4.6 Article

ICD-10 hospital discharge diagnosis codes were sensitive for identifying pulmonary embolism but not deep vein thrombosis

期刊

JOURNAL OF CLINICAL EPIDEMIOLOGY
卷 63, 期 7, 页码 790-797

出版社

ELSEVIER SCIENCE INC
DOI: 10.1016/j.jclinepi.2009.09.002

关键词

Pulmonary embolism; Venous thrombosis; Sensitivity; Medical record systems, computerized; International classification of diseases; Hospitals

资金

  1. French Agency for Healthcare Research and Quality
  2. Grenoble University Hospital

向作者/读者索取更多资源

Objective: To estimate the sensitivity of International Classification of Diseases, Tenth revision (ICD-10) hospital discharge diagnosis codes for identifying deep vein thrombosis (DVT) and pulmonary embolism (PE). Study Design and Setting: We compared predefined ICD-10 discharge diagnosis codes with the diagnoses that were prospectively recorded for 1,375 patients with suspected DVT or PE who were enrolled at 25 hospitals in France. Sensitivity was calculated as the percentage of patients identified by predefined ICD-10 codes among positive cases of acute symptomatic DVT or PE confirmed by objective testing. Results: The sensitivity of ICD-10 codes was 58.0% (159 of 274; 95% Cl: 51.9, 64.1) for isolated DVT and 88.9% (297 of 334; 95% CI: 85.6, 92.2) for PE. Depending on the hospital, the median values for sensitivity were 57.7% for DVT (interquartile range, IQR, 48.6-66.7; intracluster correlation coefficient, 0.02; P = 0.31) and 88.9% for PE (IQR, 83.3-96.3; intracluster correlation coefficient, 0.11; P = 0.03). The sensitivity of ICD-10 codes was lower for surgical patients and for patients who developed PE or DVT while they were hospitalized. Conclusion: ICD-10 discharge diagnosis codes yield satisfactory sensitivity for identifying objectively confirmed PE. A substantial proportion of DVT cases are missed when using hospital discharge data for complication screening or research purposes. (C) 2010 Elsevier Inc. All rights reserved.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.6
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Immunology

Effectiveness of a Multifaceted Informational-Based and Text Message Reminders on Pneumococcal and Influenza Vaccinations in Hospital Emergency Departments: A Cluster-Randomized Controlled Trial

Sarah Tubiana, Jose Labarere, Jacques Levraut, Pierre Michelet, Fleur Jourda de Vaux, Benoit Doumenc, Pierre Hausfater, Christophe Choquet, Patrick Plaisance, Jeannot Schmidt, Veronique Mattei, Olivier Gacia, Didier Storme, Patrick Ray, Guillaume Der Sahakian, Marie-Clement Kouka, Laure Jainsky, Jocelyn Raude, Xavier Duval, Yann-Erick Claessens

Summary: This study aimed to evaluate the impact of a multifaceted intervention in improving pneumococcal and influenza vaccinations among patients aged 65 years and older after an emergency department visit. The results showed that the intervention increased influenza vaccination rates, but did not affect pneumococcal vaccination rates. At 12 months, there was no difference in mortality between the intervention and control groups.

VACCINES (2021)

Article Medicine, General & Internal

Effectiveness of a multifaceted intervention to improve interpersonal skills of physicians in medical consultations (EPECREM): protocol for a randomised controlled trial

Alexandre Bellier, Jose Labarere, Zaza Putkaradze, Guillaume Cavalie, Sylvain Carras, Felix Pelen, Adeline Paris, Philippe Chaffanjon

Summary: This study aims to evaluate the effectiveness of a standardised, multifaceted interpersonal skills development programme for hospital physicians. The study is a prospective, randomised controlled trial conducted at a single university hospital, with the primary outcome measure being the overall 4-Habits Coding Scheme score.

BMJ OPEN (2022)

Correction Ophthalmology

Relationship between changes in retinal nerve fiber layer thickness measured by SD-OCT and changes in visual field parameters in birdshot chorioretinopathy (vol 259, pg 979, 2021)

Aurelia Gave, Lucile Cotella, Jose Labarere, Florent Aptel, Christophe Chiquet

GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY (2022)

Article Education & Educational Research

Student characteristics associated with interpersonal skills in medical consultations

Alexandre Bellier, Philippe Chaffanjon, Patrice Morand, Olivier Palombi, Patrice Francois, Jose Labarere

Summary: This study assessed the interpersonal skills of medical students during simulated medical consultations and found that factors associated with these skills include gender and completion of international clinical placements or research laboratory clerkships.

BMC MEDICAL EDUCATION (2022)

Article Medicine, General & Internal

Concordance between SIVA, IVAN, and VAMPIRE Software Tools for Semi-Automated Analysis of Retinal Vessel Caliber

Thibaud Mautuit, Pierre Cunnac, Carol Y. Cheung, Tien Y. Wong, Stephen Hogg, Emanuele Trucco, Vincent Daien, Thomas J. MacGillivray, Jose Labarere, Christophe Chiquet

Summary: This study aims to compare measurements from three widely used software packages and generate conversion algorithms for CRAE and CRVE. The results show poor to moderate agreement between VAMPIRE and IVAN, poor to moderate agreement between VAMPIRE and SIVA, and good to excellent agreement between IVAN and SIVA. An algorithm is proposed to convert measurements between different software packages.

DIAGNOSTICS (2022)

Article Critical Care Medicine

Head and thorax elevation during cardiopulmonary resuscitation using circulatory adjuncts is associated with improved survival

Johanna C. Moore, Paul E. Pepe, Kenneth A. Scheppke, Charles Lick, Sue Duval, Joseph Holley, Bayert Salverda, Michael Jacobs, Paul Nystrom, Ryan Quinn, Paul J. Adams, Mack Hutchison, Charles Mason, Eduardo Martinez, Steven Mason, Armando Clift, Peter M. Antevy, Charles Coyle, Eric Grizzard, Sebastian Garay, Remle P. Crowe, Keith G. Lurie, Guillaume P. Debaty, Jose Labarere

Summary: Compared with conventional CPR, rapid initiation of ACE-CPR is associated with a higher likelihood of survival to hospital discharge after OHCA.

RESUSCITATION (2022)

Article Medicine, General & Internal

Flow cytometry lyophilised-reagent tube for quantifying peripheral blood neutrophil myeloperoxidase expression in myelodysplastic syndromes (MPO-MDS-Develop): protocol for a diagnostic accuracy study

Tatiana Raskovalova, Laura Scheffen, Marie-Christine Jacob, Simon Chevalier, Sylvie Tondeur, Benedicte Bulabois, Mathieu Meunier, Gautier Szymanski, Christine Lefebvre, Charlotte Planta, Chantal Dumestre-Perard, Nicolas Gonnet, Frederic Garban, Raymond Merle, Sophie Park, Jose Labarere

Summary: This study aims to compare the accuracy and agreement between a single-use dry reagent and a liquid reagent in quantifying peripheral blood neutrophil myeloperoxidase expression in suspected MDS patients.

BMJ OPEN (2022)

Article Ophthalmology

Lower fractal dimension of retinal vessel for patients with Birdshot chorioretinopathy

Lucas Furnon, Jose Labarere, Emanuele Trucco, Stephen Hogg, Tom MacGillivray, Christophe Chiquet

Summary: This study aimed to identify the retinal vessel vasculature parameters associated with birdshot chorioretinopathy (BSCR). The results showed that BSCR was associated with lower fractal dimension (FD) of retinal vessels. Among BSCR patients, retinal vein vasculitis was associated with higher central retinal artery equivalent (CRAE), venous tortuosity, and FD. Resolution of retinal vein vasculitis was accompanied by changes in retinal vascular parameters. These findings suggest that retinal vascular parameters could be useful for assessing patients with BSCR.

ACTA OPHTHALMOLOGICA (2023)

Article Multidisciplinary Sciences

Comparative diagnostic accuracy between simplified and original flow cytometric gating strategies for peripheral blood neutrophil myeloperoxidase expression in ruling out myelodysplastic syndromes

Tatiana Raskovalova, Laura Scheffen, Marie-Christine Jacob, Claire Vettier, Benedicte Bulabois, Gautier Szymanski, Simon Chevalier, Nicolas Gonnet, Sophie Park, Jose Labarere

Summary: This study aimed to simplify the gating strategy for peripheral blood neutrophil myeloperoxidase expression and evaluate its accuracy. The results showed that the simplified strategy performs as well as the original one in ruling out MDS and has the potential to save time and resources.

PLOS ONE (2022)

Article Engineering, Biomedical

Early extubation in extracorporeal life support patients: A propensity score-matched study

Alexandre Behouche, Lucie Gaide-Chevronnay, Juliette Piot, Maxime Durost, Anais Adolle, Yann Le Guen, Antoine Vilotitch, Jean-Luc Bosson, Alexandre Sebestyen, Michel Durand, Pierre Albaladejo

Summary: This study explores the impact of an early extubation strategy in assisted patients and finds that early extubation is associated with better survival and safety. However, due to the lack of prospective randomized studies, the causality remains uncertain.

ARTIFICIAL ORGANS (2023)

Review Health Care Sciences & Services

Development of Indirect Health Data Linkage on Health Product Use and Care Trajectories in France: Systematic Review

Florence Ranchon, Sebastie Chanoine, Sophie Lambert-Lacroix, Jean -Luc Bosson, Alexandre Moreau-Gaudry, Pierrick Bedouch

Summary: This systematic review analyzed the type and quality of research publications on indirect data linkage on health product use and care trajectories in France. The results showed that data linkage was performed at both national and local levels, mainly focusing on chronic diseases and infections. The objectives of data linkage included estimating the risk of adverse drug reactions, reconstructing patient care trajectories, describing therapeutic uses, evaluating treatment benefits, and evaluating treatment adherence. However, regulatory, technical, and human constraints remain major obstacles to the deployment of health data linkage.

JOURNAL OF MEDICAL INTERNET RESEARCH (2023)

Article Health Care Sciences & Services

Use of Smartphone Health Apps Among Patients Aged 18 to 69 Years in Primary Care: Population-Based Cross-sectional Survey

Sabrina Paradis, Jeremy Roussel, Jean-Luc Bosson, Jean-Baptiste Kern

Summary: The frequency of health app use is high among patients in primary care settings in France, with a focus on wellness, prevention, and fitness. These apps are predominantly used by the younger population.

JMIR FORMATIVE RESEARCH (2022)

Review Hematology

Accuracy of chitotriosidase activity and CCL18 concentration in assessing type I Gaucher disease severity. A systematic review with meta-analysis of individual participant data

Tatiana Raskovalova, Patrick B. Deegan, Pramod K. Mistry, Elena Pavlova, Ruby Yang, Ari Zimran, Juliette Berger, Celine Bourgne, Bruno Pereira, Jose Labarere, Marc G. Berger

Summary: Chitotriosidase activity and CCL18 concentration are both accurate biomarkers for assessing Gaucher disease severity, with CCL18 concentration showing comparable accuracy and measurability in all GD patients. This meta-analysis supports the use of CCL18 over chitotriosidase activity for monitoring GD activity in routine practice.

HAEMATOLOGICA (2021)

Article Health Care Sciences & Services

Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates

Bastien Boussat, Hude Quan, Jose Labarere, Danielle Southern, Chantal M. Couris, William A. Ghali

Summary: By conducting a medical chart review on a limited number of medical charts at the hospital level, a method has been developed to estimate true hospital-level adverse event rates for producing health system report cards.

INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE (2021)

Article Ophthalmology

Relationship between changes in retinal nerve fiber layer thickness measured by SD-OCT and changes in visual field parameters in birdshot chorioretinopathy

Gave Aurelia, Cotella Lucile, Labarere Jose, Aptel Florent, Chiquet Christophe

Summary: The study found that there is subtle structural deterioration of the optic nerve (RNFL) in BSCR patients during follow-up, but no significant changes in the visual field. Analyzing the data showed a significant linear relationship between visual field deficits and RNFL thickness, suggesting that RNFL thickness measurements could be useful for mid-term monitoring of BSCR patients.

GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY (2021)

暂无数据