Res Vestib Sci.  2023 Sep;22(3):68-76. 10.21790/rvs.2023.22.3.68.

Quantifying the Prevalence of Acute Vestibular Neuritis through Big Data Analysis

Affiliations
  • 1Research Institute of Hearing Enhancement, Yonsei University Wonju College of Medicine, Wonju, Korea
  • 2Department of Neurology, Ulsan University Hospital, Ulsan University College of Medicine, Ulsan, Korea
  • 3Department of Otorhinolaryngology, Yonsei University Wonju College of Medicine, Wonju, Korea

Abstract


Objectives
Big data analytics in healthcare research have gained momentum, offering unprecedented opportunities to investigate complex medical conditions like acute vestibular neuritis (AVN). However, an inappropriate definition can introduce bias and inaccuracies into prevalence estimation, making the results unreliable and hindering cross-study comparisons. The Health Insurance data in South Korea will be used to create a robust operational definition for AVN.
Methods
The study utilized the National Patients Sample dataset from the Health Insurance Review and Assessment Service (HIRA) of the Republic of Korea. The operational definition of AVN was defined using the HIRA data, which includes specific codes for diagnosis, testing, and medications. The revised categorization scheme for AVN was presented as case 1 through case 5, with criteria for each category.
Results
The optimal conditions are deemed to be those that encompass the outcomes of both case 5 and case 1-1, encompassing all conditions. The study also provided prevalence estimates for subgroups based on demographic factors (age, sex), and found a consistent pattern throughout all years, sex, and age.
Conclusions
The study analyzed the prevalence of AVN in case 1 and case 5, which were similar to the reference prevalence of 3.5 per 100,000 people reported in other countries. The study’s results are encouraging for several reasons, including the validity of the operational definitions used, and the agreement between the study’s prevalence estimates and the reference prevalence. The operational definition in statistics, in the context of big data, serves as a precise and standardized criterion.

Keyword

Vestibular neuritis; Prevalence; Big data; Health insurance; Routinely collected health data; 전정신경염; 유병률; 빅데이터; 건강 보험; 보건의료 데이터
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