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논문 기본 정보

자료유형
학술저널
저자정보
Kim Tae Jung (Department of Critical Care Medicine, Seoul National University Hospital, Seoul, Republic of Korea) Lee Hak Seung (Medical AI Co., Ltd., Seoul, Republic of Korea) Kim Seong-Eun (Department of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea) Park Jinju (Central Division of Cardio-cerebrovascular Disease Management, Seoul National University Hospital, Seoul, Republic of Korea) Kim Jun Yup (Department of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.) Lee Ji Yoon (Department of Biostatistics, Korea University College of Medicine, Seoul, Korea.) Song Ji Eun (Department of Biostatistics, Korea University College of Medicine, Seoul, Republic of Korea) Hong Jin-Hyuk (Central Division of Cardio-cerebrovascular Disease Management, Seoul National University Hospital, Seoul, Republic of Korea) Lee Joongyub (Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.) Chung Joong-Hwa (Department of Cardiology, Chosun University Hospital, Gwangju, Republic of Korea) Kim Hyeon Chang (Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea) Shin Dong-Ho (Department of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea) Lee Hae-Young (Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, Seoul, Republic of Korea) Kim Bum Joon (Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea) Seo Woo-Keun (Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea) Park Jong-Moo (Department of Neurology, Uijeongbu Eulji Medical Center, Eulji University, Seoul, Republic of Korea) Lee Soo Joo (Department of Neurology, Daejeon Eulji Medical Center, Eulji University, Daejeon, Korea.) Jung Keun-Hwa (Department of Neurology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea) Kwon Sun U. (Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea) Hong Yun-Chul (Department of Preventive Medicine, College of Medicine, Seoul National University) Kim Hyo-Soo (Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.) Kang Hyun-Jae (Department of Internal Medicine, Seoul National University Hospital) Lee Juneyoung (Department of Biostatistics, Korea University College of Medicine, Seoul, Korea.) Bae Hee-Joon (Department of Neurology, Cerebrovascular Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.)
저널정보
질병관리본부 Osong Public Health and Research Persptectives Osong Public Health and Research Perspectives Vol.15 No.1
발행연도
2024.2
수록면
18 - 32 (15page)
DOI
10.24171/j.phrp.2023.0248

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초록· 키워드

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Objectives: Limited information is available concerning the epidemiology of stroke and acute myocardial infarction (AMI) in the Republic of Korea. This study aimed to develop a national surveillance system to monitor the incidence of stroke and AMI using national claims data.Methods: We developed and validated identification algorithms for stroke and AMI using claims data. This validation involved a 2-stage stratified sampling method with a review of medical records for sampled cases. The weighted positive predictive value (PPV) and negative predictive value (NPV) were calculated based on the sampling structure and the corresponding sampling rates. Incident cases and the incidence rates of stroke and AMI in the Republic of Korea were estimated by applying the algorithms and weighted PPV and NPV to the 2018 National Health Insurance Service claims data.Results: In total, 2,200 cases (1,086 stroke cases and 1,114 AMI cases) were sampled from the 2018 claims database. The sensitivity and specificity of the algorithms were 94.3% and 88.6% for stroke and 97.9% and 90.1% for AMI, respectively. The estimated number of cases, including recurrent events, was 150,837 for stroke and 40,529 for AMI in 2018. The age- and sex-standardized incidence rate for stroke and AMI was 180.2 and 46.1 cases per 100,000 person-years, respectively, in 2018.Conclusion: This study demonstrates the feasibility of developing a national surveillance system based on claims data and identification algorithms for stroke and AMI to monitor their incidence rates.

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