Analysis of diagnoses extracted from electronic health records in a large mental health case register

Kovalchuk, Yevgeniya and Stewart, Robert and Broadbent, Matthew and Hubbard, Tim and Dobson, Richard (2017) Analysis of diagnoses extracted from electronic health records in a large mental health case register. PLOS One, 12 (2).

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Abstract

The UK government has recently recognised the need to improve mental health services in the country. Electronic health records provide a rich source of patient data which could help policymakers to better understand needs of the service users. The main objective of this study is to unveil statistics of diagnoses recorded in the Case Register of the South London and Maudsley NHS Foundation Trust, one of the largest mental health providers in the UK and Europe serving a source population of over 1.2 million people residing in south London. Based on over 500,000 diagnoses recorded in ICD10 codes for a cohort of approximately 200,000 mental health patients, we established frequency rate of each diagnosis (the ratio
of the number of patients for whom a diagnosis has ever been recorded to the number of patients in the entire population who have made contact with mental disorders). We also investigated differences in diagnoses prevalence between subgroups of patients stratified by gender and ethnicity. The most common diagnoses in the considered population were (recurrent) depression (ICD10 codes F32-33; 16.4% of patients), reaction to severe stress and adjustment disorders (F43; 7.1%), mental/behavioural disorders due to use of alcohol (F10; 6.9%), and schizophrenia (F20; 5.6%). We also found many diagnoses which were more likely to be recorded in patients of a certain gender or ethnicity. For example, mood (affective) disorders (F31-F39); neurotic, stress-related and somatoform disorders (F40-F48, except F42); and eating disorders (F50) were more likely to be found in records of
female patients, while males were more likely to be diagnosed with mental/behavioural disorders due to psychoactive substance use (F10-F19). Furthermore, mental/behavioural disorders due to use of alcohol and opioids were more likely to be recorded in patients of white
ethnicity, and disorders due to use of cannabinoids in those of black ethnicity.

Item Type: Article
Subjects: B800 Medical Technology
G400 Computer Science
Divisions: Faculty of Computing, Engineering and the Built Environment
Faculty of Computing, Engineering and the Built Environment > School of Computing and Digital Technology
Faculty of Computing, Engineering and the Built Environment > School of Computing and Digital Technology > Cyber Security
UoA Collections > UoA11: Computer Science and Informatics
Depositing User: $ Ian McDonald
Date Deposited: 21 Feb 2017 09:32
Last Modified: 21 Feb 2017 09:32
URI: http://www.open-access.bcu.ac.uk/id/eprint/3917

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