cases,combined with the Kappa consistency test,and the consistency-influencing factors were analysed in a univariate and multivariate analysis.Results The consistency between acute,chronic,and unclassified reporting classifications and review classifications was poor(Kappa＜0.40);the consistency between acute and chronic review was poor(Kappa＜0.40).The main influence factor of the consistency of review included the level of medical institution,the patient's gender,occupation,past history,and the unit of diagnosis of initial onset of illness.Provincial medical institutions reported higher consistency,and male cases and herder cases had better consistency than female cases and other occupations.Review consistency of cases with past history was better than that of cases with unclear past history.Conclusion The consistency of diagnosis and reporting of hepatitis B cases in healthcare institutions in Qinghai Province in 2021 was low,with problems of inaccurate classification and duplicate reporting.It is recommended to strengthen the training and supervision of healthcare institutions,standardise the filling of'attached card'information,and promote the hepatitis B core antibody IgM test to improve the classification and diagnosis of acute and chronic hepatitis B,so as to comprehensively improve the accuracy of the diagnosis and reporting of hepatitis B cases.关键词
乙型病毒性肝炎/诊断/复核一致性/准确性/影响因素Key words
Hepatitis B/Diagnosis/Review consistency/Accuracy/Influence factor分类
预防医学引用本文复制引用
徐瑾,阿克忠,郝增平,巴文生,关炳菊,李晓萍,杜星星,刘晓庆,马贵艳..青海省乙型病毒性肝炎住院病例诊断报告一致性及影响因素分析[J].中国现代医生,2025,63(12):14-18,5.基金项目
青海省卫生健康系统指导性计划项目(2023-wjzdx-37) （2023-wjzdx-37）
