Death Certificate-Based ICD-10 Diagnosis Codes for COVID-19 Mortality Surveillance - United States, January-December 2020.

摘要: Approximately 375,000 deaths during 2020 were attributed to COVID-19 on death certificates reported CDC (1). Concerns have been raised that some are being improperly (2). Analysis of International Classification Diseases, Tenth Revision (ICD-10) diagnoses official might provide an expedient and efficient method demonstrate whether overestimated. assessed documentation co-occurring with ICD-10 code for (U07.1) U.S. from had as February 22, 2021. Among 378,048 listing U07.1, a total 357,133 (94.5%) at least one other code; 20,915 (5.5%) only U07.1. Overall, 97.3% diagnosis (91.9% all certificates) noted was plausible chain-of-event condition (e.g., pneumonia or respiratory failure), significant contributing hypertension diabetes), both. 70%-80% both only; this adults aged 18-84 years, males females, persons races ethnicities, those who died in inpatient outpatient emergency department settings, whose manner listed natural. These findings support the accuracy mortality surveillance United States using certificates. High-quality certificate is essential comprehensive authoritative public record. Continued messaging training (3) professionals complete remains important pandemic progresses. Accurate critical understanding impact variants SARS-CoV-2, virus causes COVID-19, vaccination guiding health action.