天津市新型冠状病毒肺炎流行病学调查报告质量分析

目的 通过分析天津市128例新型冠状病毒肺炎(简称新冠肺炎)确诊病例流行病学调查报告的书写质量,了解现场流行病学调查报告中存在的问题,为探索完善的新发传染病调查报告提供科学依据。方法 按照国家卫生健康委发布的《新型冠状病毒肺炎防控方案》的要求,适时制定修正天津市新冠肺炎个案流行病学调查流程。描述涉及书写质量的核心指标26项,采用χ²检验进行率的比较及趋势性检验。结果 128份调查报告均包括前言、基本信息、发病及就诊情况、流行病学调查、标本采集和实验室检测、已采取的措施及下一步工作建议七部分内容,结构完整率100.00%。6.25%(8/128)的报告未描述既往病史;23.44%(30/128)的报告对发病及就诊过程未进行详细描述;59.38%(76/128)的报告流行病学调查关键信息不详细;71.09%(91/128)的报告未详细描述病例的标本采集和实验室检测结果;宝坻区报告中发病及就诊过程、流行病学调查关键信息以及实验室检测等问题数随时间推移呈下降趋势;聚集病例组与非聚集病例组流行病学调查报告基本信息完整率差异有统计学意义(χ²=4.284,P=0.038)。结论 应对突发公共卫生事件时,建立调查报告质量管理体系,能提高流行病学调查和报告的质量,有助于后续的流行病学分析及防控措施的制定。

Quality of reports regarding epidemiological survey of COVID-19 in Tianjin Municipality

Objective To analyze the writing quality of reports regarding epidemiological survey of 128 COVID-19 confirmed cases in Tianjin Municipality,to understand the problems existing in the epidemiological investigation reports,and to provide scientific evidence for improving the quality of reports concerning survey of emerging infectious diseases.Methods According to the requirements of several editions of New Coronavirus Pneumonia Prevention and Control Program issued by the National Health Commission,the epidemiological investigation process of COVID-19 cases in Tianjin Municipality was formulated and updated in time.26 core information indicators related to the writing quality were described,and Chi-square test was used to compare the rates and test the trend.Results All the 128 survey reports had seven sections,including the foreword,general information,incidence and visits,epidemiological investigation,specimen collection and laboratory testing,measures taken and suggestions for further work,with the structural integrity rate of 100.00%.6.25%(8/128)of the reports did not describe the previous medical history,23.44%(30/128)did not describe the onset of the disease and diagnosis and treatment process in detail,59.38%(76/128)did not describe the key information about epidemiological investigation in detail,and 71.09%(91/128)did not describe the results of specimen collection and laboratory testing of the cases clearly.Among the reports presented by Baodi District,the number of problems existing in the onset of the disease and diagnosis and treatment process,the key information about epidemiological investigation and the laboratory testing showed a downward trend with time.There was a statistically significant difference in the integrity rate of general information of epidemiological survey reports between the clustered case group and the non-clustered case group(χ²=4.284,P=0.038).Conclusions Establishing the quality management system of investigation reports in response to public health emergencies can improve the quality of epidemiological investigations and reports,and is conducive to the follow-up epidemiological analysis and the formulation of prevention and control measures.